Opinions of Nurses and Midwives Working in the Obstetrics Clinic Regarding The Difficulties Experienced While Giving Care to The Patients in the Postpartum Period: Qualitative Study

Year 2020, Volume: 3 Issue: 2, 59 - 71, 30.09.2020

Nurcan Kırca

https://doi.org/10.38108/ouhcd.737857

Cited By: 1

Abstract

Objective: The aim of this study is to examine the views and experiences of nurses and midwives working in the obstetrics clinic the obststrics clinic regarding the difficulties they experience while providing care to patients in the postpartum period.
Method: In the study carried out with qualitative research method, phenomenological pattern was used. The working group, working in a public hospital obstetrics nurse in Turkey (n = 7) and midwives (n = 2) was formed. Data; It was collected between February and March 2020 by individual and focus group meetings and analyzed by content analysis method.
Results: When the sociodemographic characteristics of the participants are evaluated; the mean age of the patients was 39.21 ± 9.58, the working year was 16.12 ± 8.61, and the working period in the obstetrics clinic was 13.17 ± 4.61 years. It was determined that 88.8% of the nurses and midwives were married, all gave birth and received education at university level. Themes obtained as a result of the analysis; “Defining being a nurse and midwife working in the obstetrics clinic”, “difficulty in giving care to women”, “methods of coping with the difficulties experienced by the participants” and “solution suggestions”.
Conclusion: It was determined that the nurses offered some suggestions for the elimination of these difficulties, which they had difficulties in breastfeeding, communication problems, and cultural differences while providing care in the postpartum period.
Keywords: Postpartum care, midwifery, phenomenology, nursing

Keywords

Postpartun care, midwifery, phenomenology, nursing

Kadın Doğum Kliniğinde Çalışan Hemşire ve Ebelerin Doğum Sonu Dönemde Hastalara Bakım Verirken Yaşadığı Zorluklara İlişkin Görüşleri: Kalitatif Çalışma

Abstract

Amaç: Bu çalışmada amaç, kadın doğum kliniğinde çalışan hemşire ve ebelerin doğum sonu dönemde hastalara bakım verirken yaşadığı zorluklara ilişkin görüşlerini incelemektir.
Yöntem: Nitel araştırma yöntemi ile yürütülen çalışmada fenomenolojik desen kullanılmıştır. Çalışma grubu, Türkiye’de bir kamu hastanesinde kadın doğum kliniğinde çalışan hemşire (n=7) ve ebelerden (n=2) oluşmuştur. Veriler; Şubat-Mart 2020 tarihleri arasında bireysel ve odak grup görüşmesi ile toplanmış ve içerik analizi yöntemi ile çözümlenmiştir.
Bulgular: Katılımcıların sosyodemografik özellikleri değerlendirildiğinde; yaş ortalamasının 39.21±9.58, çalışma yılının 16.12±8.61, kadın doğum kliniğinde çalışma süresinin 13.17±4.61 yıl olduğu saptanmıştır. Hemşire ve ebelerin %88.8’inin evli, tamamının doğum yaptığı ve üniversite düzeyinde eğitim aldığı saptanmıştır. Analiz sonucunda elde edilen temalar; “kadın doğum kliniğinde çalışan hemşire ve ebe olmayı tanımlama”, “kadınlara bakım verirken yaşanılan zorluk”, “katılımcıların yaşanılan zorluklar ile baş etme yöntemleri” ve “çözüm önerileri” dir.
Sonuç: Hemşirelerin doğum sonu dönemde bakım verirken emzirmede zorlanma, iletişim sorunu, kültürel farklılıklar gibi zorluklarının olduğu ve bu zorlukların ortadan kaldırılmasına ilişkin bazı önerileri sunduğu belirlenmiştir.

Keywords

Doğum sonu bakım, fenomenoloji, hemşirelik, ebelik

References

• Akhavan S, Lundgren I. (2012). Midwives’ experiences of doula support for immigrant women in Sweden--a Qualitative Study. Midwifery, 28(1), 80-85.
• Aktaş S, Pasinlioğlu T. (2017). Ebelere verilen empati eğitiminin postpartum dönemdeki annelerin beklentilerini karşılama, doğumu ve ebeyi algılama düzeyine etkisi. Jinekoloji Obstetrik ve Neonatoloji Tıp Dergisi, 14(2), 60-65.
• Altunduğ K, Acar A. (2011). Doğum sonu dönemde primipar anne ve ebe/hemşirelerin eğitim önceliklerinin karşılaştırılması. Sürekli Tıp Eğitim Dergisi, 20(4), 163-169.
• Altuntuğ K, Ege E. (2013). Sağlık eğitiminin annelerin taburculuğa hazır oluş, doğum sonu güçlük yaşama ve yaşam kalitesine etkisi. Hemşirelikte Araştırma Geliştirme Dergisi, 15(2), 45-56.
• Aslan, E. (2015). Normal lohusalık süreci ve bakım. Beji N, editör. Hemşire ve Ebelere Yönelik Kadın Sağlığı ve Hastalıkları. 1. Baskı, İstanbul, Nobel Tıp Kitabevleri, s. 355-396.
• Baltacı, A. (2018). Nitel araştırmalarda örnekleme yöntemleri ve örnek hacmi sorunsalı üzerine kavramsal bir inceleme. Bitlis Eren Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 7(1), 231-274.
• Bays AM, Engelberg RA, Back AL, Ford DW, Downey L, Shannon SE, ve ark. (2014). Interprofessional communication skills training for serious illness: Evaluation of a small group, simulated patient intervention. Journal of Palliative Medicine, 17, 159-166
• Berg M, OLafsdottir OA, Lundgren I. (2012). A midwifery model of women-centred child birth care-in Swedish and Icelandic settings. Sexual & Reproductive Healthcare, 3(2), 79-87.
• Bıkmaz Bilgen Ö, Doğan N. (2017). Puanlayıcılar arası güvenirlik belirleme tekniklerinin karşılaştırılması. Journal of Measurement and Evaluation in Education and Psychology, 8(1), 63-78.
• Byrom S, Downe S. (2010). 'She sort of shines': midwives' accounts of 'good' midwifery and 'good' leadership. Midwifery, 26(1), 126-37.
• Choi G. (2017). Secondary traumatic stress and empowerment among social workers working with family violence or sexual assault survivors. Journal of Social Work, 17(3), 358-378.
• Cioffi J. (2004). Caring for women from culturally diverse backgrounds: Midwives' experiences. Journal of Midwifery & Women's Health, 49(5), 437-442.
• Currie G, Dosani A, Premji S, Reilly S, Lodha A, Young M. (2018). Caring for late preterm infants: public health nurses’ experiences. BMC Nursing, 17, 16.
• Erdoğan S. (2014). Nitel Araştırmalar. Hemşirelikte Araştırma. İstanbul, Nobel Kitabevi, s. 133-164.
• Flowers K, Wright K, Langdon R, McIlwrath M, Wainwright C, Johnson M. (2016). Intentional rounding: facilitators, benefits and barriers. Journal of Clinical Nursing, 25(9-10), 1346-1355.
• Goodwin L, Hunter B, Jones, A. (2015). Immigration and continuing inequalities in maternity outcomes: Time to reexplore the client–provider relationship?. International Journal of Childbirth, 5(1), 12-19.
• Güneri ES. (2013). Postpartum erken dönem kanıta dayalı uygulamalar. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 4 (3), 482-496.
• Haboubi NH, Lincoln N. (2003). Views of health professionals on discussing sexual issues with patients. Disability and Rehabilitation, 25(6), 291-296.
• Hatem M, Sandall J, Devane D, Soltani H, Gates S. (2008). Midwife-led versus other models of care for child bearing women. The Cochrane Database of Systematic Reviews, (4), CD004667.
• Huang YM, Merkatz R, Kang JZ, Roberts K, Hu XY, Di Donato F, et al. (2012). Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai. Contraception, 86(6), 731-738.
• Ikhilor PO, Hasenberg G, Kurth E, Asefaw F, Pehlke-Milde J. (2019). Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters. Journal of Advanced Nursing, 75(10), 2200-2210.
• Isik Y, Dag ZO, Tulmac OB, Pek E. (2016). Early postpartum lactation effects of cesarean and vaginal birth. Ginekologia Polska, 87, 426-430.
• Karaçam Z, Çalışır H. (2012). İlk kez doğum yapan kadınlarda gebelik öncesi ve doğum sonrası dönemlerde disparoni sıklığı ve ilişkili durumlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 15(3), 205-213.
• Kirca N, Adibelli D. (2020). Effects of the delivery type on the breastfeeding self-efficacy perception. International Journal of Caring Sciences, 13(1), 698-707.
• Kirca N, Bademli K. (2019). Relationship between communication skills and care behaviors of nurses. Perspectives in Psychiatric Care, 55(4), 624-631.
• Knight M, Tuffnell D, Kenyon S, Shakespeare J, Gray R, Kurinczuk JJ. (2015). Saving lives, improving mothers' care: Surveillance of maternal deaths in the UK 2011-13 and lessons learned to inform maternity care from the UK and Ireland. Confidential enquiries into maternal deaths and morbidity 2009-13. Erişim tarihi:19.06.2020, https://www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/MBRRACE-UK%20Maternal%20Report%202015.pdf
• Kourkouta L, Papathanasiou IV. (2014). Communication in nursing practice. Materia Socio-Medica, 26(1), 65. Kwake A, Petrucka PM. (2020). Communicaiton in nurse-patient interaction in healthcare settings in sub-Saharan Afrcia: Ascoping review. International Journal of African Nursing Sciences, 12.
• Leinweber J, Creedy DK, Rowe H, Gamble J. (2017). Responses to birth trauma and prevalence of posttraumatic stress among Australian midwives. Women and birth: Journal of the Australian College of Midwives, 30(1), 40-5.
• Macdonald D, Aston M, Murphy GT, Jefferies K, Mselle LT, Price S, et al., (2019). Providing postpartum care with limited resources: Experiences of nurse-midwives and obstetricians in urban Tanzania. Women and birth: Journal of the Australian College of Midwives, 32(3), 391-8.
• Mohammed K, Nolan MB, Rajjo T, Shah ND, Prokop LJ, Varkey P, et al., (2016). Creating a patient-centered health care delivery system: a systematic review of health care quality from the patient perspective. American Journal of Medical Quality, 31(1), 12-21.
• Nair M, Kurinczuk JJ, Brocklehurst P, Sellers S, Lewis G, Knight, M. (2015). Factors associated with maternal death from direct pregnancy complications: a UK national case–control study. BJOG: An International Journal of Obstetrics & Gynaecology, 122(5), 653-662.
• Neville K, DiBona C, Mahler M. (2016). Validation of the nurses' perception of patient rounding scale: An exploratory study of the influence of shift work on nurses' perception of patient rounding. Orthopedic Nursing, 35(2), 84-91.
• Olsson C, Berglund AL, Larsson M, Athlin E. (2012). Patient's sexuality - a neglected area of cancer nursing? The official Journal of European Oncology Nursing Society, 16(4), 426-31.
• Origlia Ikhilor P, Hasenberg G, Kurth E, Asefaw F, Pehlke-Milde J, Cignacco E. (2019). Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters. Journal of Advanced Nursing, 75(10), 2200-2210.
• Pınar G. (2010). Kanser tedavisi alan hastalarda cinsel disfonksiyon ve danışmanlığa ilişkin hemşirelik yaklaşımları. Gülhane Tıp Dergisi, 52(4), 241-247.
• Piran M. (2019). Perinatal alanda çalışan hemşire ve ebelerin bakımda cinselliği ele alma konusunda yaşadığı engeller ve kolaylaştırıcı faktörlerin belirlenmesi [Yüksek Lisans Tezi], Ankara.
• Puia DM, Lewis L, Beck CT. (2013). Experiences of obstetric nurses who are present for a perinatal loss. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(3), 321-331.
• Riggs E, Davis E, Gibbs L, Block K, Szwarc J, Casey S, et al. (2012). Accessing maternal and child health services in Melbourne, Australia: Reflections from refugee families and service providers. BMC Health Services Research, 12(117), 2–16.
• Schrøder K, Jørgensen j, Lamont R, Hvidt N. (2016). Blame and guilt-A mixed methods study of obstetricians' and midwives' experiences and existential considerations after involvement in traumatic childbirth. Acta Obstetricia at Gynecologica Scandinavica, 95(7), 735-745.
• Sheen K, Slade P, Spiby H. (2014). An integrative review of the impact of indirect trauma exposure in health professionals and potential issues of salience for midwives. Journal of Advanced Nursing, 70(4), 729-743.
• Sheen K, Spiby H, Slade P. (2016). The experience and impact of traumatic perinatal event experiences in midwives: A qualitative investigation. International Journal of Nursing Studies, 53, 61-72.
• Şimşek H, Yıldırım A. (2016). Sosyal Bilimlerde Nitel Araştırma Yöntemleri. 10. Baskı, Ankara, Seçkin Yayıncılık. Taşkın L. (2016). Postpartum Dönem. Doğum ve Kadın Sağlığı Hemşireliği. 13 Baskı, Ankara, Akademisyen Tıp Kitabevi, s. 455-525.
• Tewabe T. (2016). Timely initiation of breastfeeding and associated factors among mothers in Motta town, East Gojjam zone, Amhara regional state, Ethiopia, 2015: A crosssectional study. BMC Pregnancy and Childbirth, 16, 314.
• Tobiano G, Bucknall T, Marshall A, Guinane J, Chaboyer, W. (2015). Nurses' views of patient participation in nursing care. Journal of Advanced Nursing, 71(12), 2741-2752.
• Türkiye Nüfus ve Sağlık Araştırması (TNSA) 2013 Ana Raporu. (2014). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, 141-156. Erişim tarihi:12.05.2020, http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf
• Türkiye Nüfus ve Sağlık Araştırması (TNSA) 2018 Ana Raporu. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, 112-117. Erişim tarihi:12.05.2020, http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
• Uludağ E, Mete S. (2014). Doğum eyleminde destekleyici bakim. Cumhuriyet Üniversitesi Hemşirelik Dergisi, 3(2), 22-29.
• Wiechula R, Conroy T, Kitson AL, Marshall RJ, Whitaker N, Rasmussen, P. (2016). Umbrella review of the evidence: What factors influence the caring relationship between a nurse and patient?. Journal of Advanced Nursing, 72(4), 723-734.
• World Health Organization (WHO). (2015). Postnatal Care for Mothers and Newborns. Highlights from the World Health Organization 2013 Guidelines. Erişim tarihi:20.05.2020 https://www.who.int/maternal_child_adolescent/publications/WHO-MCA-PNC-2014-Briefer_A4.pdf