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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Critical discourse analysis: understanding change in maternity services.

Meredith McIntyre1, Karen Francis, Ysanne Chapman

  • 1School of Nursing and Midwifery, Monash University, Peninsula Campus, Frankston, Victoria, Australia. Meredith.Mcintyre@monash.edu

International Journal of Nursing Practice
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PubMed
Summary

Critical Discourse Analysis (CDA) reveals how power dynamics influence Australian maternity care policy reform. This research method effectively analyzes stakeholder discourse in shaping maternity services.

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Area of Science:

  • Health Services Research
  • Social Sciences
  • Policy Analysis

Background:

  • Australian maternity services are undergoing reform.
  • Understanding the influence of discourse and power dynamics is crucial for effective policy development.

Purpose of the Study:

  • To demonstrate Critical Discourse Analysis (CDA) as a research method for analyzing maternity care policy.
  • To examine how key stakeholders use knowledge and power to influence maternity services reform in Australia.

Main Methods:

  • Application of Critical Discourse Analysis (CDA) to policy documents and stakeholder discourse.
  • Utilizing a neoliberal theoretical lens to supplement the CDA framework.
  • Analysis of power relationships and discourse formation within the maternity care context.

Main Results:

  • CDA effectively identifies and analyzes the discourse used by key stakeholders.
  • The study exposes the role of power and neoliberal ideologies in driving maternity care reform.
  • Discourse analysis highlights how specific language and communication strategies shape policy direction.

Conclusions:

  • Critical Discourse Analysis (CDA) is a valuable methodological approach for understanding policy change in healthcare.
  • The findings underscore the importance of critically examining power and discourse in shaping maternity services.
  • Policy reforms are significantly influenced by the interplay of stakeholder power, knowledge, and underlying ideologies.