Midwives’ Views and Perceptions of Patient Dignity in Midwifery Services

  • Tiran Jamil Piro Department of Midwifery, College of Nursing, Hawler Medical University, Erbil, Iraq
Keywords: Human dignity, Midwifery, Maternity wards, Pregnancy, Childbearing women

Abstract

Background and objective: Human dignity which is defined as respect to human individuality is a highly recommended necessity to be taken into account in medical settings to deliver high-quality services and raise the patients’ satisfaction. Due to a lack of well-defined provisions and instructions in midwifery practice in the Kurdistan region of Iraq, human dignity is threatened in this field. The present study was an attempt to figure out the meaning of patient dignity, what threatens patients’ dignity, and how to promote patients' dignity in midwifery settings in maternity departments and clinics in Erbil, in the Kurdistan region-Iraq.
Method: The present qualitative study was conducted on 10 Kurdish registered midwives who were working delivery room of Maternity Teaching Hospital and Dyke Private Hospital located in Erbil, Iraqi Kurdistan. In-depth semi-structured interviews were conducted with the midwives to collect required data. The interviews were recorded and then transcribed verbatim and analyzed using the six methodological activities proposed by Van Manen, and the themes and subthemes were extracted.
Results: Analyzing the transcribed interviews resulted in emergence of one main theme, namely “need for holistic support” which had subthemes, namely “need for medical support”, “need for mental support”, and “need for sympathetic support”.
Conclusion: Human dignity of pregnant and childbearing mothers in maternity departments and clinics is relatively low due to lack of sufficient equipment and facilities and insufficient number of midwives and maternity staff. Therefore, appropriate measures need to be taken in these regards.

References

[1] Ebrahimi H, Torabizadeh C, Mohammadi E, Valizadeh S. Patients' perception of dignity in Iranian healthcare settings: A qualitative content analysis. Journal of Medical Ethics. 2012; 38:723-8.
[2] Griffin L. An analysis of the concept dignity. Accident and Emergency Nursing. 2005; 13:251-7.
[3] Lam K. Dignity, respect for dignity, and dignity conserving in palliative care. News-letter - Hong Kong Society of Palliative Medicine. 2007; 3:30-5.
[4] Parandeh A, Khaghanizade M, Mohammadi E, Mokhtari J. Nurses' human dignity in education and practice: An integrated literature review. Iran Journal Nursing Midwifery Research. 2016; 21(1):1-8. doi: 10.4103/1735-9066.174750.
[5] World Health Organization (WHO). World mental health day 2015: Dignity and mental health. Information sheet. Retrieved on August 10, 2020 available at: http://www.who.int/mental_health/world-mental-health-day/2015_infosheet/en/
[6] Mason E, McIntosh A, Bryan A, Mason T. Key concepts in nursing. SAGE Publications Inc. 2008, Thousand Oaks, United States.
[7] Thelin I, Lundgren I, Hermansson E. Mid-wives’ Lived Experience of Caring During Childbirth—A Phenomenological Study. Sexual & Reproductive Healthcare. 2014; 5: 113-8
[8] Hall J. Developing a culture of compassion-ate care-the midwives voice? Midwifery. 2013; 29(4):269-71.
[9] Halldorsdottir S, Karlsdottir I. The primacy of the good midwife in midwifery services: An evolving theory of professionalism in midwifery. Scandinavian Journal Caring Science. 2011; 25: 806–17.
[10] Vogel P, Bohren M. A, Tunçalp O, Oladapo O T, Gülmezoglu A M. Promoting respect and preventing mistreatment during child-birth. International Journal of Obstetrics & Gynaecology. 2016; 123(5):671-4. doi: 10.1111/1471-0528.13750.
[11] Moberg K U. The Roar Behind the Silence: Why Kindness, Compassion and Respect Matter in Maternity Care 2015; London: Pinter and Martin Ltd.
[12] Bohren M A, Vogel J, Hunter E, Lutsiv O. The mistreatment of women during child-birth in health facilities globally: a mixed methods systematic review. PLOS Medi-cine. 2015; 12(6): e1001847. doi: 10.1371/journal.pmed.1001847.
[13] Kana S, Shigeko H, Sebalda L. Yoko S. Mid-wives' respect and disrespect of women during facility-based childbirth in urban Tanzania: A qualitative study. Reproductive Health. 2018; 15. 10.1186/s12978-017-0447-6.
[14] Mathibe JM, Masitenyane SS. Psychosocial Antenatal Care: A Midwifery Context. In: Selected Topics in Midwifery Care. 2018; London, United Kingdom: IntechOpen .
[15] Baillie L. Patient dignity in an acute hospital setting: A case study. International Journal of Nursing Studies. 2008; 46: 23–37. doi: 10.1016/j.ijnurstu.
[16] Hall J, Mitchell M. Dignity and respect in midwifery education in the UK: A survey of Lead Midwives of Education. Nurse Educa-tion in Practice. 2016; Volume 21, Pages 9-15. Available at: https://doi.org/10.1016/j.nepr.2016.09.003.
[17] Ghiyasvandian S, Piro T. J, Salsali M. Iraqi Nurses’ Perspectives on Safety Issues in Ma-ternity Services. Nursing and Midwifery Studies. 2015; 4(3): e29529. doi: 10.17795/nmsjournal29529.
[18] Zahavi D. The practice of phenomenology: The case of Max van Manen: Journal of Nursing Philosophy. 2019; Volume 21,Issu 2.
[19] Jamshed S. Qualitative research method-interviewing and observation. Journal of Basic and Clinical Pharmacy. 2014; 5(4):87–88.
[20] Shenton, A. K. Strategies for ensuring trust-worthiness in qualitative research projects. Education for Information. 2004; 22: 63-75.
[21] Devadas, B. A Critical Review of Qualitative Research Methods in Evaluating Nursing Curriculum Models: Implication for Nursing Education in the Arab World. Journal of Edu-cation and Practice. 2016; 7(7): 2222-88.
[22] Declercq E, Sakala C, Corry M, Applebaum S, Herrlich A. Listening to Mothers III: Pregnan-cy and Birth. New York: Childbirth Connec-tion; 2013.
[23] Valizadeh S, Fallahi M, Mohammadi E, Ebrahimi H, Arshadi M. Dignity and respect are the missing link of nurses' empower-ment. International Journal of Medical Re-search & Health Sciences. 2016; 5, 3:110-15.
[24] Parsa P, Saeedzadeh N, Masoumi S Z, Roshanaei G. The Effectiveness of Counsel-ing in Reducing Anxiety among Nulliparous Pregnant Women. Journal of Family and Reproductive Health. 2016; Vol. 10, No. 4.
[25] Mattern E, Lohmann S, Ayerle G M. Experi-ences and wishes of women regarding sys-temic aspects of midwifery care in Germany: a qualitative study with focus groups. BMC Pregnancy Childbirth. 2017; 17: 389.
doi:10.1186/s12884-017-1552-9.
[26] Hildingsson I, Thomas J E. Women’s per-spectives on maternity Services in Swe-den: processes, problems, and solutions. Journal Midwifery Womens Health. 2007; 52(2):126–33.
[27] Shimoda K, Horiuchi S, Leshabari S, Shim-puku Y. Midwives’ respect and disrespect of women during facility-based childbirth in urban Tanzania: a qualitative study. Reproductive Health. 2018; 15, 8. Available at: https://doi.org/10.1186/s12978-017-0447-6.
[28] Mattern, E, Lohmann, S, Ayerle, G M. Ex-periences and wishes of women regarding systemic aspects of midwifery care in Ger-many: a qualitative study with focus groups. BMC pregnancy and childbirth. 2017; 17(1), 389. https://doi.org/10.1186/s12884-017-1552-9 .
[29] Bohren M. A, Vogel J P, Hunter E C, Lutsiv O, Makh S K, Souza J P, et al. The mistreat-ment of women during childbirth in health facilities globally: A mixed‑methods sys-tematic review. PLOS Medicine. 2015; 12: e1001847.
[30] Baczek G, Tataj-Puzyna U, Sys D, Bar-anowska B. Freestanding Midwife‑Led Units: A Narrative Review. Iranian Journal of Nursing Midwifery Research. April 2020; 25:181‑8.
[31] Hall J, Hundley V, Collins B, Ireland J. Digni-ty and respect during pregnancy and child-birth: a survey of the experience of disa-bled women. Hall. BMC Pregnancy and Childbirth. 2018; 18:328, available at: https://doi.org/10.1186/s12884-018-1950-7.
[32] Baranowska B, Doroszewska A, Kubicka U. Is there respectful maternity care in Po-land? Women’s views about care during labor and birth. BMC Pregnancy Childbirth. 2019; 19: 520. Available at: https://doi.org/10.1186/s12884-019-2675-y .
[33] Raine R, Cartwright M, Richens Y, Ma-hamed Z, Smith D. A qualitative study of women’s experiences of communication in antenatal care: identifying areas for ac-tion. Maternal and Child Health Journal. 2010; 14(4):590–99.
[34] McCourt C. Supporting choice and con-trol? Communication and interaction be-tween midwives and women at the ante-natal booking visit. Social Science and Medicine. 2006; 62(6):1307–18.
[35] Kozhimannil K. B, Attanasio L. B., Yang T, Avery M, Declercq E. Midwifery care and patient-provider communication in materni-ty decisions. Maternal&Child Health. 2015; J. 19(7): 1608–15. doi:10.1007/s10995-015-1671-8.
[36] Joolaee S, Nikbakht A, Parsa Z. *Iranian nurs-es, physicians and patients' lived experienc-es regarding patient’s rights practice (Persian)+. Iran Journal of Nursing. 2009; 22(60), 28-41.
[37] Toosi M, Akbarzadeh M, Zare N, Sharif N. Effect of attachment training on anxiety and attachment behaviors of first-time mothers. Hayat. 2011; 17:69-79.
[38] Talley L. Stress management in pregnancy. International Journal of Childbirth Education. 2013; 28: 43-5.
[39] Piro T. J. Research Paper: Kurdish Maternity Nurse’s Perspectives about Human Dignity. Journal of Client-Centered Nursing Care. 2016; 2(3), 161-168. Available at: https://doi.org/10.32598/jccnc.2.3.161.
Published
2021-05-30
How to Cite
Piro, T. (2021). Midwives’ Views and Perceptions of Patient Dignity in Midwifery Services. Erbil Journal of Nursing and Midwifery, 4(1), 23 - 31. https://doi.org/10.15218/ejnm.2021.03
Section
Original Articles