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Kairos Care in a Chronos World: An Analysis of Midwifery Care in Urban Public Hospitals
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Kairos Care in a Chronos World: An Analysis of Midwifery Care in Urban Public Hospitals. |
| 개인저자 | Niles, Paulomi H. |
| 단체저자명 | New York University. College of Nursing. |
| 발행사항 | [S.l.]: New York University., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 226 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-03A. Dissertation Abstract International |
| ISBN | 9781088321386 |
| 학위논문주기 | Thesis (Ph.D.)--New York University, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-03, Section: A.
Advisor: Squires, Allison. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | Background: Despite significant fiscal and political investment, maternal mortality in the United States has more than doubled over the past 25 years, disproportionately impacting women of color. Integrated use of midwifery care in publicly funded healthcare institutions is a vital yet understudied element in narrowing this maternal health disparities gap. Midwives have a long history of caring for historically disenfranchised women and families, especially in New York City's publicly funded healthcare system. Their care model supports the physiological processes of childbearing, while centering on the complex web of personal, social, and cultural needs of a woman. This study offers insight into the personal, social, professional, and organizational elements that influence midwives' ability to build relationships with their clients and with their professional colleagues.Methods: Using a qualitative exploratory design, twenty full-scope midwives working the New York City public healthcare network were interviewed. Semi-structured interviews were designed to investigate relationships, organizational structures, challenges, and successes in actualizing midwifery care within the large healthcare system that serves historically disenfranchised communities. Using thematic analysis, guided by a reproductive justice framework, recurrent and interrelated themes, related to the central research questions, are identified and are described here.Findings: While midwives describe their care as relationally driven, they also describe the fundamental tension of operationalizing their practice model (termed Kairos care) within the dominant medical model of maternity care (termed Chronos system). One overarching theme 'Kairos care in a Chronos World' captures the inherent and persistent tension that exists in attempting to provide a relationship-based model of care (Kairos) in a system designed to value measurement, efficiency and pathology (Chronos). Three supporting themes were: 1) navigating boundaries |
| 일반주제명 | Nursing. Public health. Social research. |
| 언어 | 영어 |
| 바로가기 | 
: 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
