Orchestrating care for a good life event: a hermeneutic study of the overlooked practices of rural perinatal nurses DOI Creative Commons
Martha MacLeod, Lela Zimmer, Arnout C. Smit

et al.

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 31, 2025

Sustaining rural perinatal services is increasingly difficult, largely due to ongoing challenges in recruiting and retaining healthcare providers, including registered nurses. In Canada, where most births take place hospitals, nurses play central roles prenatal, intrapartum, postpartum care. Through articulating nurses' everyday practices, their considerable contributions woman-centred care can be made visible, value clarified, appropriate supports retain them identified. The aim provide an in-depth understanding of what it means a nurse providing hospital. This hermeneutic study was conducted partnership between university-based researchers. In-depth interviews with 26 nurses, physicians, other professionals, birthing women along shadowing as they went about practice provided data for multi-stage interpretation. We identified five facets practice: individualized prenatal care, orchestrating the centre, working through team, maintaining flow unit being generalist specialized area. Nurses were seen critical but often overlooked pregnant women, newborns, families. continuously attended social, emotional, physical health those Their attuned unexpected context individual woman, interprofessional available resources, isolated geography weather. They showed hidden taken-for-granted knowledge skills, knowledgeable anticipation, problem-solving, making teams systems work. finely tuned facilitate good life event childbearing families, even times difficulty uncertainty. As continue at risk closure, uncovering supportive mechanisms create potential highlight garner greater respect sustainability services.

Language: Английский

Orchestrating care for a good life event: a hermeneutic study of the overlooked practices of rural perinatal nurses DOI Creative Commons
Martha MacLeod, Lela Zimmer, Arnout C. Smit

et al.

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 31, 2025

Sustaining rural perinatal services is increasingly difficult, largely due to ongoing challenges in recruiting and retaining healthcare providers, including registered nurses. In Canada, where most births take place hospitals, nurses play central roles prenatal, intrapartum, postpartum care. Through articulating nurses' everyday practices, their considerable contributions woman-centred care can be made visible, value clarified, appropriate supports retain them identified. The aim provide an in-depth understanding of what it means a nurse providing hospital. This hermeneutic study was conducted partnership between university-based researchers. In-depth interviews with 26 nurses, physicians, other professionals, birthing women along shadowing as they went about practice provided data for multi-stage interpretation. We identified five facets practice: individualized prenatal care, orchestrating the centre, working through team, maintaining flow unit being generalist specialized area. Nurses were seen critical but often overlooked pregnant women, newborns, families. continuously attended social, emotional, physical health those Their attuned unexpected context individual woman, interprofessional available resources, isolated geography weather. They showed hidden taken-for-granted knowledge skills, knowledgeable anticipation, problem-solving, making teams systems work. finely tuned facilitate good life event childbearing families, even times difficulty uncertainty. As continue at risk closure, uncovering supportive mechanisms create potential highlight garner greater respect sustainability services.

Language: Английский

Citations

0