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'No other alternative than to compromise': Experiences of midwives/nurses providing care in the context of scarce resources.
- Source :
-
Nursing Inquiry . Oct2022, Vol. 29 Issue 4, p1-12. 12p. - Publication Year :
- 2022
-
Abstract
- Midwives and nurses play a critical role in safeguarding the lives of women in resource‐constrained African countries. Working within the context of scarce resources may undermine their moral agency and hinder their ability to care. The purpose of this paper is to understand the influence of resource scarcity on midwifery and nursing care and practice. A critical ethnography was conducted in the obstetric department of three tertiary‐level facilities in Ghana. Purposive sampling was used to recruit 30 midwives and nurses and semistructured interviews, field notes and documentary materials were used to generate in‐depth understanding. Ethical approval was granted from Canada and Ghana and written, and ongoing informed consent was obtained from the participants. Five conceptual themes depicting the impact of scarce resources on midwifery and nursing care were discovered: compromised care, constrained care, dehumanized care, missed care and disengaged care. Improving the maternal health of women and averting avoidable maternal morbidity and mortality require governments and institutions to invest in health infrastructure that will support the delivery of ethical and safe midwifery care for women in their most vulnerable period. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NURSING
*DEHUMANIZATION
*HEALTH facilities
*ETHICS
*MIDWIFERY
*RESEARCH methodology
*EVALUATION
*TERTIARY care
*INTERVIEWING
*NARRATIVES
*NURSING practice
*ETHNOLOGY research
*DOCUMENTATION
*MEDICAL errors
*RESPONSIBILITY
*FIELD notes (Science)
*JUDGMENT sampling
*PSYCHOLOGICAL disengagement
*THEMATIC analysis
*HEALTH care rationing
Subjects
Details
- Language :
- English
- ISSN :
- 13207881
- Volume :
- 29
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Nursing Inquiry
- Publication Type :
- Academic Journal
- Accession number :
- 159906650
- Full Text :
- https://doi.org/10.1111/nin.12496