Experiences of labouring women of the use of the birthing ball
- Authors: Vieira,Melissa Jolene
- Date: 2014
- Subjects: Delivery (Obstetrics) , Midwifery -- South Africa Midwives -- South Africa Neonatal nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44088 , vital:37106
- Description: Labour pain seems to be a challenge to the most of the labour wards/units. The birthing pain is non-avoidable but could be managed. Labouring women are sometimes limiting themselves to their beds as they are not coping well with the amount of pain they experience and this behaviour affects the progress of their labour. Different methods of pain relief in labour are available but are sometimes perceived by labouring women and midwives as not effective. Mobility has been noted in several obstetrical and midwifery nursing literature as the best strategy to promote positive progress of labour thus limiting pain. The use of the birthing ball by labouring women appears to be serving the purpose of mobility in labour. The researcher of this study aimed to investigate the experiences related to the use of the birthing ball by the labouring women. The objectives of the study were: To explore and describe the experiences of women in labour related to the use of the birthing ball, and based on the findings of the study, to recommend guidelines for the midwives to manage the first stage of labour through the use of the birthing ball. The research design used was qualitative, descriptive, explorative and contextual in nature, utilizing the phenomenological approach. The research population consisted of women who had made use of the birthing ball during labour. Data collection consisted of one-on-one unstructured interviews and field notes. The question that the participants were asked was: “Tell me, how it was for you when you were using the birthing ball during labour?” Collected data was analysed according to Creswell’s data analysis spiral and the assistance of an independent coder. Following the data analysis, a literature control was undertaken to highlight the similarities to and differences in comparison between this and previous studies. Lincoln and Guba’s Model of trustworthiness was used in this study to enhance credibility of the findings. The four aspects that were considered were credibility, transferability, dependability and confirmability. The researcher ensured that the study was ethically correct by observing the principles of informed consent, confidentiality, anonymity and no harm done to participants. Three major themes and sub-themes were identified through analysis of the database. Participants’ experienced the birthing ball as a useful labour tool as: it relieves pain and allows them to relax and be comfortable, it helped to promote mobility during labour. Participants’ experienced the birthing ball as shortening the labour process as: it decreased the number of active pushes during delivery, it increased their contractions and resulted in a quick delivery. Participants experienced the use of the birthing ball as empowering during labour as: it introduces an element of fun which decreases their fear and resulted in a more positive labouring experience it allowed them to feel in control of their labour. Based on the findings of the study, conclusions were drawn, guidelines recommended and recommendations made concerning nursing research, nursing education and clinical practice.
- Full Text:
- Date Issued: 2014
- Authors: Vieira,Melissa Jolene
- Date: 2014
- Subjects: Delivery (Obstetrics) , Midwifery -- South Africa Midwives -- South Africa Neonatal nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44088 , vital:37106
- Description: Labour pain seems to be a challenge to the most of the labour wards/units. The birthing pain is non-avoidable but could be managed. Labouring women are sometimes limiting themselves to their beds as they are not coping well with the amount of pain they experience and this behaviour affects the progress of their labour. Different methods of pain relief in labour are available but are sometimes perceived by labouring women and midwives as not effective. Mobility has been noted in several obstetrical and midwifery nursing literature as the best strategy to promote positive progress of labour thus limiting pain. The use of the birthing ball by labouring women appears to be serving the purpose of mobility in labour. The researcher of this study aimed to investigate the experiences related to the use of the birthing ball by the labouring women. The objectives of the study were: To explore and describe the experiences of women in labour related to the use of the birthing ball, and based on the findings of the study, to recommend guidelines for the midwives to manage the first stage of labour through the use of the birthing ball. The research design used was qualitative, descriptive, explorative and contextual in nature, utilizing the phenomenological approach. The research population consisted of women who had made use of the birthing ball during labour. Data collection consisted of one-on-one unstructured interviews and field notes. The question that the participants were asked was: “Tell me, how it was for you when you were using the birthing ball during labour?” Collected data was analysed according to Creswell’s data analysis spiral and the assistance of an independent coder. Following the data analysis, a literature control was undertaken to highlight the similarities to and differences in comparison between this and previous studies. Lincoln and Guba’s Model of trustworthiness was used in this study to enhance credibility of the findings. The four aspects that were considered were credibility, transferability, dependability and confirmability. The researcher ensured that the study was ethically correct by observing the principles of informed consent, confidentiality, anonymity and no harm done to participants. Three major themes and sub-themes were identified through analysis of the database. Participants’ experienced the birthing ball as a useful labour tool as: it relieves pain and allows them to relax and be comfortable, it helped to promote mobility during labour. Participants’ experienced the birthing ball as shortening the labour process as: it decreased the number of active pushes during delivery, it increased their contractions and resulted in a quick delivery. Participants experienced the use of the birthing ball as empowering during labour as: it introduces an element of fun which decreases their fear and resulted in a more positive labouring experience it allowed them to feel in control of their labour. Based on the findings of the study, conclusions were drawn, guidelines recommended and recommendations made concerning nursing research, nursing education and clinical practice.
- Full Text:
- Date Issued: 2014
Registered nurses' perceptions of factors causing stress in the intensive care environment in state hospitals
- Authors: Beau, S P
- Date: 2006
- Subjects: Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10044 , http://hdl.handle.net/10948/457 , Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Description: The complex environment of an intensive care unit is associated with a considerable amount of stress. Intensive care nurses are confronted daily with increasing work demands, emanating from the growing numbers of critically-ill patients; the introduction of highly sophisticated technologies in the intensive care environment; increasing competition between health care institutions; increased work loads; and limited career opportunities caused by, among other things, budget cuts by the government (Janssen, De Jonge & Bakker, 1999:1360). Research has shown that such stressors can result in mental, physical and behavioural stress reactions among nurses (Demerouti, Bakker, Nachreiner and Schaufeli, 2000:454). The objective of this study is to explore and describe registered nurses’ perceptions of factors causing stress in intensive care environments of state hospitals. The main purpose of the study is to develop guidelines for a stress management programme, to assist registered nurses to cope with the stressors in an intensive care environment. The research design is placed within a quantitative, explorative and descriptive contextual framework. Validity and reliability in testing and evaluating the research questionnaire are discussed, as well as the ethical and legal considerations relating to this research study. Findings of the research study will be utilized to assist the researcher in developing guidelines for a stress management programme to assist registered nurses in coping with stress in an intensive care environment
- Full Text:
- Date Issued: 2006
- Authors: Beau, S P
- Date: 2006
- Subjects: Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10044 , http://hdl.handle.net/10948/457 , Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Description: The complex environment of an intensive care unit is associated with a considerable amount of stress. Intensive care nurses are confronted daily with increasing work demands, emanating from the growing numbers of critically-ill patients; the introduction of highly sophisticated technologies in the intensive care environment; increasing competition between health care institutions; increased work loads; and limited career opportunities caused by, among other things, budget cuts by the government (Janssen, De Jonge & Bakker, 1999:1360). Research has shown that such stressors can result in mental, physical and behavioural stress reactions among nurses (Demerouti, Bakker, Nachreiner and Schaufeli, 2000:454). The objective of this study is to explore and describe registered nurses’ perceptions of factors causing stress in intensive care environments of state hospitals. The main purpose of the study is to develop guidelines for a stress management programme, to assist registered nurses to cope with the stressors in an intensive care environment. The research design is placed within a quantitative, explorative and descriptive contextual framework. Validity and reliability in testing and evaluating the research questionnaire are discussed, as well as the ethical and legal considerations relating to this research study. Findings of the research study will be utilized to assist the researcher in developing guidelines for a stress management programme to assist registered nurses in coping with stress in an intensive care environment
- Full Text:
- Date Issued: 2006
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