The Lived Experience of Postpartum Women Attending Outpatient Substance Treatment for Opioid or Heroin Use

The Lived Experiences of Postpartum Women in Ghana Regarding Nursing Care During Childbirth and Their Concept of Care-A Phenomenological Study

10.21203/rs.3.rs-257786/v1 ◽

2021 ◽

Author(s):

Nicholas Yakubu Danzima ◽

Nahid Dehghan Nayeri ◽

Manookian Arpi ◽

Alexis Dun Boib Buunaaim ◽

Aliyu Tijani

Keyword(s):

Quality Of Care ◽

Lived Experience ◽

Nursing Care ◽

Phenomenological Study ◽

Health Workers ◽

Postpartum Women ◽

Informational Support ◽

Negative Experience ◽

Colaizzi's Method

Abstract Background: Studies have confirmed that the nurse during the period of delivery would be the deciding factor whether the woman would have a positive or negative birth experience. This positive or negative experience depends on the quality of nursing during this period. Hence it is important to know the concept of care from the perspective of postpartum women and their lived experience of nursing care during the period of childbirth. This is because patients’ satisfactory of services rendered is a yardstick for measuring quality of care. However, there is no literature on the lived experience of postpartum women regarding the nursing care rendered to them during childbirth and the viewpoint of postpartum women on the concept of care in the context of Ghanaian health system. Accordingly the objective of the study was to discover the concept of care from the viewpoint of postpartum women and their lived experience of nursing care in the labor ward of Tamale Teaching Hospital. Methods: Using a descriptive phenomenological method, this study was conducted on 10 women who had given birth. A purposive sampling technique was used and data was collected through semi-structured interviews which lasted between 30 to 45 minutes. All participants were made to sign a consent form before participating. Data analysis was done using Colaizzi’s method. Results: Analysis of the interview transcripts depicting the women’s concept of care and experience of nursing care rendered to them during labor and delivery revealed three main themes: (1) Emotional, physical and informational support (2) Pampering and nice communication and (3) Cordial relationship. These women considered these concepts as good nursing care and that care can only be considered as good care if it entails these concepts.Conclusions and implications for practice: It is recommended that midwives and nurses as well as other health workers who nurse pregnant women during childbirth consider the experiences and viewpoint of women regarding their concept of care. The concepts of emotional, physical and informational support, pampering and nice communication and cordial relationship should be taking into consideration when nursing them. This will lead to taking care of them according to their preferences, wishes, needs and values which will lead to their satisfaction and hence quality of care since quality of care is determined by patient’s satisfaction. This will also lead to targeted, individualized, patient centered care for these women.

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A Heideggerian Hermeneutics Phenomenological Study On the Lived Experience of Nursing Care Rendered to Postpartum Women During Childbirth

Journal of Gynecology & Reproductive Medicine ◽

10.33140/jgrm.05.01.04 ◽

2021 ◽

Vol 5 (1) ◽

Keyword(s):

Quality Of Care ◽

Pregnant Women ◽

Lived Experience ◽

Health Facility ◽

Nursing Care ◽

Phenomenological Study ◽

Postpartum Women ◽

Informational Support ◽

The World

Study background: Studies have confirmed that the nurse during the period of delivery would be the deciding factor whether the woman would have a positive or negative birth experience. This experience depends on the quality of nursing care during childbirth. Hence it is important to know their lived experience of nursing care during childbirth. This is because patients’ satisfactory of services rendered is a yardstick for measuring quality of care. However, there is no literature on the lived experience of postpartum women regarding the nursing care rendered to them during childbirth in the context of Ghanaian health system. Accordingly, the objective of the study was to discover postpartum women lived experience of nursing care during childbirth. Methods: Using hermeneutic phenomenological method, this study was conducted on 10 women who had given birth for at least six months from the time of childbirth. A purposive sampling technique was used and data was collected through semi-structured interviews which lasted between 30 to 45 minutes. All participants were made to sign a consent form before participating. Data analysis was done using Diekermann, Allen and Tanner method. Results: Analysis of the interview transcripts depicting the women’s lived experience of nursing care rendered to them during childbirth and their encounter with the health facility and other entities revealed three main themes: 1. Being in the world of pregnant women in labor needing emotional, physical and informational support 2. Encounter with the health facility and practices and needing pampering and nice communication 3. Wishing for an environment of congenial and cordial relationship during childbirth. Conclusions and implications for practice: It is recommended that health professionals who nurse pregnant women during childbirth consider their lived experiences regarding nursing care they received during childbith. The theme of Being in the world of pregnant women in labor needing emotional, physical and informational support, Encounter with health facility, and practices and needing pampering and nice communication and Wishing for an environment of congenial and cordial relationship during childbirth should be taking into consideration when nursing them. This will lead to taking care of them according to their preferences, wishes, needs and values which will lead to their satisfaction and hence quality of care.

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A Heideggerian Hermeneutics Phenomenological Study On the Lived Experience of Nursing Care Rendered to Postpartum Women During Childbirth

Journal of Gynecology & Reproductive Medicine ◽

10.33140/jgrm.05.01.06 ◽

2021 ◽

Vol 5 (1) ◽

Keyword(s):

Quality Of Care ◽

Pregnant Women ◽

Lived Experience ◽

Health Facility ◽

Nursing Care ◽

Phenomenological Study ◽

Postpartum Women ◽

Informational Support ◽

The World

Study background: Studies have confirmed that the nurse during the period of delivery would be the deciding factor whether the woman would have a positive or negative birth experience. This experience depends on the quality of nursing care during childbirth. Hence it is important to know their lived experience of nursing care during childbirth. This is because patients’ satisfactory of services rendered is a yardstick for measuring quality of care. However, there is no literature on the lived experience of postpartum women regarding the nursing care rendered to them during childbirth in the context of Ghanaian health system. Accordingly, the objective of the study was to discover postpartum women lived experience of nursing care during childbirth. Methods: Using hermeneutic phenomenological method, this study was conducted on 10 women who had given birth for at least six months from the time of childbirth. A purposive sampling technique was used and data was collected through semi-structured interviews which lasted between 30 to 45 minutes. All participants were made to sign a consent form before participating. Data analysis was done using Diekermann, Allen and Tanner method. Results: Analysis of the interview transcripts depicting the women’s lived experience of nursing care rendered to them during childbirth and their encounter with the health facility and other entities revealed three main themes: 1. Being in the world of pregnant women in labor needing emotional, physical and informational support 2. Encounter with the health facility and practices and needing pampering and nice communication 3. Wishing for an environment of congenial and cordial relationship during childbirth. Conclusions and implications for practice: It is recommended that health professionals who nurse pregnant women during childbirth consider their lived experiences regarding nursing care they received during childbith. The theme of Being in the world of pregnant women in labor needing emotional, physical and informational support, Encounter with health facility, and practices and needing pampering and nice communication and Wishing for an environment of congenial and cordial relationship during childbirth should be taking into consideration when nursing them. This will lead to taking care of them according to their preferences, wishes, needs and values which will lead to their satisfaction and hence quality of care.

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Attitudes towards safe consumption sites among police and people with lived experience in Tijuana, Mexico: initial report from the field

Salud Mental ◽

10.17711/sm.0185-3325.2019.024 ◽

2019 ◽

Vol 42 (4) ◽

pp. 185-189

Author(s):

Jaime Arredondo-Sánchez Lira ◽

Clara Fleiz-Bautista ◽

Pieter Baker ◽

Jorge A. Villatoro-Velázquez ◽

Mario Domínguez-García ◽

...

Keyword(s):

Lived Experience ◽

Police Officers ◽

Successful Implementation ◽

Heroin Use ◽

Heroin Users ◽

Initial Report ◽

Personal Support ◽

Positive Attitudes ◽

Northern Border ◽

The City

Introduction. Mexico northern border has high levels of heroin use. For more than 10 years, the country has implemented several harm reduction interventions to reduce the risks associated with drug use. New strategies such as Safe Consumption Sites (SCS) must be considered as a next step to service vulnerable populations and increase their health outcomes. Objective. This report seeks to measure and compare attitudes on a potential SCS intervention in Tijuana among police and people with lived experience (PLE) in heroin use in the city. Method. Two parallel studies on police practices and everyday experiences of heroin users in Tijuana were able to ask similar questions about attitudes toward SCS and its implementation in the city. They conducted quantitative interviews with 771 active police officers and 200 PLE while in rehabilitation services. Results. Both groups showed a high personal support for SCS of nearly 82% and a perceived implementation success around 80%. Officers reported 58.9% peer support for SCS while PLE 79%. Around 76% of both groups agreed that a SCS would help to improve their personal health. Finally, 86.2% of the officers would refer people to a SCS while 62.5% of PLE would use the service. Discussion and conclusions. The strong positive attitudes from police officers and PLE towards SCS in the city of Tijuana reported in both studies indicate the possibility of a successful implementation of a SCS. This intervention would represent an innovative way to protect PLE from police harassment and victimization, helping reduce HIV and HCV risk behaviors while improving community health.

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