An Institutional Ethnography of Nurses’ Support of Breastfeeding on the Night Shift

Grassley, Jane S.; Clark, Manda; Schleis, Joyce

doi:10.1111/1552-6909.12728

Cited by 17 publications

(41 citation statements)

References 24 publications

(53 reference statements)

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“…The ability that the technology provided in allowing mothers to relax and recover physically, whilst still ‘keeping in touch’ with their babies appeared to assist the bonding process. Previous research has demonstrated an association between rest and recuperate in the early post-natal period, emotional well-being, bonding and the production of breast-milk [42, 43]. …”

Section: Discussionmentioning

confidence: 99%

Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology

et al. 2017

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BackgroundComplications during pregnancy, childbirth and/or the postnatal period may result in the admission of a baby to a neonatal unit (NNU). While the survival and long-term prospects of high-risk infants are enhanced by admission, the enforced separation of the parent and child may have psychological consequences for both. There is a need to develop and evaluate interventions to help parents ‘feel closer’ to their infants in circumstances where they are physically separated from them. In this paper we present findings from an in-depth, theoretically-driven, evaluation of a technological innovation designed to address this need. The study sought to explore parent and professional views of the impact of the technology, which transmits real-time images of the baby via a webcam from the NNU to the mother’s bedside in the post-natal care environment.MethodsA qualitative approach was adopted, guided by a critical realist perspective. Participants were recruited purposively from a NNU located in East-central Scotland. Thirty-three parents and 18 professionals were recruited. Data were collected during individual, paired and small group interviews and were analysed thematically. Following the initial analysis process, abductive inference was used to consider contextual factors and mechanisms of action appearing to account for reported outcomes.ResultsViews on the technology were overwhelmingly positive. It was perceived as a much needed and important advancement in care delivery. Benefits centred on: enhanced feelings of closeness and responsiveness; emotional wellbeing; physical recovery; and the involvement of family/friends. These benefits appeared to function as important mechanisms in supporting the early bonding process and wider transition to parenthood. However, for a small number of the parents, use of the technology had not enhanced their experience and it is important, as with any intervention, that professionals monitor the parents’ response and act accordingly.ConclusionsWith a current global increase in premature births, the technology appears to offer an important solution to periods of enforced parent-infant separation in the early post-natal period. The current study is one of a few world-wide to have sought to evaluate this form of technology in the neonatal care environment.

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Section: Discussionmentioning

confidence: 99%

Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology

et al. 2017

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“…Regarding the theoretical and methodological aspects, Chart 3 presents the summary of the elements found in the selected articles. Among the methodological frameworks adopted were: ethnography (15)(16)(21)(22)29,31,39) , focused ethnography (19)(20)31) , institutional ethnography (24,(34)(35)(40)(41)44) and ethnonursing (17)(18)23,(25)(26)(27)(28)(32)(33)(36)(37)(38)(42)(43) .…”

Section: Authorship Location Research Scenarios and Contexts Immersiomentioning

confidence: 99%

“…Interpretative Paradigm, Constructivist Epistemology and Inductive Logic Theoretical formulations or concepts in light of the Theory of Diversity and Universality of Cultural Care (17)(18)23,25,28,32,(36)(37)(38)(39) Cultural anthropology (15,21) , of health and symbolic (27) Pedagogical principles of education for social change in the concept of nursing practice as a partnership to transform health behaviors (29) Approach to the four fundamental principles of health ethics (16) Conceptual models of Critical Success Factors and Critical Success Factors and the Model for the Evaluation of Rural Sustainability (24) Analytical framework of habitus, capital and the field (20) Therapeutic Narratives (26) Methodological Referentials Ethnography (15)(16)(21)(22)29,31,39) , focused ethnography (19)(20)31) , institutional ethnography (24,(34)(35)(40)(41)44) and ethnonursing (17)(18)23,(25)(26)(27)(28)(32)(33)(36)…”

Section: Theoreticalmentioning

confidence: 99%

“…The Observation-Participation-Reflection Model (17)(18)23,25,28,(42)(43) , the Stranger-Friend Model (17)(18)25,28) , acculturation (18) and the Sunrise Model (17)(18)(37)(38) Non-structured (15,26,(30)(31)(32)(33)37) , semi-structured (16,(19)(20)(22)(23)25,(27)(28)(29)38,(40)(41)43) and structured (31,36,42,44) individual interviews, non-structured (31) and structured (44) group (24,31,33,44) interviews and focus groups (24,33,44) Questionnaires (29,…”

Section: Theoreticalmentioning

confidence: 99%

“…Topics (15,(17)(18)21,23,(30)(31)(32)(33)(37)(38)44) and subtopics (21,32,38) , denominated cultural (23) , central cultural (15,18,33,37) , main cultural (38) , universal (17) and cultural descriptors (23) Categories (16,(21)(22)(25)(26)(27)(28)36,(39)(40)(41) and subcategories (25,28,(39)(40)(41) , classified into analytics (21,36) and thematics (15,(40)(41) Descriptively from the empirically emerging patterns (19)(20)24,29,(34)(35)…”

Section: Theoreticalmentioning

confidence: 99%

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Theoretical, methodological and analytical aspects of ethnographic research in obstetric nursing: an integrative review

Belém

Pereira

Rebouças

et al. 2020

Rev. esc. enferm. USP

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Objective: To characterize ethnographic research in the area of obstetric nursing regarding its theoretical, methodological and analytical aspects. Method: An integrative review performed in the MEDLINE®, LILACS, BDENF and CINAHL databases, as well as the SciELO virtual library. Results: Thirty (30) articles formed the analytical corpus after screening and reading the primary references in full. The most used methods were ethno-nursing, ethnography and institutional ethnography; the immersion time in the field ranged from 12 visits to 48 months occurring in institutional contexts. The main data collection techniques were observation, individual interviews and training guides for ethno-nursing. The data were organized as themes and subthemes, analyzed through the ethno-nursing analysis guide, implementing the Theory of Diversity and Universality of Cultural Care as theoretical reference. Conclusion: Ethnographic studies in the area of obstetric nursing are within the scope of microethnographies and are operationalized based on theoretical-methodological nursing references, being useful to analyze the complexity of phenomena involving obstetric nursing care, and focusing on the etic (professional) and emic (women) perspectives.

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Integrative Review of the Experiences of Registered Nurses Who Support Breastfeeding Women

Prokop¹,

Meedya²,

Sim³

2021

Journal of Obstetric, Gynecologic & Neonatal Nursing

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An Institutional Ethnography of Nurses’ Support of Breastfeeding on the Night Shift

Cited by 17 publications

References 24 publications

Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology

Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology

Theoretical, methodological and analytical aspects of ethnographic research in obstetric nursing: an integrative review

Integrative Review of the Experiences of Registered Nurses Who Support Breastfeeding Women

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