Field Of Birth Research Articles

EVALUATION OF THE BEHAVIORS OF NURSES AND MIDWIVES WORKING IN THE FIELD OF BIRTH AND GYNECOLOGICAL DISEASES TOWARDS PATIENT PRIVACY

Bu araştırmanın amacı, doğum ve kadın hastalıkları alanında çalışan hemşire ve ebelerin hasta mahremiyetine yönelik davranışlarının değerlendirilmesidir. Tanımlayıcı nitelikte tasarlanan araştırma 10 Ocak- 10 Mart 2022 tarihleri arasında bir üniversite ve bir devlet hastanesinde yürütülmüştür. Araştırma evrenini iki hastanenin doğumhane, doğum ve kadın hastalıkları servislerinde çalışan 21 hemşire ve 58 ebe toplam 79 kişi oluşturmuştur. Çalışmada örneklem seçimine gidilmeyip çalışmaya katılmaya gönüllü 79 kişi ile çalışma tamamlanmıştır. Verilerin toplanmasında Kişisel Bilgi Formu ve Hasta Mahremiyet Ölçeği kullanılmıştır. Araştırma sonucunda elde edilen veriler istatistiksel analiz programları ile değerlendirilmiştir. İstatistiksel anlamlılık p0.05). Hemşire ve ebelerin mahremiyet düzeylerinin çok iyi düzeyde olduğu saptanmıştır. Araştırmacının kişisel özelliklere göre ölçek puanı arasında herhangi bir fark bulunmamıştır.

Countervailing powers in the labor room: The doula–doctor relationship in the United States

How do health professionals with fundamentally different philosophies toward health, and different status levels, manage power in their work relationships? This paper argues that taking a negotiated order interactionist approach, which contends that the social order shapes behavior but is continuously negotiated through social interactions, and synthesizing it with a countervailing powers perspective can yield insight into the power dynamics between health professionals. It focuses on the birth field, with attention to the relationship between two very different types of birth professionals: obstetricians and doulas. Unlike doctors, who maintain a dominant place in health care and subscribe to a biomedical perspective of birth, doulas hold a low-status position and take a holistic approach toward birth, which may cause conflict in the labor room. In-depth interviews with 43 birth doulas based in the US (May–July 2018) found that the doula–doctor relationship is a complex story of power, deference, and countervailing responses. Doulas reported that doctors are more receptive to them now than in the past but that this is an outcome of creative countervailing responses involving deferential maneuvers and direct challenges to physician authority. Doulas’ strategic management of their relationships with health professionals has allowed them entry to the hospital, permitting them to represent a holistic voice in the labor room. A minority of doulas have begun to develop relationships with doctors that constitute a collaborative approach toward birth care, indicating that changes in standard care are possible. By revealing how a subordinate actor can challenge physicians and effect change in care, this study contributes to scholarship seeking to understand the nature of unequal relationships between health professionals in a context of biomedical dominance.

Accreditation Maternity and Obstetric Services (MOS), Based on the Accreditation Standards of the Joint Commission International (JCI)

Background: In recent years various standards have been proposed for assessment and supervision of healthcare systems. One of the most popular of them in health care area is Joint Commission International (JCI) standards of US. This study has been conducted to investigate executive potentials related Accreditation Standards of Maternity and birth services of this commission in hospitals providing maternity and birth services in Ardebil Province. Methods: This is a descriptive-analytic study conducted as cross-sectional on 232 employees of three hospitals in Ardebil including Alavi, Arta and Sabalan who were randomly chosen. This is a multi-stage study that in stage 1, an accreditation tool for maternity and birth services was designed based on JCI standards. Validity and reliability of questionnaire was measured by Alpha Cronbach. In stage 2, score of different dimension of Accreditation Standards of MOS was calculated using data obtained from questionnaires distributed among a sample of 232 hospitals personnel; all of them were working in maternity and birth field. Statistical tests used are one-way analysis of variance (ANOVA), dunnets post hoc and correlation test that all of them were calculated by SPSS V. 18. Results: Result showed that all of the MOS accreditation standards components were capable in selected hospitals. Arta hospital earned the highest score of standards (mean = 149/4) and Alavi hospital received the lowest score (mean = 128/04) of the maximum attainable score (186). Also, significant difference was observed between selected hospitals in total score of MOS standards (F = 50/432, p < 0/00). Conclusion: Based on study findings, there is an inequality between Ardebils hospital in field of MOS accreditation standards. Public hospitals are in more difficult situation compared to private hospitals, therefore Health Care System policy makers must pay attention systematically and specially to implementation of international standards in order to improve health care impacts in public hospitals.