Intrapartum Nursing Care: A Case Study of Supportive Interventions and Ethical Conflicts

Sleutel, Martha Rider

doi:10.1046/j.1523-536x.2000.00038.x

Cited by 30 publications

(36 citation statements)

References 20 publications

(33 reference statements)

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“…Conflicting descriptions of advocacy were also noted in one study in which nurses described their practice as following the mother's body while also taking action to hasten and control the birth. 12 This study concluded that advocacy entailed a balancing of the needs of the mother within the limitations imposed by a system dominated by a medical model of practice. Goldberg 13 considered the influence of relationship and practice setting on the enactment of advocacy and respect for autonomy.…”

Section: Related Literaturementioning

confidence: 94%

Autonomy and Advocacy in Perinatal Nursing Practice

Simmonds

2008

Nurs Ethics

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Advocacy has been positioned as an ideal within the practice of nursing, with national guidelines and professional standards obliging nurses to respect patients' autonomous choices and to act as their advocates. However, the meaning of advocacy and autonomy is not well defined or understood, leading to uncertainty regarding what is required, expected and feasible for nurses in clinical practice. In this article, a feminist ethics perspective is used to examine how moral responsibilities are enacted in the perinatal nurse-patient relationship and to explore the interaction between the various threads that influence, and are in turn affected by, this relationship. This perspective allows for consideration of contextual and relational factors that impact on the way perinatal nursing care is given and received, and provides a framework for exploring the ways in which patient autonomy, advocacy and choice are experienced by childbearing women and their nurses during labour and birth.

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Section: Related Literaturementioning

confidence: 94%

Autonomy and Advocacy in Perinatal Nursing Practice

Simmonds

2008

Nurs Ethics

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“…Two studies were carried out by the same authors. [2431] Nine studies reported the views, attitude, and experiences of women who had labor, however, three studies explored the viewpoints of health care professionals. One study explained the patients’ experience and one study explored the experiences of both midwives and women.…”

Section: Resultsmentioning

confidence: 99%

Respect for woman′s decision-making in spontaneous birth: A thematic synthesis study

MirzaeeRabor¹,

Mirzaee²,

Mirzaiinajmabadi³

et al. 2016

Iranian J Nursing Midwifery Res

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Background:Participation of woman in decision-making processes is one of the key indicators of an appropriate relationship between a woman and the health care professionals. This study aimed to recognize the factors facilitating respect for woman's decision-making in spontaneous birth.Materials and Methods:This paper employed a meta-synthesis on articles published in four biomedical databases including MEDLINE, Web of Science, CINAHL, and Cochrane Library. All qualitative studies published after 1990 and directly or indirectly discussing the women's and the health care professional's attitudes toward respect for woman's decision-making in spontaneous birth were searched. Of 5372 citations, 95 full-text papers were considered, of which 14 satisfied the inclusion criteria.Results:In this meta-synthesis, initial codes were obtained through meticulous, line-by-line coding of the findings of the primary studies. Then, thematic synthesis was performed on the codes to search for concepts, and 20 descriptive themes were obtained in the second stage. Finally, through an inductive process, five new interpretations were obtained in the last stage of the thematic synthesis. These interpretations included confidence to health care providers, the central role of midwives in maintenance of women's dignity, childbirth as a natural phenomenon, the impact of contextual conditions, and the political and human factors affecting the delivery management and women seek place of safety for childbirth.Conclusions:Studies suggested that midwifes have a central role in maintenance of women's dignity and their experience of childbirth.

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“…Nurses exist in a medical hierarchy that punishes disobedience (Rice Simpson & Lyndon, 2009), requires obedience (Hellyer, 2007) and regards nurses as doctors' 'hand-maidens' (Castledine, 2008). According to Sleutel (2000), many nurses avoid conflict by relinquishing power to physicians. Anderson (2009) found that many nurses follow orders with which they are uncomfortable because they cannot imagine acting otherwise.…”

Section: Discussionmentioning

confidence: 99%

“…During critical incidents, nurses tend to experience bullying from both physicians and hospital administration (Lazoritz & Carlson, 2008). Since doctors view nurses as subservient (Castledine, 2008), some nurses avoid physician confrontation (Sleutel, 2000) and follow orders they believe will increase patient risks (Anderson, 2009).…”

Section: Risk In the Practice Of Medicine And Childbirthmentioning

confidence: 99%

When it’s good to be a bad nurse: expanding risk orders theory to explore nurses’ experiences of moral, social and identity risks in obstetrics units

Striley

Field‐Springer

2016

Health, Risk & Society

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Discourses about health risks can have major implications for individuals and cultures. In this article, we use risk orders theory to examine nurses' perceptions of patient safety risk in Obstetrics departments of US hospitals. According to risk orders theory, risk discourses can create social worlds that have the capacity to threaten individuals' social bonds, identity and moral character, and the imaginative potential of entire cultures. Risk orders theory proposes three orders of risk. First-order risks are constructed from claims about tangible dangers that individuals believe result from their actions or inactions. Second-order risks are threats experienced by individuals because of communication about first-order risk, including threats to social relationships or social risks, and threats to the sense of moral character or moral risk. Third-order risks are threats to collective agency and imagination underpinning shared culture. In this article, we draw on data from a survey of obstetric nurses who attended the Association of Women's Health, Obstetric and Neonatal Nurses conference in 2010 in Las Vegas, Nevada. We use a qualitative thematic analysis of 131 obstetrics nurses' narrative responses on a critical incident survey to refine theoretical constructs of risk orders theory. We identified a third type of second-order risk, identity risks, or threats to the sense of self. We also identified three types of third-order risks: agencyconstraining risks threaten members of a culture's ability to act freely; agentconstraining risks threaten cultural members' ability to define themselves freely; double-binding risks threaten their ability to make choices freely. We found that second-order and third-order risks did threaten some obstetrics nurses' social bonds, identity as a nurse, moral character and imaginative potential.

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Intrapartum Nursing Care: A Case Study of Supportive Interventions and Ethical Conflicts

Cited by 30 publications

References 20 publications

Autonomy and Advocacy in Perinatal Nursing Practice

Autonomy and Advocacy in Perinatal Nursing Practice

Respect for woman′s decision-making in spontaneous birth: A thematic synthesis study

When it’s good to be a bad nurse: expanding risk orders theory to explore nurses’ experiences of moral, social and identity risks in obstetrics units

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