Dimensional analysis has been proposed by Schatzman as an alternate method for the generation of grounded theory. The intent of this article is to trace the evolution of dimensional analysis and describe it in relation to traditional grounded theory method. Analytic processes that characterize dimensional analysis will be reviewed, and a research exemplar is presented to illustrate the application of the dimensional analysis method.
Preterm birth, preceded by preterm labor, is a significant perinatal problem. This article describes a qualitative, grounded theory study in which 25 women treated at home for preterm labor were interviewed. The purpose was to investigate how women managed this treatment, specifically bed rest, within the context of their day-to-day life. Three management phases were identified: Phase 1, the diagnostic phase, encompassed the circumstances around the diagnosis and subsequent realization that one was at risk to deliver preterm; in Phase 2, the negotiation phase, the women confronted their multisituated reality and negotiated their needs and wants that conflicted with it; and in Phase 3, the preparation phase, the women shift their focus from prevention of preterm delivery to preparation for parenthood. The proposed theory that women manage their activity restriction through negotiations in which they attempt to balance their perceived risk against a calculus of salient variables represents a new perspective in preterm birth prevention.
An estimated 190 million people are now living outside their countries of birth or citizenship, and the rate of this migration is expected to remain high. The resulting growing cultural and ethnic diversity in societies adds specific challenges to the requirement of delivering public services such as health care to consumers. Globally, about half of the migrant population are women. Migrants’ outcomes of pregnancy are known to be poor, showing significant disparities when compared with those of native populations. Although these disparities have been noted, knowledge is limited regarding the availability and accessibility of healthcare services, as well as the acceptability of maternity care for women with experiences of free and forced migration. Healthcare research in general, and maternity care research specifically, have often neglected this population. This paper examines the existing international guidelines intended to address inequities in health outcomes, policies which have been introduced at national levels, and the widely used concepts of ‘patient‐centred’ and ‘woman‐centred’ health services. The ideals implicit in those guidelines and concepts are contrasted with the available evidence of many overseas nationals’ experiences with healthcare provisions in general, and maternity care in particular. This is followed by reflections on deficiencies in current studies and on those methodological problems which make research on maternity care for migrant women particularly challenging. The conclusion considers the appropriateness and relevance of guidelines currently promoting equity in maternity care and suggests a future agenda for priority research.
Understanding mothers’ caring preferences during childbirth and midwives’ and nurses’ perception of mothers’ caring needs may enhance more satisfying birth experiences and positive health outcomes. The purpose of this descriptive comparative study was to identify the important caring behaviors provided during childbirth as perceived by mothers and midwives and nurses and the congruence of these perceptions between the two groups. A convenient sample of 100 postpartum mothers and 109 midwives and nurses was recruited from maternity settings in public hospitals in Jordan. This study demonstrated a statistically significant difference in the perceptions of caring behaviors between mothers and midwives and nurses. Mothers rated the need for spiritual caring behaviors as essential, while midwives and nurses did not perceive spiritual caring as a necessary part of their caregiving role. To design effective interventions that support a woman’s experience, midwives and nurses must identify and prioritize behaviors that convey caring to women during the intrapartum period.
International heath and nursing organizations have called for significant changes in nursing education to improve health outcomes. In the United States, a national initiative of Quality and Safety in Nursing Education (QSEN) has been underway to articulate competencies to improve patient safety and health outcomes. The purpose of this study was to evaluate the integration of QSEN competencies into an undergraduate nursing curriculum. Student self-reports of QSEN competencies were evaluated with the Student Evaluation Survey. Data was collected at baseline, and after Year 1 and Year 2 following implementation of a QSEN integrated curricular intervention. Two-sample T-tests, was used to analyze data from comparable groups. Although the findings were not statistically significant, this is an important area of inquiry as it represents one undergraduate program’s efforts to quantify and measure QSEN integration through curricular changes. Suggestions are made to quantify curricular change and lessons learned are discussed.
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