透过观察镜；助产士学生对伦理问题的体验：女性主义解释性案例研究

IF 3.6 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2024-10-05 DOI:10.1016/j.nedt.2024.106447

D. Bygraves , K. Wissemann , K. Buchanan

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引用次数: 0

摘要

背景助产士教育中的伦理内容受国际专业价值观、守则和伦理原则的制约。助产士教育的目的是鼓励学生在其助产士角色和工作范围内终身致力于道德实践。目的从助产士学生的角度进行案例研究，展示观察到的伦理问题，并对发现的伦理问题进行分析。设计采用单一解释性案例研究设计，并应用女性主义视角。解释性案例研究展示了一种现象的 "如何和为什么"，有助于从整体和现实生活的角度来理解这种现象。设置本项目在西澳大利亚的一所大学进行，该大学开设了助产士注册前课程。本案例研究的数据来源于伊迪丝考文大学人力资源研究中心。本案例研究的数据来源于主要作者（Priya，2021 年）的直接观察，并遵循 Joanna Briggs 案例研究报告方法指南。结果产生了三个主题："透过观察镜；观察伦理问题"；"这是谁的身体？产妇同意的侵蚀 "和 "关系护理与防御性实践"。这些主题解释了助产士学生发现的伦理问题的前因后果，研究结果得到了伦理理论和助产理念的支持，强调了造成伦理问题的一些根本原因。为了更好地了解如何为助产士学生提供更好的支持以促进伦理护理，我们需要开展进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Through the looking glass; midwifery students' experience of ethical issues: A feminist explanatory case study

Background

The ethical component in midwifery education is governed by international professional values, codes, and ethical principles. The aim of midwifery education is to encourage students to develop a lifelong commitment to ethical practice within their midwifery role and scope. However, little evidence is available on the experiences of midwifery students and how they navigate ethical issues in maternity systems.

Aim

To present a case study from a midwifery students' perspective that demonstrates observed ethical issues and to provide analysis of the ethical issues identified.

Design

A Single explanatory case study design with a feminist lens applied. Explanatory case studies present the ‘how and why’ of a phenomenon and contributes to understanding phenomena in a holistic and real-life context.

Setting

This project was set at a West Australian university from which pre-registration midwifery courses are delivered.

Participants

A solitary case study is presented from a midwifery students' clinical placement.

Methods

Ethics were approved 2023-04805. Edith Cowan University HREC. The source of data for this case study was direct observation by the primary author (Priya, 2021) and the Joanna Briggs Methods for Case study reporting guide followed. Thematic analysis with a feminist lens was applied to the data.

Results

Three themes were generated ‘Through the looking glass; observing ethical issues’; ‘Whose body Is It? The Erosion of Maternal Consent’ and ‘Relational care versus defensive practice’. These themes explain the antecedents and consequences of the ethical issues identified by the midwifery student, the findings are supported by ethical theory and midwifery philosophy to highlight some of the underlying causes that contribute to ethical issues.

Conclusion

Midwifery students experience ethical distress when they observe ethical issues and are powerless to support birth people in a way that aligns with midwifery philosophy of relational, woman-centred care. Further research is required to better understand how midwifery students may be better supported to foster ethical care.

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来源期刊

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.