250 research outputs found
Improving Research into Models of Maternity Care to Inform Decision Making.
No full textIn a Perspective, Ank de Jonge and Jane Sandall discuss research on models of maternity care led by midwives
Bekend maakt bemind:Het belang van goede relaties in de geboortezorg
No full textDe oratie "Bekend maakt bemind" door prof. dr. Ank de Jonge richt zich op de toepassing van de Ubuntu-filosofie binnen de geboortezorg. Ubuntu, een Zuid-Afrikaanse filosofie, benadrukt het belang van menselijkheid en onderlinge verbondenheid: het welzijn van een individu is nauw verbonden met het welzijn van anderen. De Jonge stelt dat deze filosofie kan bijdragen aan betere relaties en daarmee betere zorguitkomsten. Ze vergelijkt deze benadering met het individualisme in Europa, waarbij zelfontplooiing centraal staat, maar wat vaak kan leiden tot eenzaamheid en ongelijkheid.De Jonge pleit voor een meer relationele benadering in de geboortezorg, waar zorgverleners niet alleen focussen op het verlagen van sterfte en ziekte, maar ook op het opbouwen van goede relaties met de vrouwen die ze ondersteunen. Ze benadrukt het belang van cultuur responsieve zorg en sociale verloskunde, waarin de leefomstandigheden van kwetsbare vrouwen worden verbeterd en ze in staat worden gesteld zelf gezonde keuzes te maken. Het doel is om zorg te bieden die niet betuttelend is, maar vrouwen in hun kracht zet en hun autonomie respecteert
Improving Research into Models of Maternity Care to Inform Decision Making.
No full textIn a Perspective, Ank de Jonge and Jane Sandall discuss research on models of maternity care led by midwives
Models of Risk Selection in Maternal and Newborn Care: Exploring the Organization of Tasks and Responsibilities of Primary Care Midwives and Obstetricians in Risk Selection across The Netherlands.
No full textAn effective system of risk selection is a global necessity to ensure women and children receive appropriate care at the right time and at the right place. To gain more insight into the existing models of risk selection (MRS), we explored the distribution of different MRS across regions in The Netherlands, and examined the relation between MRS and primary care midwives’ and obstetricians’ satisfaction with different MRS. We conducted a nationwide survey amongst all primary midwifery care practices and obstetrics departments. The questionnaire was completed by 312 (55%) primary midwifery care practices and 53 (72%) obstetrics departments. We identified three MRS, which were distributed differently across regions: (1) primary care midwives assess risk and initiate a consultation or transfer of care without discussing this first with the obstetrician, (2) primary care midwives assess risk and make decisions about consultation or transfer of care collaboratively with obstetricians, and (3) models with other characteristics. Across these MRS, variations exist in several aspects, including the routine involvement of the obstetrician in the care of healthy pregnant women. We found no significant difference between MRS and professionals’ level of satisfaction. An evidence- and value-based approach is recommended in the pursuit of the optimal organization of risk selection. This requires further research into associations between MRS and maternal and perinatal outcomes, professional payment methods, resource allocation, and the experiences of women and care professionals
Challenges of integrating maternity care
No full textSchellevis, F.G. [Promotor]Jonge, J. de [Copromotor]Verhoeven - Smeijers, C.J.M. [Copromotor]Dillen, J. van [Copromotor
Management of labour pain in midwifery care
No full textContains fulltext :
139520.pdf (Publisher’s version ) (Open Access)Radboud Universiteit Nijmegen, 29 april 2015Promotores : Lagro-Janssen, A.L.M., Hutton, E.K. Co-promotor : Jonge, A. d
Support for teenage mothers: A qualitative study into the views of women about the support they received as teenage mothers
No full textAim of the study. To gain insight into the support teenage mothers received during pregnancy, birth and their child's pre-school years and young women's perceptions of the usefulness of a support group for teenage mothers. Background. Most qualitative studies have focused on teenage mothers around the time of the birth of their first child. For this study, women were recruited several years after the birth (median 8·5 years), so that they would have had time to reflect on the support they had received. Design. The qualitative method of semi-structured interviews was chosen to obtain in-depth information and to allow teenage mothers' own views to be heard. Ten individual interviews and one paired interview were undertaken. Findings. Recruitment was difficult because taking part in research was not a priority for many of the women. The study confirmed the strong link between deprivation and teenage pregnancy found in other studies, and suggested that mental health problems in teenage mothers may be more difficult to detect. Teenage women need more information on mental health and on services available to them. The fear, expressed by some of the women in this study, of becoming different from other women in their social network should be considered by health workers when establishing intervention programmes. Conclusions. Professional bodies of health workers should lobby government to provide a minimum standard of living and sufficient child-care to combat deprivation. Former teenage mothers should be involved in the recruitment, planning and implementation stages of research and interventions. Health professionals should be aware that mental health problems in teenage mothers may be particularly difficult to detect. Key community health workers or a support group may provide information on services, mental health and education facilities available that would benefit teenage mothers. A support group may also give emotional support
Het Berkeley Puppet Interview: Een screeningsinstrument voor psychopathologie bij jonge kinderen
No full textContains fulltext :
120867.pdf (Publisher’s version ) (Open Access)Context: In dit artikel presenteren we het Berkeley Puppet Interview (BPI), een leeftijdsadequaat instrument voor zelfrapportage van probleemgedrag door jonge kinderen. Tevens rapporteren we over psychometrische eigenschappen van het BPI. Bij een steekproef van 300 kinderen, gemiddelde leeftijd 7,04 jaar (SD = 1.15), werd het BPI twee keer afgenomen met een interval van één jaar. Ouders en leerkrachten vulden vragenlijsten in over het probleemgedrag van deze kinderen. De subschalen van het BPI correleren na één jaar met elkaar. Daarnaast correleren de subschalen onderling op een betekenisvolle wijze met elkaar, wat duidt op adequate congruente validiteit. Vergelijking van het BPI met externe maten is echter nodig om congruente validiteit daadwerkelijk vast te kunnen stellen. Belangrijkste conclusie: Het BPI lijkt een instrument met adequate psychometrische eigenschappen voor zover wij dit onderzocht hebben. Met behulp van het BPI kunnen jonge kinderen op een gestandaardiseerde manier geïnterviewd worden over hun klachten. Implicaties voor de praktijk van GZ-psychologen: Het BPI zou in de praktijk ingezet kunnen worden als aanvulling op de diagnostische cyclus, waardoor ook zelfrapportages door jonge kinderen een steeds belangrijkere plaats kunnen innemen.10 p
Left powerless: A qualitative social media content analysis of the Dutch #breakthesilence campaign on negative and traumatic experiences of labour and birth
No full textIntroductionDisrespect and abuse during labour and birth are increasingly reported all over the world. In 2016, a Dutch client organization initiated an online campaign, #genoeggezwegen (#breakthesilence) which encouraged women to share negative and traumatic maternity care experiences. This study aimed (1) to determine what types of disrespect and abuse were described in #genoeggezwegen and (2) to gain a more detailed understanding of these experiences.MethodsA qualitative social media content analysis was carried out in two phases. (1) A deductive coding procedure was carried out to identify types of disrespect and abuse, using Bohren et al.’s existing typology of mistreatment during childbirth. (2) A separate, inductive coding procedure was performed to gain further understanding of the data.Results438 #genoeggezwegen stories were included. Based on the typology of mistreatment during childbirth, it was found that situations of ineffective communication, loss of autonomy and lack of informed consent and confidentiality were most often described. The inductive analysis revealed five major themes: ‘‘lack of informed consent”; ‘‘not being taken seriously and not being listened to”; ‘‘lack of compassion”; ‘‘use of force”; and ‘‘short and long term consequences”. “Left powerless” was identified as an overarching theme that occurred throughout all five main themes.ConclusionThis study gives insight into the negative and traumatic maternity care experiences of Dutch women participating in the #genoeggezwegen campaign. This may indicate that disrespect and abuse during labour and birth do happen in the Netherlands, although the current study gives no insight into prevalence. The findings of this study may increase awareness amongst maternity care providers and the community of the existence of disrespect and abuse in Dutch maternity care, and encourage joint effort on improving care both individually and systemically/institutionally
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