Retrofitting Technology to Nursing: The Case of Electronic Fetal Monitoring

Sandelowski, Margarete

doi:10.1111/j.1552-6909.2000.tb02053.x

Cited by 16 publications

(12 citation statements)

References 36 publications

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“…Sandelowski (2000a, 2000b, 2000c, p. 32) describes technology as ‘context dependent, objects become technological, components of technologies, not only by virtue of how they are defined and classified but also by virtue of how they are used’.…”

Section: Discussionmentioning

confidence: 99%

The role of technology in critical care nursing

Crocker¹,

Timmons

2008

Journal of Advanced Nursing

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Nurses need to examine how they can adapt and to 'reconfigure' technology so that it can be transformed into a nursing technology. Those technologies that do not fit with nursing may have no place there. Rather than simply extending and expanding their roles through technology transfer, nurses should transform those technologies that preserve the essence of nursing and can contribute to a positive outcome for patients.

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Section: Discussionmentioning

confidence: 99%

The role of technology in critical care nursing

Crocker¹,

Timmons

2008

Journal of Advanced Nursing

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“…Continuous EFM was embraced by the obstetric community, including nursing (Sandelowski, 2000), even though clinical trials did not show evidence supporting its use in low-risk women when compared to IA (Banta & Thacker, 1979;Dixon, 1981;Haverkamp, Thompson, McFee, & Cetrulo, 1976). Over time, the cardiography machine (EFM) became smaller and less bulky, which allowed this technology to fit at the bedside more easily and be used.…”

Section: Overview Of Fetal Monitoringmentioning

confidence: 99%

Fetal Monitoring: Creating a Culture of Safety With Informed Choice

Heelan¹

2013

J Perinat Educ

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The dominant culture in labor and birth is the medical model, not the midwifery model of woman-centered care. Consensus among professional and governmental groups is that, based on the evidence, intermittent auscultation is safer to use in healthy women with uncomplicated pregnancies than electronic fetal monitoring (EFM). Barriers impact the laboring woman's ability to give informed choice regarding fetal monitoring. Lack of informed choice denies a woman her right to be in control of her birth experience, and is in opposition to a woman's right to autonomy and self-determination.

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“…Despite the diametrically opposed philosophies around the management of birth to which midwives and obstetricians subscribe, midwives have promoted the use of medically focused policies such as, EFM, regardless of the woman's risk status 28–30 . Sandelowski 31 has reported why midwives have adopted the medical paradigm for delivering care in normal birth whilst rejecting a more low‐tech approach, as non‐technological practices have accorded the midwifery profession less status. The promotion of informed choice for women and the non‐use of EFM was limited for women by those midwives who perceived that the use of technology increased their professional status and by default relegated their intuitive knowledge and skills to a lower level.…”

Section: Resultsmentioning

confidence: 99%

The rhetoric of informed choice: perspectives from midwives on intrapartum fetal heart rate monitoring

Hindley

Thomson

2005

Health Expectations

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Objective To investigate midwivesÕ attitudes, values and beliefs on the use of intrapartum fetal monitoring.Design Qualitative, semi-structured interviews Subjects and setting Fifty-eight registered midwives in two hospitals in the North of England.Results In this paper two main themes are discussed, these are: informed choice, and the power of the midwife. Midwives favoured the application of informed choice and shared a unanimous consensus on the definition. However, the idealistic perception of informed choice, which included contemporary notions of empowerment and autonomy for women expressing an informed choice, was not reportedly translated into practice. Midwives had to implement informed choice on intrapartum fetal monitoring within a competing set of health service agendas, i.e. medically driven protocols and a political climate of actively managed childbearing. This resulted in the manipulation of information during the midwivesÕ interactions with women. This ultimately meant that the women often got the choice the midwives wanted them to have. ConclusionsThe information that a midwife imparts may consciously or subconsciously affect the woman's uptake and understanding of information. Therefore, the midwife has a powerful role to play in balancing the benefits and risk ratios applicable to fetal heart rate monitoring. However, a deeply ingrained pre-occupation with technological methods of intrapartum fetal monitoring over many years has made it difficult for midwives to offer alternative forms of monitoring. This has placed limits on the facilitation of informed choice and autonomous decision making for women.

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Retrofitting Technology to Nursing: The Case of Electronic Fetal Monitoring

Cited by 16 publications

References 36 publications

The role of technology in critical care nursing

The role of technology in critical care nursing

Fetal Monitoring: Creating a Culture of Safety With Informed Choice

The rhetoric of informed choice: perspectives from midwives on intrapartum fetal heart rate monitoring

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