Certified nurse-midwifery care of the postpartum client A descriptive study

Morten, Ann; Kohl, Melanie; O'Mahoney, Prairie; Pelosi, Kate

doi:10.1016/0091-2182(91)90042-n

Cited by 9 publications

(9 citation statements)

References 30 publications

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“…Nurse investigators have studied the empowerment of nurses related to autonomy in practice (Chandler, 1991;Collins & Henderson, 199 l), and midwifery care (Morten, Kohl, O'Mahoney, & Pelosi, 1991) was studied as a means to empower clients and families. Nurse researchers have identified the dialogue between researcher and informant as empowering influence for women with diabetes (Anderson, 1991) and abused pregnant women (Parker & McFarlane, 1991).…”

Section: Research On Empowermentmentioning

confidence: 99%

A Place to be Yourself: Empowerment from the Client's Perspective

Connelly¹,

Keele²,

Kleinbeck³

et al. 1993

Image: the Journal of Nursing Scholarship

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This article describes a focused ethnography of a group of chronically mentally ill clients who were involved in a client-run drop-in center. Spradley's (1979) Developmental Research Sequence guided the research. Data were obtained from interviews, participant-observation and documents review. The qualitative analysis identified the major theme of empowerment, which had four process domains: participating, choosing, supporting and negotiating. These domains represented four levels of empowerment for this group. From the client's perspective, empowerment meant they participated more in the community, their choices were increased, they provided support for each other and they negotiated on a more equal basis with staff. A fifth domain, personal significance, described the effects of empowerment for each individual.

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Section: Research On Empowermentmentioning

confidence: 99%

A Place to be Yourself: Empowerment from the Client's Perspective

Connelly¹,

Keele²,

Kleinbeck³

et al. 1993

Image: the Journal of Nursing Scholarship

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“…The study by Thompson et al 9 stands as seminal in the early development of midwifery theory identifying critical indicators of care. Cragin critically examined the early theoretical efforts of Lehrman, Thompson and her associates, Morten and her colleagues, and Kennedy 5,6,9‐12 . She notes there is “remarkable consistency in the identification of concepts important to the discipline, which are much broader than those derived from a medically based philosophy.” However, she emphasizes the importance of future study to refine and clarify these concepts and their contribution to midwifery knowledge and women's and family health.…”

Section: Introductionmentioning

confidence: 99%

The Landscape of Caring for Women: A Narrative Study of Midwifery Practice

Kennedy

Shannon

Chuahorm

et al. 2004

J Midwife Womens Health

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Our purpose was to expand knowledge on the process and outcomes of midwifery care. Narrative analysis was used to interpret stories provided by midwives to illustrate their practice and recipients of midwifery care about their experience. A purposive sample of 14 midwives and four recipients of midwifery care was recruited as a subsample from a prior Delphi study on midwifery practice. Three broad themes were identified: 1) the midwife in relationship with the woman, 2) orchestration of an environment of care, and 3) the outcomes of care, called "life journeys" for the woman and the midwife. The findings are discussed from the perspectives of therapeutic landscapes described in cultural geography and prior research on midwifery practice. The challenge is to confirm the associations between the processes of care identified in these narratives with both short- and long-term outcomes in the health of women and their families. These appear to go well beyond the usual perinatal measures currently used in health care research and hold implications for how care is delivered, measured, and evaluated.

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“…Thompson and colleagues’ 2 definition of health promotion includes promotion of the naturalness of pregnancy and birth. Lehrman 1 states her assumption that “childbirth is a natural healthy event in a woman's life that could be facilitated by nurse‐midwifery care.” In an earlier study, Lehrman 1 had identified non‐interventionist care as an aspect of midwifery care, defined as the “ability of the health care provider to focus on the maintenance of health and the physiologic normalcy of childbirth and the promotion of increased levels of health by use of natural techniques,” 12 which captures the essence of the third characteristic of the midwifery paradigm.…”

Section: Discussionmentioning

confidence: 99%

“…The model was proposed to work across five levels of nurse‐midwifery practice: interconceptional, prenatal care, intrapartum care, postpartum care, and neonatal care. In addition to the developmental research done by Lehrman, one small descriptive study by Morten and colleagues 12 validated Lehrman's theory for postpartum care. This study identified three new processes (therapeutic relationships, lateral relationships, and empowerment) of nurse‐midwifery care in addition to the eight identified by Lehrman.…”

Section: Ela‐joy Lehrmanmentioning

confidence: 94%

“…Lehrman carefully defined each of the primary constructs to be potentially inclusive of psychosocial, environmental, and other contextual factors when they are operationalized for research. The work of Morten and colleagues, 12 who found that the eight original components could be applied to the postpartum level of care, extended the usefulness of Lehrman's theory.…”

Section: Ela‐joy Lehrmanmentioning

confidence: 99%

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The Theoretical Basis for Nurse‐Midwifery Practice in the United States: A Critical Analysis of Three Theories

Cragin¹

2004

J Midwife Womens Health

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The relatively recent effort of midwifery scholars has resulted in the development of three middle-range midwifery theories in the United States. This article examines the three theoretical models that have been developed to describe the essential components of midwifery practice. The three theorists demonstrate remarkable consistency in the identification of concepts important to the discipline, which includes the following essential characteristics of the midwifery paradigm of care: 1) acknowledgment of connections between the mind and body and the person to the person's life and world; 2) assuming the perspective of the woman to investigate meaning and her experience of symptoms or conditions, so that a plan of care is developed by midwife and woman together; and 3) protection and nurturance of the "normal" in processes related to women's health, implying a judicious use of technology and intervention.

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Certified nurse-midwifery care of the postpartum client A descriptive study

Cited by 9 publications

References 30 publications

A Place to be Yourself: Empowerment from the Client's Perspective

A Place to be Yourself: Empowerment from the Client's Perspective

The Landscape of Caring for Women: A Narrative Study of Midwifery Practice

The Theoretical Basis for Nurse‐Midwifery Practice in the United States: A Critical Analysis of Three Theories

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