Thesis (M.A.)--Texas State University-San Marcos, 2007. / Vita. Appendix: leaves 34-35. Includes bibliographical references (leaves 36-38).

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2007. / Typescript. Includes bibliographical references (leaves 146-157). Free to UCD affiliates. Online version available via ProQuest Digital Dissertations;

Thesis (M.A.)--Texas State University-San Marcos, 2007. / Vita. Appendix: leaves 34-35. Includes bibliographical references (leaves 36-38).

Thesis (M.S.)--University of Michigan, 1990. / eContent provider-neutral record in process. Description based on print version record.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2010.

Titel: Barnmorskors upplevelser av erhållet stöd vid våldsscreening                                                                                               Författare: Emma Johansson och Michelle Kiwalabye Parma                                                                                                Institution: Institutionen för hälsa och lärande, Högskolan i Skövde                                                                                                Kurs: Examensarbete i Reproduktiv, perinatal och sexuell hälsa, RP720A, 15 högskolepoäng                                                                                                    Handledare: Elisabeth Hertfelt Wahn och Stina Thorstensson                                                                                                  Sidor: 19                                                                                                  Månad och år: augusti, 2015                                                                                                Nyckelord: barnmorskor, upplevelser, stöd, våldsscreening, våld i nära relationer. Bakgrund: Våld i nära relation drabbar kvinnor i alla världens länder och alla samhällsklasser. Cirka 30 procent av de kvinnor som levt i en parrelation har utsatts för fysiskt och/eller sexuellt våld av sin partner. Mörkertalet antas vara stort. I Sverige finns det idag inga nationella våldsscreeningsinstrument endast rekommendationer. Forskning visar att barnmorskor upplever tidsbrist, bristande kunskap och avsaknad av stöd i våldsscreeningsarbetet. Syfte: Att undersöka barnmorskors upplevelser av erhållet stöd vid våldsscreening på barnmorskemottagning. Metod: Studien har en kvalitativ ansats. Sju barnmorskor intervjuades. Intervjuerna analyserades utifrån en kvalitativ innehållsanalys. Resultat: Ett bra stöd från kollegor stärker barnmorskors tillit till sin egen förmåga att ge stöttning till en våldsutsatt kvinna. Barnmorskorna beskrev ett väl fungerande samarbete mellan andra professioner och instanser men frustration över att den hjälp som erbjöds i teorin inte alltid var tillgänglig. De önskar mer utbildning och kontinuerligt för vidareutveckling och bibehållande av sin kompetens. Rekommendationer och riktlinjer från verksamheten samt våldsscreeningsintrument upplevdes underlätta våldsscreeningsarbetet. Tidsbrist beskrevs som en försvårande faktor. Konklusion: Våldsscreeningsarbetet är komplext och kräver rätt kompetens och ett välfungerande samarbete mellan kollegor, olika instanser och professioner. Verksamheter behöver ge barnmorskor rätt förutsättningar för att de ska kunna arbeta hälsofrämjande. / Title: Midwives experiences of obtained support when screening for domestic violence                                                                                                       Department: School of Health and Education, University of Skövde                                                                                                    Course: Master Degree Project in Midwifery, 15 ECTS                                                                                                    Author: Emma Johansson och Michelle Kiwalabye Parma                                                                                                   Supervisor: Elisabeth Hertfelt Wahn and Stina Thorstensson                                                                                                     Pages: 19                                                                                                     Month and year: August 2015                                                                                                   Keywords: midwives, experiences, support, screening for violence, domestic violence. Background: Domestic violence affects women in all countries and all social classes. Approximately 30 percent of women who have lived in a relationship have been exposed to physical and/or sexual violence by their partner. Unreported cases are presumably many. In Sweden no national violence-screening instrument exists, only recommendations. Research shows that midwives experience lack of time, knowledge and support when screening for domestic violence.                                                     Aim: To examine midwives experiences of obtained support when screening for domestic violence at an antenatal care unit. Method: This study had a qualitative approach. Seven midwives where interviewed. The interviews where analyzed based on a qualitative content analysis. Result: Support from colleagues strengthen midwives’ confidence in their ability to provide support to abused women. They described a well-functioning cooperation between other professions and agencies, but frustration that the help offered in theory, was not always available. The midwives requested more education and that it should be given continuously to improve and maintain competence. Recommendations and guidelines from the workplace and screening instruments were perceived as facilitating, lack of time was described as an aggravating factor. Conclusion: Screening for domestic violence is complex and requires the right competence and a well-functioning cooperation between colleagues, other agencies and professions. Antenatal care units need to give midwives the right conditions in order to promote health

Labour is a vital period for the labouring mothers, as it should bring with it the fulfilment of an expectation of having the baby that has been awaited. The health of the foetus which is to be born and that of the labouring mother are inextricably linked with each other which is why the labouring mother needs to be assessed and monitored carefully. The cardio-tocograph, which is a globally accepted method of diagnosis and assessment of the foetal status during labour is preferred to be used in monitoring labouring mothers, especially high- risk patients. Despite the evidence and information regarding the effectiveness of the use of the cardio-tocograph, midwives are still found not to be using it correctly, the reasons given that the women not always co-operate; do not keep the electrode and belt in place or cite the discomfort they experience from contraction. The objectives of this study were to: explore and describe the perceptions and current practice of Namibian midwives regarding the use of the cardio-tocograph as an informative labour- monitoring tool. Explore and describe how midwives working in labour wards in Namibia perceive informing laboring women of the use of the cardio-tocograph as an informative labour- monitoring tool and based on the results, develop an instruction guide for midwives working in the labour ward in intermediate hospital in Namibia that would serve as a guide on how to teach labouring women about the use of the cardio-tocograph as a labour- monitoring tool and enhance positive labor and delivery outcomes The study was conducted between May and June 2016, using a qualitative, explorative, descriptive and contextual design, following the necessary university approval and approval from other relevant authorities. The research population was midwives who work in labour wards at a public hospital in Namibia. Semi-structured interviews were used to collect data from purposively sampled participants using set criteria. A voice recorder was used to capture the interview with the permission of the participants. Seventeen midwives were interviewed of whom two were used for the pilot study. Data saturation determined the sufficient sample size. The collected data was analyzed using Tesch’s spiral method of data analysis with the assistance of an independent coder From the research findings, it emerged that midwives had varying perceptions regarding the use of the CTG machine. Midwives still perceive CTG interpretation as a challenge as a labour -monitoring tool and expressed a need for updates. Furthermore, midwives expressed the fact that they had limited communication with labouring women regarding the use of CTG. Based on the research findings and guided by Health Belief Model principles, three main guidelines were developed for midwives working in the labour ward in a public hospital in Namibia. These guidelines will serve as a tool to assist midwives in their teaching of labouring women about the use of the cardio-tocograph as a labour- monitoring tool, and the role to be played by labouring women during that monitoring period. Furthermore, recommendations for clinical nursing practice, nursing education and nursing research were developed. The researcher used literature control to ensure validation and integrity of the study. Trustworthiness, which was used to ensure rigour of the study, was guided by the principles of truth-value, transferability, dependability and confirmability. Ethical considerations were guided by the Belmont report adopting the principles of beneficence, respect for human dignity, justice and non-maleficence.

Philosophiae Doctor - PhD / Globally, Employee Assistance Programme (EAP) has become the most effective workplace programme used to assist employees in the identification and resolution of performance and behavioural related problems. Employees, irrespective of the sector of employment are seen as the most valuable assets of any organization and therefore their wellness is as important as the organization itself. Employees' personal or work related problems may adversely affect their health as well as their productivity, thereby impeding the growth of an organization. It is for this reason that the EAP has increasingly become an important tool in addressing employees’ personal and work related challenges. Midwives as employees are prone to challenges such as maternal deaths at the workplace. They are more likely to undergo stressful situations for failing to meet the general goal of their profession, which, among others, include provision of adequate care for pregnant women until they safely deliver. These stressful conditions have negative effects on midwives' health, behaviour and productivity. However, there is no literature that has looked at how midwives in the Ashanti Region of Ghana are affected by maternal deaths and their coping mechanisms employed to address the effects of maternal deaths. Literature revealed that there is hardly any known work-related assistance programme designed to support Ghanaian midwives when faced with work-related challenges likely to affect their work-output. Hence, this study developed an appropriate EAP for midwives dealing with maternal deaths in Ghana based on the exploration and description of the effects of maternal death, coping mechanisms used and their experiences with the facility-based maternal death review (MDR). In order to meet the general aim of the study, a qualitative research approach, with a combination of exploratory, descriptive and contextual designs was used. Purposive sampling was employed to select participants; ward and unit managers (supervisors) (18) and midwives who met the inclusion criteria (39). A total of 57 participants were used in the study. Data were collected through semi-structured individual interviews and focus group discussions, as well as field notes. Thematic Content Analysis was used to manage data through transcribing, organizing, development of category and coding of data. Final data management was done with qualitative computer data analysis package (Atlas ti version 7.1.7). The full understanding of the effects of maternal deaths on midwives and the mechanisms of coping employed to address effects afforded the development of an EAP to support midwives dealing with maternal deaths. Five main themes emerged from the analysis of collected data, namely effect of death as a unique experience, multi-dimensional effects of MD on Midwives' personal life, effects of MD on the midwives’ associated environment, mechanisms of coping employed by Midwives and Perceived MDR process (Phase 1). Phase 2 considered the development of Employee Assistance Programme (EAP) for midwives dealing with maternal deaths in Ashanti Region of Ghana. The steps of developing occupational health service at the workplace by Acutt Hattingh and Bergh (2011) were applied to develop the EAP. Ethical practices pertaining to the study of human subjects as specified by the Research Ethics Committee of the University of the Western Cape and research guidelines of Ministry of Health- Ghana Health Service were observed. It is recommended that, all hospitals in Ashanti Region institute the EAP programme to assist midwives cope with challenges associated with maternal death.

Background The complications of getting affected by perineal ruptures by giving birth can cause anxiety and consequences that affect the daily life of the woman. Over ninety percent of Indonesian midwives had neither acquired any basic skills nor received any further professional development training in this area during the three years following their graduation. The main risk factors for perineal ruptures are instrumentally terminated childbirths, nulliparous and a high birth weight of the baby. The midwife has a major impact on the women's further risk of suffering from a perineal rupture. Perineal protection can play a significant role to reduce perineal ruptures.   Aim The aim of the study was to describe midwives experience of perineal ruptures preventive work in Indonesia.   Method This study is based on a MFS in Indonesia. The method chosen was a  qualitative interview study with unstructured interview questions  In total, fifteen midwives were interviewed. Data was analyzed using qualitative content analysis.   Findings During the analysis three categories were identified; The preventive work to protect the perineum, Midwives experience and knowledge of perineal rupture and Factors that increase vaginal ruptures. Six subcategories were identified; Support perineum by hand, To not proceed too fast, Learning by doing, Factors midwife can affect, Factors women can affect and Other factors that may affect.   Conclusion Indonesian midwife's grip to prevent perineal ruptures are similar to what the authors are educated in Sweden. Knowledge and experience appear to be limited due to the midwive´s small number of vaginal births. Midwives emphasized the importance of education and information in their work with perineal protection. They all claimed that if no perineal protection was used, it was more likely for the woman to get a grade three or four rupture. The midwives in Indonesia didn’t use warm compresses and did only use one birth position, Lithotomy position, the women laying on her back. To further make a progress in the midwives preventive work against perineal ruptures is to educate and empower Indonesian midwives knowledge. This is an important aspect due to the large number of midwives with poor experiences. / Bakgrund Att drabbas av en perinealbristning vid förlossning kan orsaka ångest och ge konsekvenser som påverkar kvinnors dagliga liv. Över nittio procent av de Indonesiska barnmorskorna saknar fortfarande grundläggande färdigheter och professionell kompetensutveckling inom området tre år efter examen. De främsta riskfaktorerna för att drabbas av en perinealbristning är instrumentell förlossning, att vara förstföderska och barnets födelsevikt. Barnmorskan har stor påverkan för kvinnans risk att drabbas av en perinealbristning. Perinealskydd har en stor betydelse för att minska perinealbristningar.   Syfte Syftet med studien var att beskriva barnmorskors erfarenhet av perinealbristningar[ och det förebyggande arbetet i Indonesien.   Metod Denna studie bygger på en MFS (Minor field study) fältstudie i Indonesien. Den valda metoden var en kvalitativ intervjustudie med ostrukturerade intervjufrågor. Sammanlagt intervjuades femton barnmorskor. Data analyserades med hjälp av en kvalitativ innehållsanalys.   Resultat Under analysen identifierades tre kategorier; Det förebyggande arbetet för att skydda perineum, Barnmorskans erfarenhet och kunskap om perinealbristningar samt Faktorer som ökar perinealbristningar. Sex underkategorier identifierades; Stöd perineum för hand, Långsamt framfödande, Träning ger färdighet, Det barnmorskan kan påverka, De faktorer kvinnan kan påverka och Andra faktorer som kan påverka perinealbristningar.   Slutsats Den indonesiska barnmorskans perinealskydd för att förhindra bristningar är liknande de perinealskydd barnmorskan är utbildad att tillhandahålla i Sverige. Kunskap och erfarenhet verkar däremot vara begränsad på grund av barnmorskans få assisterade vaginala födslar i Indonesien. Barnmorskorna som intervjuades betonade vikten av utbildning och information i deras arbete att tillhandahålla perinealskydd. De hävdade att om inget perinealskydd används, är det mer sannolikt att kvinnan drabbas av en grad tre eller fyra bristning. Barnmorskorna i Indonesien använder inte varma kompresser och de använder enbart en förlossningsställning, Lithotomy positionen, kvinnan liggandes på rygg. För att ytterligare göra framsteg i det förebyggande arbetet är det nödvändigt med ytterligare kompetensutveckling för de indonesiska barnmorskorna. Detta är en viktig aspekt på grund av de stora antalet indonesiska barnmorskor som inte har tillräckligt med erfarenhet.