Patient influence for women giving birth in Caseload midwifery Background: According to the Patent Safety Act, a patient must be provided with expert and caring health care that meets certain requirements. The patient must be shown care and respect and the care is designed with and carried out in consultation with the patient, in that the patient has influence over their care. Person-centered, here women-centered, is about meeting the patient's need for coordination, continuity and with the participation of the patient. Motive: There are no studies done regarding patient-influence in caseload midwifery, which is so far the most women-centered model this author has found.Aim: To, based on previous research, describe and interpret women's experience of patient influence when they give birth to children in Caseload midwifery. Method: A search for qualitative articles using the PubMed and CINAHL databases was performed to make a metasynthesis. Inclusion criteria was articles were published from 2010 onwards in English and peer reviewed. Quality review was performed using SBU's protocol for review of qualitative studies, which resulted in sex articles. Results: Five themes that all showed that Caseload contributed to an increased patient influence. Continuity in the relationship, Consent to and be inclusive of, Empowerment and decision-making, Ownership and being in the moment and Alteration and normality.Conclusion: Continuity in the relationship by being remembered helped the woman to focus, on things that were important to her. This increased the woman's self-confidence, she got a sense of context and felt prepared for the birth. Participation in informed decisions about her pregnancy and childbirth, gave her empowerment. The woman experienced control and got an active role in the birth, they owned their birth. Childbirth as a philosophy gave women additional perspectives on childbirth as a normal phenomenon but at the same time as a transforming process of becoming a mother. The summary of this meta-synthesis is that all experiences flow together and are interdependent of each other, patient influence is complex. The synthesis of the six qualitative studies showed that Caseload midwifery contributed to an increased patient influence.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:umu-190196 |
| Date | January 2021 |
| Creators | Gidlöf, Lena |
| Publisher | Umeå universitet, Institutionen för omvårdnad |
| Source Sets | DiVA Archive at Upsalla University |
| Language | Swedish |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
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