Speaker: Wendy Foster
Facilitators: Belle Bruce and Siti Khuzaiyah
Problem: Across the globe midwives are leaving the profession. Moral distress may contribute to this attrition. While moral distress is broadly understood within health care disciplines a contextual understanding of moral distress in midwifery is limited. Current tools available to screen for moral distress are not as suitable for use in midwifery practice.
Methodology: This project is an exploratory sequential mixed methods design that occurred across four phases; concept analysis, in-depth interviews, an e-Delphi study and a pilot study. This presentation will present key findings from the first three phases.
Results: Midwives report feeling demoralised and confirmed the presence of moral distress in practice due to excessive workloads, unnecessary intervention and hierarchical medical systems. Health care organisations are identified as placing midwives in morally compromising situation that are significant factors in the development of moral distress. Negative psychological outcomes are a key feature in moral distress with midwives describing symptoms of work-related stress and anxiety, increased sick/personal leave, feelings of powerlessness and burnout. Importantly it was identified that moral distress was likely to occur across a continuum from low (moral frustration), moderate (moral distress) and severe (moral injury). A pilot tool to screen for moral distress across a continuum has been developed.
Conclusion: Moral distress is a significant issue in midwifery practice. The development of the midwifery moral distress screening tool has enhanced the conceptual understanding. This study has provided additional language for midwives to describe their experiences and may assist organisations to identify and address ethical challenges within workplaces.
Recording https://youtu.be/Czfj3EUg6g4
Speaker: Brenda Araujo Salas
Facilitator: Paloma Terra
A partir de las ilustraciones elaboradas por Yaquemilsa Matiashi Vicente, una joven madre del pueblo Matsigenka, perteneciente a la amazonía peruana, describiremos las prácticas tradicionales en salud materna que aún se mantienen vigentes en las comunidades más alejadas de la vida moderna. Se describirán las concepciones y prácticas culturales durante la primera menstruación, los cuidados en el embarazo, la atención del parto por parte de la familia y parteras, y los cuidados en el posparto.
Conocer gráficamente las prácticas en salud materna a través de la mirada de una mujer del mismo pueblo, nos permite visualizar detalles significativos que se dan en la los cuidados de las mujeres gestantes y los recién nacidos. La importancia de este material es educativa y en favor de una mejora en la atención del parto para fundar la comprensión y el respeto a las costumbres y participación de las parteras y especialistas tradicionales de salud, ya que, actualmente, gran parte de las comunidades amazónicas tienen acceso a establecimientos de salud, pero estos ofrecen servicios sin pertinencia cultural. Por otro lado, el material también permite el reconocimiento de la importancia de los conocimientos de las mujeres Matsigenka en los niños, niñas y adolescentes.
English:
From the illustrations elaborated by Yaquemilsa Matiashi Vicente, a young mother of the Matsigenka people, belonging to the Peruvian Amazon, we will describe the traditional practices in maternal health that are still in force in the communities farthest away from modern life. We will describe the cultural conceptions and practices during the first menstruation, pregnancy care, childbirth care by the family and midwives, and postpartum care.
The graphic presentation of maternal health practices through the eyes of a woman from the same village allows us to visualize significant details in the care of pregnant women and newborns. The importance of this material is educational and in favor of an improvement in childbirth care, in order to establish understanding and respect for the customs and participation of midwives and traditional health specialists, since, at present, most Amazonian communities have access to health facilities, but these offer services without cultural relevance. On the other hand, the material also allows the recognition of the importance of Matsigenka women’s knowledge in children and adolescents.
Recording: https://youtu.be/voZyHiTevvw
Speaker: Alys Einion
Facilitator: Aisha Salihu Abdullahi
Abstract:
Research Focus: Mothers’ experiences of childbearing during the Covid19 Pandemic (2020 to 2021) – A Narrative Exploration Qualitative Design: Using the Listening Guide Approach Created as a relational method of analysing qualitative data, focusing on the individual voice (Gilligan et al, 2003), the Listening Guide (LG) is a means of ensuring that the voice of the under-represented is heard through research. It is a way of focusing on the voices of women, ensuring these are effectively represented in research (Petrovic et al, 2015). Population and Sample New parents who were pregnant and gave birth during the Covid 19 pandemic March 2020 to August 2021. The sample is a convenience sample of volunteers who agreed to take part. Total sample size is six. Data Collection Online /digital narratives of the birth experience sent in response to a series of social media posts across a range of media and networks. Accounts were sent in via email following initial contact, full information sharing and informed consent. Ethics: Ethical Approval granted by Swansea University College of Human and Health Sciences Research Ethics Committee Themes: 1. The service user voice “the world of mothering remained pretty isolating” 2. Themes relating to the experience which can inform practice and future service development, including sustainability of midwifery services. ” 3. Service responses: “I did feel quite forgotten by” 3. I-poems from the service user accounts which may be integrated to form one I-poem to summarise the maternal experience.
Check the time in your location: https://bit.ly/VIDM24-session-13
Access: https://frontier.zoom.us/j/88600513376?pwd=Lno6e7eW3jwwEPXBW6DavNuwY2uAwg.1
Recording: TBA
