Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.651132
Title: First-time mothers' experiences and the perception of nurses' provision of postnatal care
Author: Frei, I. A.
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2005
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Abstract:
In this study I explore and describe first-time mothers’ initial experiences of motherhood and postnatal care. The women selected were in-patients in a postnatal care setting in Switzerland. The women’s expectations of motherhood and postnatal care were investigated through conversations prior to birth. Further data about their experiences and postnatal care provision were obtained from conversations with participating women and nurses, observations of day-to-day practice and related documentary materials during the six-month period of fieldwork. Follow-up conversations were conducted after discharge. For its theoretical underpinnings the study draws especially on the theory of ‘becoming a mother’ by Barclay and colleagues (1997) and on Swanson’s theory of caring (1991; 1993). The data analysis was organised around two main themes: experience of ‘being on postnatal journeys’ and ‘caring relationships’. The women’s initial journeys into motherhood were intertwined with their journeys through the postnatal unit. The study explores the tensions and discontinuities between these two journeys notably in relation to the availability of competent care and support; the mothers’ requirements in terms of recovery and recuperation; and the tensions between individualised and routinised care. It identifies the extent to which women were able to regain physical strength, attain competence and develop confidence as caring mothers during their days in the unit. The study also explores how women anticipated their return to life at home with their baby and experienced the process of discharge. The second main theme concerns caring relationships. The study investigates these form the perspectives of the nurses and the unit’s mission as well as those of the first-time mothers. It identifies how the participating nurses and first-time mothers related to each other as well as examining continuity and constituency in care provision. The study further explores the tensions of structural influences on care provision and first-time mothers’ and nurses’ satisfaction with received and provided care respectively. This study specifically raises the issues of fragmented care provision, a lack of family-centeredness and the anxiety that arises at discharge. The findings of this study will be useful in effecting change in the provision of postnatal care to women and their families, and implications for nursing practice, research and policy are therefore highlighted.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.651132  DOI: Not available
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