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Woman-centered maternity nursing education and practice
1G loria G iarratano is an associate professor in the Family Nursing Department of the School of Nursing at Louisiana State University Health Sciences Center in New Orleans.
The Journal of Perinatal Education
|February 3, 2007
Summary
Registered nurses trained in woman-centered care became more aware of oppressive practices. They applied this ideology to provide humanistic maternity care, despite facing barriers in medical settings.
Area of Science:
- Nursing Education
- Feminist Pedagogy
- Phenomenology
Background:
- Registered nurses (RNs) in maternity settings often face challenges in providing woman-centered care.
- A generic baccalaureate nursing program incorporated a woman-centered, feminist perspective into its maternity nursing curriculum.
Purpose of the Study:
- To explore the lived clinical experiences of RNs after completing a woman-centered, feminist maternity nursing course.
- To understand how this education influenced their nursing practice in maternal-newborn settings.
Main Methods:
- Heideggerian phenomenological study utilizing purposeful sampling.
- Individual, open-ended interviews with 19 RNs (ages 23-43) practicing for 6 months to 3 years.
- Analysis of interviews to identify constitutive patterns in their clinical experiences.
Main Results:
- Identified patterns: "Otherness," "Being and Becoming Woman-Centered," and "Tensions in Practicing Woman-Centered Care."
- Nurses developed heightened awareness of oppressive maternity care practices.
- Applied woman-centered ideology for more humanistic care, negotiating tensions and barriers.
Conclusions:
- Implementing woman-centered care requires navigating challenges within medically focused environments.
- Nurses sought opportunities for advocacy and woman-empowerment.
- Barriers highlighted limitations in childbearing choices and problematic nursing practices in maternity care.
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