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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
121

"A fragile job" : Haitian traditional midwives (matwons) and the navigation of clinical, spiritual and social risk

Watson, Annaliese 10 January 2013 (has links)
Haiti's political and economy history has led to a maternity care system that lies out of reach, geographically and financially, of most Haitians, resulting in excessively high maternal and infant mortality. The most common birth practitioners are homebirth midwives (matwòns), who attend roughly three-fourths of all births in Haiti (UNICEF), often without the benefit of emergency obstetric services. In this ethnographic study, I examine how matwòns experience caring for mothers and babies in extraordinarily low-resource and high-risk settings. This qualitative research employed a critical approach and feminist research methodologies. In in-depth interviews I asked participants to describe the challenges they find in their work. Then, in an innovative style of group meeting called Open Space, matwòns reflected on those challenges collectively, with an aim to ameliorate their current situations. Data analysis utilized a modified grounded theory approach, which allowed the matwòns' own narratives to determine the categories of analysis. Emergent themes resulting from this analysis revealed four main challenges in the work of matwòns, as well as matwòns' own strategies to mitigate those challenges. The four broad challenges, which include physical risks, social/spiritual threats, a lack of livelihood, and an obligation to practice, are experienced either as episodic hazards or chronic stressors. Matwòns' personal mitigation strategies centered on two broad approaches, providing protection, and offering service. However, the Open Space meeting created an opportunity for matwòns to strategize collective mitigation efforts through professional organization. Based on these findings, I argue that a more nuanced understanding of matwòns' experiences reveals their adaptive skills, which, in part, resemble Davis Floyd's (2007) notion of a postmodern midwife, and offers opportunities for mutual accommodation (Jordan 1997[1978]). Recommendations include support and advocacy for the self-organization of Haitian matwòns, as well as their greater inclusion in efforts to improve maternal and infant health outcomes in post-earthquake Haiti. / Graduation date: 2013
122

The Lived-experience of Internationally-trained Midwives working as Registered Midwives in Ontario

Vandersloot, Arlene 14 December 2009 (has links)
This study presents an account of the lived-experience of internationally-trained midwives who have immigrated to Canada, attended a bridging program to reaccredit as a midwife, and currently meet the requirements for registration with the College of Midwives of Ontario. Ten internationally-trained midwives were interviewed about their experience of this transition in their life. The interviews were then subjected to a qualitative analysis based on the principles of grounded theory. The findings outline the experience of immigration and reaccreditation focusing on the barriers and challenges faced by these female immigrants. The impact on the individual’s sense of identity was explored. Coping strategies used by the participants were investigated.
123

The Lived-experience of Internationally-trained Midwives working as Registered Midwives in Ontario

Vandersloot, Arlene 14 December 2009 (has links)
This study presents an account of the lived-experience of internationally-trained midwives who have immigrated to Canada, attended a bridging program to reaccredit as a midwife, and currently meet the requirements for registration with the College of Midwives of Ontario. Ten internationally-trained midwives were interviewed about their experience of this transition in their life. The interviews were then subjected to a qualitative analysis based on the principles of grounded theory. The findings outline the experience of immigration and reaccreditation focusing on the barriers and challenges faced by these female immigrants. The impact on the individual’s sense of identity was explored. Coping strategies used by the participants were investigated.
124

"The belly wants its heat" : cultural models of health and fertility among Tojolab'al Maya midwives /

Bayles, Bryan P. January 2002 (has links)
Thesis (Ph. D.)--University of Missouri-Columbia, 2002. / Typescript. Vita. Includes bibliographical references (leaves 275-311). Also available on the Internet.
125

"The belly wants its heat" cultural models of health and fertility among Tojolab'al Maya midwives /

Bayles, Bryan P. January 2002 (has links)
Thesis (Ph. D.)--University of Missouri-Columbia, 2002. / Typescript. Vita. Includes bibliographical references (leaves 275-311). Also available on the Internet.
126

Granska och värdera kvaliteten av lokala behandlingsriktlinjer med hjälp av AGREE-instrumentet

Gullin, Ann-Sofie, Magnevall, Tina January 2014 (has links)
Sammanfattning Bakgrunden beskriver hur barnmorskans arbete ska byggas på vetenskap och beprövad erfarenhet enligt gällande författningar, förordningar, föreskrifter och andra riktlinjer. Det åligger därför barnmorskan att kunna söka, analysera och kritiskt granska relevant kunskap för att kunna delta i utvecklingsarbete eller dess utvärdering. Det finns ett värde i att reflektera över befintliga rutiner och vid behov medverka till en förändring samt implementera ny kunskap. Kliniska riktlinjer har tagits fram för att underlätta det kliniska arbetet och det är därför viktigt att riktlinjerna innehåller evidensbaserad forskning. Syftet med studien var att granska och värdera kvaliteten av lokala behandlingsriktlinjer gällande mödrahälsovårdens basprogram. En kvantitativ metod valdes för att besvara studiens syfte där granskningsinstrumentet AGREE II användes, vilket är framtaget för att kunna bedöma kvalitén angående utvecklingsprocessen av kliniska riktlinjer inom hälso- och sjukvården.  Resultatet från aktuell studie visade att avsnittet mål och syfte innehöll stora variationer gällande hur tydligt formulerat syfte de olika kliniska riktlinjerna hade. Inom berörda intressenters delaktighet framkom bristfällig dokumentation angående vilka yrkeskategorier som varit delaktiga i processen även patienters åsikter saknades. Inom stringens i framställningen erhöll alla kliniska riktlinjer låga poäng, beskrivning av litteratursökningen samt val av metod saknades. Samtliga kliniska riktlinjer i avsnittet tydlighet och framställning saknade eller hade otydliga behandlingsalternativ. Däremot kunde huvudrekommendationerna urskiljas med lätthet i sju av 18 kliniska riktlinjer. I avsnittet tillämpbarhet saknade samtliga kliniska riktlinjer resonemang kring hälsoekonomiska frågor eller angående behovet av eventuella organisatoriska förändringar. Redaktionell självständighet lyftes inte fram i någon av de kliniska riktlinjerna. Ingen klinisk riktlinje fick genomgående bra poäng i helhetsbedömningen enligt AGREE II, vilket gör det svårt att rekommendera någon av de kliniska riktlinjerna utifrån dess nuvarande presentation. Med detta resultat i åtanke anser författarna att de kliniska riktlinjer som granskades i aktuell studie inte har någon påvisbar evidensbaserad grund enligt AGREE II-instrumentet och kan således inte rekommenderas att använda som stöd i det kliniska arbetet. / Abstract The work of the midwife should be based on science and knowledge according to statutes, ordinances, regulations and available guidelines. In order to participate in development work and evaluation of it, it is important for the midwife to search, analyze and critically examine the relevant knowledge. To help the nursing staff in their clinical work and to provide quality proof care to the patients, clinical guidelines have been developed. It is therefore important that the content of the clinical guidelines is based on evidence-based research and easy to understand. The aim of the study was to review and evaluate the quality of local clinical guidelines regarding the basic maternity health care program. A quantitative method was used and the clinical guidelines were reviewed using the instrument AGREE II. The findings revealed that the quality of the clinical guidelines evaluated in this study varied. The result from current study showed that the section scope and aim contained big variations regarding how clearly the purpose was formulated in the different clinical guidelines. Within the section stakeholders involvement inadequate documentations revealed, containing the occupational category the professionals who was involved in the process had, also the patients’ options were missing. Within the rigour of development all clinical guidelines gained low credits, the description of the literature search as well as the choice of method were missing. All the clinical guidelines in the section of clarity and presentation were missing or had unclear assessment alternatives. However the main recommendation could easily be distinguished in seven of the eighteen clinical guidelines. In the section of applicability all of the clinical guidelines were missing argument regarding health economics or the need of possible organizationally changes.  Editorial independence was not highlighted in any of the clinical guidelines. No clinical guideline had consistently good points according to AGREE II in the overall assessment. Therefore it is hard to recommend any of the clinical guidelines as they currently stands. With these results in mind authors of this study believes that the clinical guidelines that were viewed in this study did not, according to AGREE II, have any evidence-based ground demonstrable and can therefore not be recommended to nursing staff to be used as support in their clinical work.
127

From sickles to scissors : birth, traditional birth attendants and perinatal health development in rural Nepal

Levitt, Marta Joan January 1988 (has links)
Typescript. / Thesis (Ph.D.)--University of Hawaii at Manoa, 1988. / Bibliography: leaves 454-469. / Microfilm. / xxxi, 469 leaves, bound ill. 29 cm
128

Decision-making related to augmentation of labour : women's and midwives' perceptions regarding influencing factors /

Blix-Lindström, Sabine. January 2005 (has links)
Licentiatavhandling (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 2 uppsatser.
129

A history of the evolution of nursing education in Botswana, 1922-1980 /

Kupe, Serara S. January 1987 (has links)
Thesis (Ed.D.)--Teachers College, Columbia University. / Typescript; issued also on microfilm. Sponsor: Harriett F. Karuhije. Dissertation Committee: George Bond. Bibliography: leaves 378-411.
130

Income and health in remote areas a study of 400 families in Leslie county, Kentucky,

Willeford, Mary Bristow, January 1932 (has links)
Thesis (Ph. D.)--Columbia University, 1932. / Vita. Published also without thesis note. Bibliography: p. [89-91].

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