Misunderstood as mothers: women's stories of being hospitalized for illness in the postpartum period

Power, Tamara; Jackson, Debra; Carter, Bernie; Weaver, Roslyn

doi:10.1111/jan.12515

Cited by 6 publications

(5 citation statements)

References 53 publications

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“…As a result, 18 older adults participated in the interviews. During the data analysis, we were able to establish the repetition of responses thus determining that saturation was reached ( Power et al, 2015 ). Each interview lasted approximately 40–60 minutes and the participants received a $5 Walmart gift card along with a copy of the consent form via mail.…”

Section: Methodsmentioning

confidence: 99%

Exploring Factors Enhancing Resilience Among Marginalized Older Adults During the COVID-19 Pandemic

et al. 2021

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Marginalized older adults are highly vulnerable to COVID-19 due to social isolation and physical and functional limitations. Despite these stressors, they appear to be resilient by leveraging individual, community, and societal resources. This study conducted in-depth interviews with marginalized older adults to understand how COVID-19 affected their mobility and daily lives. We also identified different levels of protective factors affecting their resiliency to pandemic stressors. COVID-19 influenced not only the physical health but also the mental health of older adults. However, they overcame adversity by using technology to continue daily activities, exchanging informal support with family and neighbors, relying on formal support from community organizations, and keeping themselves physically active in their neighborhoods. Our findings suggest a holistic approach to enhance the resilience of older adults during an unprecedented event.

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Section: Methodsmentioning

confidence: 99%

Exploring Factors Enhancing Resilience Among Marginalized Older Adults During the COVID-19 Pandemic

et al. 2021

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“…The authors state: ‘Of the 39 participants, six did not complete a second interview because they were unavailable, impaired, or the research team felt the first interview had achieved saturation’ (p. 2035), suggesting that judgments of saturation were made within each participant’s account. Power et al ( 2015 ) adopted a story-telling approach to women’s experience of post-partum hospitalization, and recruitment continued until data saturation, which was established through ‘the repetition of responses’ (p. 372). Analysis was thematic, and it is not clear whether saturation was determined in relation to themes across participants’ stories, or within individual stories.…”

Section: ‘Where and Why?’—in What Types Of Qualitative Research And mentioning

confidence: 99%

Saturation in qualitative research: exploring its conceptualization and operationalization

et al. 2017

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Saturation has attained widespread acceptance as a methodological principle in qualitative research. It is commonly taken to indicate that, on the basis of the data that have been collected or analysed hitherto, further data collection and/or analysis are unnecessary. However, there appears to be uncertainty as to how saturation should be conceptualized, and inconsistencies in its use. In this paper, we look to clarify the nature, purposes and uses of saturation, and in doing so add to theoretical debate on the role of saturation across different methodologies. We identify four distinct approaches to saturation, which differ in terms of the extent to which an inductive or a deductive logic is adopted, and the relative emphasis on data collection, data analysis, and theorizing. We explore the purposes saturation might serve in relation to these different approaches, and the implications for how and when saturation will be sought. In examining these issues, we highlight the uncertain logic underlying saturation—as essentially a predictive statement about the unobserved based on the observed, a judgement that, we argue, results in equivocation, and may in part explain the confusion surrounding its use. We conclude that saturation should be operationalized in a way that is consistent with the research question(s), and the theoretical position and analytic framework adopted, but also that there should be some limit to its scope, so as not to risk saturation losing its coherence and potency if its conceptualization and uses are stretched too widely.

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“…Cardiac factors include: the association of cardiac disease with poorer mental health [ 4 , 5 ], prognostic uncertainty, cardiac disease and lower QoL [ 6 ], and the specific challenges experienced by adults with congenital heart disease [ 7 ] and younger people with cardiac disease in general [ 8 ]. Personal characteristics that reduce QoL include: the presence of pre-existing and perinatal mental health conditions [ 9 ], the effects of maternal near-miss events [ 10 ], and the experience of mothering with a chronic illness [ 11 , 12 ]. These associations have mental health and QoL implications however, they are yet to be fully examined.…”

Section: Introductionmentioning

confidence: 99%

Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum

Hutchens

Frawley

Sullivan

2022

BMC Pregnancy Childbirth

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Purpose Cardiac disease is a leading cause of maternal morbidity and mortality yet there is limited research on women’s experiences and quality of life (QoL) outcomes. The aim of this study is to explore the general and health-related QoL (HRQoL) and mental health outcomes for women who have experienced cardiac disease in pregnancy and the first 12 months postpartum (CDPP). Methods This exploratory descriptive study recruited 43 women with acquired, genetic and congenital CDPP. Patient reported outcomes measures (PROMs) used were: WHOQoL-Bref, a Kansas City Cardiac Questionnaire (KCCQ), the Depression, Anxiety and Stress Scales-21 (DASS-21), the Cardiac Anxiety Questionnaire (CAQ) plus newly developed questions. Results Women reported low health satisfaction (51.7/100), physical health (55.2/100) and low HRQoL (63.1/100). Women had clinically significant scores for depression (24%), anxiety (22%) and stress (19.5%) (DASS-21) and 44.5% scored at least moderate anxiety on the CAQ. Most women (83.7%) were advised to avoid pregnancy which 88.9% found “upsetting” to “devastating”; 10.0% were offered counselling. Most women were concerned about reduced longevity (88.1%), offspring developing a cardiac condition (73.8%), and the limitations on enjoyment of life (57.1%). Women missed medical appointments due to cost (25.03%) and difficulty arranging childcare (45.5%). Conclusion The majority of women reported inadequate information and counselling support, with women with CDPP having sustained impaired QoL and mental health outcomes. The new and modified questions relating to mothering and children reflected the primacy of mothering to women’s identity and needs.

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Misunderstood as mothers: women's stories of being hospitalized for illness in the postpartum period

Cited by 6 publications

References 53 publications

Exploring Factors Enhancing Resilience Among Marginalized Older Adults During the COVID-19 Pandemic

Exploring Factors Enhancing Resilience Among Marginalized Older Adults During the COVID-19 Pandemic

Saturation in qualitative research: exploring its conceptualization and operationalization

Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum

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