A change laboratory for maternity care in Brazil: Pilot implementation of Mother Baby Friendly Birthing Initiative

Diniz, Carmen Simone Grilo; Bussadori, Jamile Claro de Castro; Lemes, Luana Beatriz; Moisés, Elaine Christine Dantas; Prado, Caio Antônio de Campos; McCourt, Christine

doi:10.1080/0142159x.2020.1791319

Cited by 9 publications

(2 citation statements)

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“…Envisioning students as 'assistants', able to make a more active contribution to patient care rather than 'students' in a more passive role, bridged the ZPD. CL2 created a 'safe space' where doctors, nurses and midwives used the conceptual tools to re-think their currently 'siloed' working practices (see Varpio andTeunissen 2020 andGrilo Diniz et al 2020 in this issue analysing obstetric care). This identified strategies to foster closer working-learning relationships and more joined-up care.…”

Section: Table 1 About Here Our Change Laboratory Case Studiesmentioning

confidence: 99%

Expansive learning in medical education: Putting Change Laboratory to work

et al. 2020

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This paper explores the purposeful use of conceptual and methodological tools provided by Cultural Historical Activity Theory (CHAT) to transform learning cultures and practices within and across diverse clinical learning environments. We describe how Change Laboratory methodology helped clinicians and others who support student, intern and resident education to make changes collaboratively. A case study in undergraduate medical education shows how this created new forms of medical student placement and a postgraduate study shows how it addressed supervisors' undermining behaviour towards Obstetrics and Gynaecology residents. This empirical work illustrates ways of modifying the classical Change Laboratory process to fit to local contexts, resources and needs. We conclude with lessons learned and future directions for practitioner-researchers who wish to broaden the range of methodological tools they use to transform clinical learning environments.

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Section: Table 1 About Here Our Change Laboratory Case Studiesmentioning

confidence: 99%

Expansive learning in medical education: Putting Change Laboratory to work

et al. 2020

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“…Women also described actions that were violent and abusive ( 90 ). These themes are all parts of the phenomenon called “obstetric violence”—the ill-mannered and insulting treatment, verbal or physical, of birthing person during the event of birth, which is acknowledged as a worldwide problem [see ( 91 – 93 )]. For example, medical staff sometimes use threats and twisted-partial facts, usually related to the wellbeing of the fetus, to coerce the birthing person into complying with procedures ( 90 , 94 – 96 ).…”

Section: The New Hypothesis: the Same Set And Setting Key Parameters ...mentioning

confidence: 99%

Navigating intensive altered states of consciousness: How can the set and setting key parameters promote the science of human birth?

Dahan

2023

Front. Psychiatry

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The subjective childbirth experience is crucial from a public health standpoint. There is a correlation between a negative childbirth experience and a poor mental state after birth, with effects that go far beyond the postpartum (PP) period. This paper offers a new approach as to how birthing experiences, and birth in general, can be navigated. The theory of set and setting proves that psychedelic experiences are shaped, first and foremost, by the mindset of an individual entering a psychedelic experience (set) and by the surroundings in which the experience happens (setting). In research on altered states of consciousness during psychedelic experiences, this theory explains how the same substance can lead to a positive and life-changing experience or to a traumatic and frightening experience. Because recent studies suggest that birthing women enter an altered state of consciousness during physiological birth (“birthing consciousness”), I suggest analyzing the typical modern birthing experience in terms of set and setting theory. I argue that the set and setting key parameters can help design, navigate, and explain many psychological and physiological elements of the human birth process. Thus, an operative conclusion that emerges from the theoretical analysis presented in this paper is that framing and characterizing the birth environment and birth preparations in terms of set and setting is a central tool that could be used to promote physiological births as well as subjective positive birthing experiences, which is currently a primary, yet unreached goal, in modern obstetrics and public health.

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