Ebelik Bakımı İçin Modeller: Bir Haritalama Derlemesi

Year 2023, , 176 - 190, 26.10.2023

Ayberk Asena Telli , Zekiye Karaçam

https://doi.org/10.5152/JMHS.2023.22113

Abstract

Amaç: Dünya Sağlık Örgütü’ne göre, ebeler kanıta dayalı annelik bakımını sağlayan kişilerdir. Ebeler bu bakımda normalliği kolaylaştırma konusunda yetkindirler. Ebelerin bakım uygulamalarını yansıtan bazı teorik modeller mevcuttur. Ancak bu modellerin esas olarak doğuma yönelik bakım ve örgütsel yapıya dair olduğu gözlemlenmektedir. Bu modeler epistemolojik (bilgi felsefesi) olarak yoksun görünmektedir. Bakımın değerli olduğunu ve bakım yaklaşımlarını görünür hale getirebilmek için modellerin epistemolojiye sahip olması gerekebilir. Bu yazının amacı, ebelik bakımında var olan teorik modeller hakkındaki yayınları belirlemek ve bunlara genel bir bakış sağlamaktır.
Yöntemler: Bu bir haritalama derleme çalışmasıdır. Klinik uygulamayı etkileyen ya da etkilemeyi amaçlayan ebelik bakımına ulaşabilmek için dokuz veri tabanında sistematik olarak taranmıştır. Bu tarama teorik bir modeli ya da teoriyi tanımlayan çalışmaları kapsamıştır. Uygunluk kriterleri seçim sürecinde netleştirilmiştir.
Bulgular: Dünyanın farklı bölgelerinde yapılan altı makalede yer alan altı model çalışmaya dahil edilmiştir. Dahil edilen modeller, farklı metodolojiler (yöntem) kullanılarak geliştirilmiştir. Bu modeller farklı felsefi temellere ve bazı karmaşıklığa sahiptir. Bu modellerin bazı özellikleri birbirine benzerdir. Bu modellerin en ayırt edici birinci özelliği ebe-kadın ilişkisine, ikincisi kadın-merkezli olmaya ve üçüncüsü de bakımda salutojene (sağlığın nedenlerine odaklanma) vurgu yapmıştır.
Sonuç: Genel olarak, belirli epistemolojik statüye sahip ebelik bakımının teorik modelleri hakkında yetersizlik mevcuttur. Ebelik bakımının bilgi tabanlı görev yapması için, epistemolojik açıdan kapsamlı teorik modeller geliştirilmesi gerekmektedir. Bu nedenle daha fazla araştırmaya gereksinim bulunmaktadır.

Keywords

Ebelik, salutojen, felsefe, intrapartum bakım, bakım için modeller, kadın merkezlilik

Models for Midwifery Care: A Mapping Review

Abstract

Objective: According to World Health Organitaion, midwives are found competent to provide evidence-based and normalcy-facilitating maternity care. Models for midwifery care exist but seem to be lacking explicit epistemological status, mainly focusing on the practical and organizational level of care delivery. To make the values and attitudes of care visible, it is important to implement care models with explicit epistemological status. The aim of this paper is to identify and gain an overview of publications of theoretical models for midwifery care.
Methods: A mapping review was conducted with systematic searches in nine databases for studies describing a theoretical model or theory for midwifery care that either did or was intended to impact clinical practice. Eligibility criteria were refined during the selection process.
Results: Six models from six papers originating from different parts of the world were included in the study. The included models were developed using different methodologies and had different philosophical underpinnings and complexity gradients. Some characteristics were common, the most distinctive being the emphasis of the midwife–woman relationship, secondly the focus on woman-centeredness, and thirdly the salutogenic focus in care.
Conclusion: Overall, scarcity exists regarding theoretical models for midwifery care with explicit epistemological status. Further research is needed in order to develop generic theoretical models with an epistemological status to serve as a knowledge base for midwifery healthcare.

Keywords

Maternity care midwifery models for care philosophy salutogenesis woman centeredness

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