Negotiating Activity Restriction: A Grounded Theory of Home Management of Preterm Labor

Durham, Roberta

doi:10.1177/104973299129122027

Cited by 12 publications

(13 citation statements)

References 22 publications

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“…Women want a healthy outcome for the pregnancies and are committed to the wellbeing of their babies but they also have to consider other elements of their lives when making decisions about treatment (Durham 1999). Other studies of women with high risk pregnancies report similar findings.…”

Section: Women's Attitude To Caresupporting

confidence: 72%

Risk perception in women with high-risk pregnancies

Lee

2014

British Journal of Midwifery

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Risk perception in women with high risk pregnancies affects the decisions they make about antenatal care and so may therefore influence the wellbeing of mother and baby. This article addresses the factors which influence women when making risk assessments and how these assessments may differ from those of healthcare professionals.Women use multiple sources of information to determine their risk status including advice from professionals, from other trusted sources, and their own intuitive knowledge. They recognise the risks posed by their pregnancies and will take steps to ensure the health of themselves and their babies. However these may not include following all medical recommendations. How they perceive risks and the care they will accept are weighed up in the context of their individual circumstances.Midwives need to be aware of these factors to ensure the care they give is individually appropriate, respectful and realistic.

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Section: Women's Attitude To Caresupporting

confidence: 72%

Risk perception in women with high-risk pregnancies

Lee

2014

British Journal of Midwifery

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“…Up to half of the general population do not comply fully with recommended treatment regimens so such behaviour cannot be considered a minority or deviant reaction (Donovan and Blake 1992). Women with high risk pregnancies are committed to achieving good outcomes for themselves and their babies so professionals should not regard non-adherence to a treatment programme as evidence of recalcitrance or a lack of care (Durham 1999). Realistic discussions about what aspects of treatment women feel able to accept may increase overall compliance (Durham 1999).…”

Section: Discussionmentioning

confidence: 99%

“…Women with high risk pregnancies are committed to achieving good outcomes for themselves and their babies so professionals should not regard non-adherence to a treatment programme as evidence of recalcitrance or a lack of care (Durham 1999). Realistic discussions about what aspects of treatment women feel able to accept may increase overall compliance (Durham 1999). Women respond positively to professionals who support them to make decisions about their healthcare (Levy 1999).…”

Section: Discussionmentioning

confidence: 99%

“…Their responses may also differ with time. Durham (1999) found women with high risk pregnancies would initially comply with treatment plans when their condition was newly diagnosed and anxiety levels were high. However, after some time elapsed and their conditions had not notably worsened, the women negotiated modifications to their treatment in order to accommodate what they felt were realistic adjustments within the context of their circumstances.…”

Section: Introductionmentioning

confidence: 99%

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A metasynthesis of risk perception in women with high risk pregnancies

2014

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“…The internalist balancer needed to be self-reflective which involved recognizing imbalance in one's life, identifying one's various commitments, flexibly and pragmatically adjusting, weighing and prioritizing these commitments according to circumstances, and developing or drawing upon one or more balancing strategies. This kind of self-reflection was evident, for example, in a study of women at risk of preterm labor, who were observed to be generating a "calculus of salient variables" before deciding how to manage their activity restriction (Durham, 1999). Balancing strategies could vary from individual to individual in ways that could even be classified into typologies of balancing.…”

Section: The "Externalist Balancer" Vs the "Internalist Balancer"mentioning

confidence: 99%

Balance, Balancing, and Health

2011

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In this article we explore the concept of balance in the context of health. We became interested in balance during a grounded theory study of lay conceptualizations of cancer risk, in which participants were concerned with having a good life, which relied heavily on balancing processes. This led us to the qualitative literature about balance in the context of health, which was large and in need of synthesis. We identified 170 relevant studies and used Thomas and Harden's technique of "thematic synthesis" to identify key balance-related themes and to develop these into more abstract analytic categories. We found that balance and balancing were salient to people in three health-related contexts: health maintenance, disease or disability management and lay or professional caregiving. In each of these contexts, balance or imbalance could be a state or a process. In addition, those using the word had either an internally-or externally focused orientation to the world around them. Clinicians and public health practitioners might benefit from using these insights in their research and communication.Keywords communication, medical; concept analysis; health and well-being; health promotion; qualitative analysis Qualitative research sheds light on the ways in which people understand and experience health, disease and health care. Qualitative researchers elicit rich accounts of people's beliefs about specific diseases and experiences of particular illnesses and also empirically examine more abstract concepts such as risk (e.g., Hay, Shuk, Cruz, & Ostroff, 2005), health (e.g., Smith-DiJulio, Windsor, & Anderson, 2010), disability (e.g., Lutz & Bowers, 2005), community (e.g., Wong, 2 Sands, & Solomon, 2010), and quality of life (e.g., Hendry & McVittie, 2004). Such concepts are central to communication and have a powerful capacity to organize thought and shape behavior but their meanings cannot be assumed. This makes the systematic and comparative study of concepts is necessary (Quinton, 1988). Qualitative research also allows us to explore lay knowledge and its meanings. As Popay and Williams have argued in relation to public health:If research in the field of public health is to develop more robust and holistic explanations for patterns of health and illness in contemporary society, then it must utilize and build on lay knowledge-the meanings health, illness, disability and risk have for people (Popay & Williams, 1996, p. 760).In this research we explored the meanings of one abstract concept with particular salience in health: balance. We became interested in this concept while conducting a grounded theory study into lay people's conceptualizations of cancer risk. The central question in the study was: how do lay people understand the risk of getting cancer? We found that people thought of cancer risk only when cancer was personally salient. Their focus was not on disease but rather on having a good life, and this relied on balancing processes.In retrospect, this is unsurprising, given that balance is a concept th...

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Negotiating Activity Restriction: A Grounded Theory of Home Management of Preterm Labor

Cited by 12 publications

References 22 publications

Risk perception in women with high-risk pregnancies

Risk perception in women with high-risk pregnancies

A metasynthesis of risk perception in women with high risk pregnancies

Balance, Balancing, and Health

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