- Title
- Experiences of accoucheurs caring for women during confinement in public maternity units in the O.R. Tambo District Municipality
- Creator
- Wabane, Malibongwe
- Subject
- Midwifery -- South Africa -- Eastern Cape
- Subject
- Labor (Obstetrics) -- South Africa -- Eastern Cape
- Subject
- Hospital care -- South Africa -- Eastern Cape
- Date Issued
- 2024-12
- Date
- 2024-12
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10948/69782
- Identifier
- vital:78034
- Description
- Midwifery is a health science profession that deals with women in their confinement period, including the caring of new-borns. Historically, the midwifery profession has evolved from being a female-dominated profession to an occupation followed by both males and females. However, accoucheurs working in public maternity units face various challenges, such as a lack of support and discrimination from their female counterparts and women during confinement. These challenges are based mainly on tradition, religion, and the history of midwifery, a female-dominant profession. The potential effects of these challenges can be seen when women during confinement refuse maternal care from accoucheurs. As a result of this prejudice, accoucheurs may be unable to practice their midwifery skills and may choose other disciplines involving less intimate care. Such acts of refusal of care by women during confinement and these various challenges faced by accoucheurs in public maternity units are common in rural areas. The O.R. Tambo District Municipality (ORTDM) comprises predominantly of rural areas where culture and tradition play an essential role in the community’s life. This study employed a qualitative research design with an explorative, descriptive, and contextual approach to gain a deeper understanding of the experiences of accoucheurs caring for women during confinement in public maternity units in the ORTDM. The purpose of this study was to explore and describe the experiences of accoucheurs caring for women during confinement in public maternity units in the ORTDM to make recommendations to nursing managers regarding the provision of optimal support to accoucheurs working in the rural Eastern Cape. The target population of the study was all accoucheurs working in public maternity units in the ORTDM. Snowball sampling, a non-probability sampling method, was used to select participants who met the inclusion criteria and were voluntarily willing to participate in the study. The data collection method used was one-on-one semistructured interviews, which were also captured using a digital voice recorder. Field notes were used during data collection to enhance the researcher’s understanding of accoucheurs’ nonverbal experiences. The sample size, which was 12 accoucheurs, was determined by data saturation. Data was transcribed verbatim, and Braun and Clark’s (2006) steps of reflexive thematic analysis (RTA) were used as a framework for data analysis. Lincoln and Guba’s model of trustworthiness was used to maintain the quality of the study by employing credibility, transferability, confirmability, and dependability (Lincoln and Guba, 1985). The ethical principles that guided this study with human participants were the principles of respect for persons, beneficence, non-maleficence, and justice as outlined in the Belmont Report and its application (2015:14) Three main themes emerged from the data analysis, namely: • Theme 1: Accoucheurs experienced specific factors that enabled them to care for women during confinement in public maternity units. • Theme 2: Accoucheurs identified barriers that disabled them in caring for women during confinement in public maternity units. • Theme 3: Recommendations for nurse managers by accoucheurs to optimize their ability to care for women during confinement in public maternity units. Direct quotations from the raw data and relevant literature supported the research study results and were discussed in-depth in Chapter Four. Various recommendations were discussed in Chapter Five of this study that present options for nurse managers to optimize the support for accoucheurs who were caring for women during confinement in public maternity units.Midwifery is a health science profession that deals with women in their confinement period, including the caring of new-borns. Historically, the midwifery profession has evolved from being a female-dominated profession to an occupation followed by both males and females. However, accoucheurs working in public maternity units face various challenges, such as a lack of support and discrimination from their female counterparts and women during confinement. These challenges are based mainly on tradition, religion, and the history of midwifery, a female-dominant profession. The potential effects of these challenges can be seen when women during confinement refuse maternal care from accoucheurs. As a result of this prejudice, accoucheurs may be unable to practice their midwifery skills and may choose other disciplines involving less intimate care. Such acts of refusal of care by women during confinement and these various challenges faced by accoucheurs in public maternity units are common in rural areas. The O.R. Tambo District Municipality (ORTDM) comprises predominantly of rural areas where culture and tradition play an essential role in the community’s life. This study employed a qualitative research design with an explorative, descriptive, and contextual approach to gain a deeper understanding of the experiences of accoucheurs caring for women during confinement in public maternity units in the ORTDM. The purpose of this study was to explore and describe the experiences of accoucheurs caring for women during confinement in public maternity units in the ORTDM to make recommendations to nursing managers regarding the provision of optimal support to accoucheurs working in the rural Eastern Cape. The target population of the study was all accoucheurs working in public maternity units in the ORTDM. Snowball sampling, a non-probability sampling method, was used to select participants who met the inclusion criteria and were voluntarily willing to participate in the study. The data collection method used was one-on-one semistructured interviews, which were also captured using a digital voice recorder. Field notes were used during data collection to enhance the researcher’s understanding of accoucheurs’ nonverbal experiences. The sample size, which was 12 accoucheurs, was determined by data saturation. Data was transcribed verbatim, and Braun and Clark’s (2006) steps of reflexive thematic analysis (RTA) were used as a framework for data analysis. Lincoln and Guba’s model of trustworthiness was used to maintain the quality of the study by employing credibility, transferability, confirmability, and dependability (Lincoln and Guba, 1985). The ethical principles that guided this study with human participants were the principles of respect for persons, beneficence, non-maleficence, and justice as outlined in the Belmont Report and its application (2015:14) Three main themes emerged from the data analysis, namely: • Theme 1: Accoucheurs experienced specific factors that enabled them to care for women during confinement in public maternity units. • Theme 2: Accoucheurs identified barriers that disabled them in caring for women during confinement in public maternity units. • Theme 3: Recommendations for nurse managers by accoucheurs to optimize their ability to care for women during confinement in public maternity units. Direct quotations from the raw data and relevant literature supported the research study results and were discussed in-depth in Chapter Four. Various recommendations were discussed in Chapter Five of this study that present options for nurse managers to optimize the support for accoucheurs who were caring for women during confinement in public maternity units.
- Description
- Thesis (MCur) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2024
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (191 pages)
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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NMU School of Clinical Care Sciences
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Wabane, M December 2024.pdf | 6 MB | Adobe Acrobat PDF | View Details Download |