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Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries

There is a lack of systematic evidence concerning health orientation in maternity practice in the current climate of risk avoidance. The midwifery professional project is orientated toward the preservation of normal physiological processes during the maternity episode. This study investigates accoun...

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Autores principales: Meier Magistretti, Claudia, Downe, Soo, Lindstrøm, Bengt, Berg, Marie, Schwarz, Katharina Tritten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156852/
http://dx.doi.org/10.3402/qhw.v11.33155
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author Meier Magistretti, Claudia
Downe, Soo
Lindstrøm, Bengt
Berg, Marie
Schwarz, Katharina Tritten
author_facet Meier Magistretti, Claudia
Downe, Soo
Lindstrøm, Bengt
Berg, Marie
Schwarz, Katharina Tritten
author_sort Meier Magistretti, Claudia
collection PubMed
description There is a lack of systematic evidence concerning health orientation in maternity practice in the current climate of risk avoidance. The midwifery professional project is orientated toward the preservation of normal physiological processes during the maternity episode. This study investigates accounts of midwives who were working in health-orientated birth settings, to examine if and how they frame a health orientation in professional practice. Twenty-seven narrative interviews were conducted with midwives working in pre-, peri-, and postnatal care in different maternity care settings in Switzerland, Austria, and Germany. In-depth and comparative pattern data analyses were conducted. The distinct practice orientation of the participants was revealed in three main concepts, underpinned by a common framework mirroring the three parameters of the Sense of Coherence (comprehensibility, manageability, and meaningfulness) described in Aaron Antonovsky's salutogenic theory. The midwives’ implicit salutogenic knowledge shaped their reported actions in supporting mothers, fathers, and families to have health-promoting experiences in maternity care. These results suggest that an implicit health orientation in maternity care practice can be prefered through examination of the practice reports of midwives working in settings that have a health-promoting philosophy. Implications for midwifery practice and research are discussed. Consideration is given to the relevance of the results for debates about avoiding overtreatment and for the operationalization of salutogenic theory in health care practice.
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spelling pubmed-51568522016-12-21 Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries Meier Magistretti, Claudia Downe, Soo Lindstrøm, Bengt Berg, Marie Schwarz, Katharina Tritten Int J Qual Stud Health Well-being Empirical Study There is a lack of systematic evidence concerning health orientation in maternity practice in the current climate of risk avoidance. The midwifery professional project is orientated toward the preservation of normal physiological processes during the maternity episode. This study investigates accounts of midwives who were working in health-orientated birth settings, to examine if and how they frame a health orientation in professional practice. Twenty-seven narrative interviews were conducted with midwives working in pre-, peri-, and postnatal care in different maternity care settings in Switzerland, Austria, and Germany. In-depth and comparative pattern data analyses were conducted. The distinct practice orientation of the participants was revealed in three main concepts, underpinned by a common framework mirroring the three parameters of the Sense of Coherence (comprehensibility, manageability, and meaningfulness) described in Aaron Antonovsky's salutogenic theory. The midwives’ implicit salutogenic knowledge shaped their reported actions in supporting mothers, fathers, and families to have health-promoting experiences in maternity care. These results suggest that an implicit health orientation in maternity care practice can be prefered through examination of the practice reports of midwives working in settings that have a health-promoting philosophy. Implications for midwifery practice and research are discussed. Consideration is given to the relevance of the results for debates about avoiding overtreatment and for the operationalization of salutogenic theory in health care practice. Co-Action Publishing 2016-12-13 /pmc/articles/PMC5156852/ http://dx.doi.org/10.3402/qhw.v11.33155 Text en © 2016 C. Meier Magistretti et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Empirical Study
Meier Magistretti, Claudia
Downe, Soo
Lindstrøm, Bengt
Berg, Marie
Schwarz, Katharina Tritten
Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
title Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
title_full Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
title_fullStr Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
title_full_unstemmed Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
title_short Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
title_sort setting the stage for health: salutogenesis in midwifery professional knowledge in three european countries
topic Empirical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156852/
http://dx.doi.org/10.3402/qhw.v11.33155
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