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Theory for Midwifery Practice

Theory for Midwifery Practice

Rosamund Bryar | Marlene Sinclair

(2011)

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Book Details

Abstract

This new edition of a highly regarded classic midwifery text encourages critical thinking about the art and science of midwifery. Promoting the idea that thinking directly affects practice, it offers a clear explanation of the concepts, theories and models that shape effective evidence-informed care for women.
 
A host of expert contributors join best-selling author Rosamund Bryar in this extensively updated and reworked edited collection, which:

  • captures the expansion of midwifery research that has tested and developed the field's traditional theory base
  • highlights the value of theory from other disciplines - from psychology to ergonomic design
  • incorporates the professional experience of theorists from across the world.

With engaging end-of-chapter activities, this insightful book challenges you to reconsider the knowledge at the heart of your own midwifery practice. It is the essential text on midwifery's growing theoretical framework for students and practitioners alike.
ROS BRYAR Professor of Community and Primary Care Nursing and Head of Public Health and Primary Care Unit at City University, London, England.
MARLENE SINCLAIR Professor of Midwifery Research in the Nursing Research Institute at the University of Ulster, Northern Ireland.

a sophisticated and intelligent text that provides a fresh and engaging look at the contribution of theory to midwifery knowledge, practice and research' – Dr Sarah Church, Senior Lecturer, School of Health, University of Northampton, UK

'Pertinent, accurate and meaningful' - Kathleen A. Menasche, Clinical Assistant Professor, Texas State University San Marcos School of Nursing, USA 

'...an invaluable resource...done in a nurturing and supportive manner.' - Nursing Standard (5 stars)


Table of Contents

Section Title Page Action Price
Cover Cove
Contents v
List of Tables, Figures, Boxes and Illustrations ix
Foreword by Professor Mavis Kirkham xiii
Acknowledgements xiv
Notes on the Contributors xvi
PART I THEORETICAL BASIS FOR PRACTICE 1
1 Signposting Future Developments in Midwifery Theory, Practice and Research 3
Introduction 3
Midwives and midwifery 3
Working with the book 6
Organization of the book 8
The process of building midwifery theory 10
Conclusion 12
2 Conceptualizing Midwifery 16
Introduction 16
Thinking underpinning practice 17
Defining terms 19
Where does theory come from? 29
Levels of theory 40
Concepts basic to midwifery 42
Conclusion 52
3 Midwifery Theory Development 59
Introduction 59
Reva Rubin: attainment of the maternal role 63
Ramona T. Mercer: theories of antepartum stress and maternal role attainment 69
Rosamund Bryar: the action approach to organizations and midwifery practice 75
Jean Ball: the deck-chair theory of maternal emotional well-being 80
Soo Downe: salutogenesis, complexity theory and authoritative knowledge 83
Conclusion 87
4 Understanding Motivational Theory and the Psychology of Breastfeeding 92
Introduction 92
Defining motivation 93
Motivation, meaning and breastfeeding 95
Conclusion 106
PART II THEORETICAL APPLICATION IN PRACTICE 113
5 Motivation, Breastfeeding and Midwives: Theory in Action 115
Introduction 115
What is motivational instructional design? 116
Designing a motivationally-enhanced version of routine breastfeeding instruction 126
Testing the effects of the motivationally-enhanced breastfeeding instruction 134
Conclusion 136
6 The Research, Design and Development of a New Breastfeeding Chair 139
Introduction 139
Background 140
Research and design process 140
A chair for breastfeeding mothers: research and development 145
Discussion 154
Conclusion 156
7 Exploring Emotion in Midwifery Work: A First-Person Account 158
Introduction 158
Early beginnings 159
Choosing a research approach 160
Study design 165
Some research dilemmas 169
Unexpected findings 172
Conclusion 174
8 Nesting and Matrescence 178
Introduction 178
Birth centres 179
Conclusion 192
9 Exploring the Presence of Comfort within the Context of Childbirth 197
Introduction 197
The research project 198
Discussion 209
Conclusion 212
10 Birth Territory: A Theory for Midwifery Practice 215
Introduction 215
Overview of Birth Territory Theory 217
The physiology of undisturbed birth 219
The terrain of Birth Territory Theory 221
The clinical stories 227
Conclusion 232
11 Developing a Model of Birth Technology Competence using Concept Development 241
Introduction 241
Deciding on the use of a concept development method 242
Phase I: theoretical phase 243
Phase II: fieldwork phase 249
Phase III: analytical phase 253
Findings from the fieldwork phase 254
Conclusion 260
12 Contemporary Caesarean Section Theory: Risk, Uncertainty and Fear 262
Introduction 262
Natural childbirth or technological birth: competing ideologies 263
Caesarean section: three zones of clinical practice 265
Different styles of decision-making 272
Maternal choice caesarean section: myth or reality? 275
Conclusion 278
13 Developing a Theoretical Framework: Bullying in Midwifery 285
Theoretical assumptions 285
Background 286
Bullying in midwifery 287
Aim 288
Methods 288
Discussion of findings 294
Conclusion 300
14 The Partnership Model 304
Introduction 304
With woman: rhetoric and reality 305
The cultural context of the creation of the partnership model 306
Critique: questioning the unquestionable 310
Evaluation of the partnership model 313
Conclusion 314
Index 319