Nurses’ perceptions of their influence on modes of birth : an interpretive description study
department or school: Applied Science, Faculty of
department or school: Nursing, School of
data provider: DSpace
degree campus: UBCV
creator: Palandri, Loreli
issued: 2023-01-31T08:00:00Z
issued: 2021
related degree: Master of Science in Nursing - MSN
degree grantor: University of British Columbia
description: The purpose of this study was to assess nurses’ perspectives of their influence on how a patient birth’s their baby, whether that is a vaginal or via cesarean section. Though c-sections are a medical necessity in approximately 10% of births (WHO, 2015), it has become a mode of birth for more than a quarter of Canadian births (CIHI, 2021). The reasons for operative births are varied and are the result of many intersecting contextual and interpersonal factors. One of these intersecting factors is the role of the care providers, in particular nurses. Nurses play a key role on labour and birth units throughout Canada (Evans et al, 2015), and likely influence decisions about labour and birth, and eventual outcomes. This study utilized the Interpretive Description method, to interview nine nurses of varying labour and birth expertise level and asked them questions relating to their thoughts on birthing practices and how they perceive they do or do not influence their patients. Three intersecting contexts were identified that the participants perceived influenced their labour and birth care and birth outcomes: societal context, practice context, and interpersonal context. While these three contexts were evident in the data, they were not mutually exclusive. The current societal discourse that surrounds women’s empowerment, which pushes for freedom of choice above all else, was highlighted in this study. The participants felt it a top priority to navigate this social discourse and ensure that birthing people felt fulfilled and happy with their birth, regardless of the mode. The findings highlight nurses’ perceptions of the need to navigate what they know to be evidence-based care with these societal pressures, and the nurses that participated in this study demonstrated how this can be hard at times. These nurses noted that their work is about ensuring that birth is within the domain of choice and control, and that the birther was healthy, safe, and content with their eventu…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/80397
note: Nurses’ Perceptions of their Influence on Modes of Birth: An Interpretive Description Study by Loreli Palandri A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF Master of Science in Nursing in The Faculty of Graduate and Postdoctoral Studies The University of British Columbia (Vancouver) December 2021 ÓLoreli Palandri, 2021 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the thesis entitled: Nurses’ Perceptions of their Influence on Modes of Birth: An Interpretive Description Study submitted by Loreli Palandri in partial fulfillment of the requirements for the degree of Master of Science in Nursing Examining Committee: Dr. Helen Brown, Nursing, UBC Supervisor Dr. Fuchsia Howard, Nursing, UBC Supervisory Committee Member Dr. Gina Wong, Applied Psychology, Faculty of Health Disciplines, Athabasca University Supervisory Committee Member iii Abstract The purpose of this study was to assess nurses’ perspectives of their influence on how a patient birth’s their baby, whether that is a vaginal or via cesarean section. Though c-sections are a medical necessity in approximately 10% of births (WHO, 2015), it has become a mode of birth for more than a quarter of Canadian births (CIHI, 2021). The reasons for operative births are varied and are the result of many intersecting contextual and interpersonal factors. One of these intersecting factors is the role of the care providers, in particular nurses. Nurses play a key role on labour and birth units throughout Canada (Evans et al, 2015), and likely influence decisions about labour and birth, and eventual outcomes. This study utilized the Interpretive Description method, to interview nine nurses of varying labour and birth expertise level and asked them questions relating to their thoughts on birthing practices and how they perceive they do or do not influence their patients. Three intersecting contexts were …
has type: Thesis/Dissertation
date issued: 2022-05
is shown at: 10.14288/1.0404489
language: eng
degree discipline: Nursing
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Brown, Helen
type: Text
identifier URI: http://hdl.handle.net/2429/80397