Felsefenin Temel Alanlarına Göre Ebelik Mesleğinin Analizi: Nitel Çalışma

Year 2024, , 458 - 467, 10.10.2024

Nilay Şener , Fatma Şule Tanrıverdi , Nurten Kaya

https://doi.org/10.62425/esbder.1425885

Abstract

Amaç: Felsefe, sorgulama yeteneğinin gelişmesine etki ederek yeni stratejilerin oluşmasına katkı sağlar. Ebelikte mevcut durumu sorgulamak ve yeni stratejiler geliştirmek için felsefe yararlanılmalıdır. Çalışma ebelik mesleğini felsefe, ontoloji, epistemoloji ve aksiyoloji alanlarına göre analiz etmektedir.
Yöntemler: Nitel türdeki bu araştırma 20 Mayıs 2021 ile 30 Ağustos 2021 tarihleri arasında gerçekleştirildi. Araştırmaya, maksimum çeşitlilik örnekleme tekniği ile seçilen 12 katılımcı dahil edildi. Veriler, katılımcı bilgi formu ve yarı yapılandırılmış görüşme formu ile yüz yüze toplandı. Görüşme sırasında kaydedilen veriler tematik olarak içerik analizi yapılarak değerlendirildi
Bulgular: Araştırmada ontolojik açıdan profesyonel sağlık disiplini, epistemolojik açıdan ebelik bilgi ve uygulamalarının geliştirilmesi ve aksiyolojik açıdan mesleki ve bireysel değerler olmak üzere üç tema belirlendi.
Sonuç: Bu çalışmada ebelik mesleğinin çok gerekli ve kutsal olduğu, mesleki bilgi birikimi ve güncellenen bir literatüre sahip olması gerektiği ve kadınların doğumundan itibaren her döneminde yanında olarak mahremiyet ve haklarını gözetmeleri ve ebelerin mesleki değerlere sahip olması gerektiği bulundu.

Keywords

: Ebelik felsefesi, aksiyoloji, ontoloji, epistemoloji, ulusal ebelik felsefesi

Analysis of the Midwifery Profession According to the Fields of Philosophy: Qualitative Study

Abstract

Objective: Philosophy contributes to the formation of new strategies by affecting the development of questioning ability. Philosophy should be utilized to question the current situation and develop new strategies in midwifery. The study analyzes the midwifery profession according to the fields of philosophy, ontology, epistemology, and axiology.
Methods: The qualitative type of research is conducted between May 20, 2021, and August 30, 2021. The research is carried out with 12 participants who were selected by the maximum diversity sampling technique. The data are collected face-to-face with the participant information form and the semi-structured interview form. The data recorded during the interview is evaluated thematically through content analysis.
Results: In the research, three themes are identified: professional health discipline from an ontological point of view; development of midwifery knowledge and practices from an epistemological point of view; and professional and individual values from an axiological point of view.
Conclusion: In this study, it is stated that the midwifery profession is essential and sacred, that it should have professional knowledge and updated literature, and that women should be with them every period since birth.

Keywords

Midwifery philosophy, axiology, ontology, epistemology, national midwifery philosophy

Ethical Statement

The permission was obtained from Haliç University Non-Interventional Clinical Research Ethics Committee before the research (Ethics Committee Date: 27.05.2021 No: 108).

Supporting Institution

The authors did not receive special support from any organization for the submitted work.

Thanks

Acknowledgements: Authors would like to thank participants for their contributions and answering the Research Questions which form the basis of this paper. Informed Consent: Written and verbal informed consent was obtained from the volunteers participating in this study.

References

• American College of Nurse- Midwives. Code of ethics with explanatory statements. http://www.midwife.org/Strengthening-the-Midwifery-Profession (Date of Access: 21.04.2023)
• Bradfield, Z, Kelly, M, Hauck, Y, Duggan, R. (2019). Midwives ‘with woman’in the private obstetric model: Where divergent philosophies meet. Women and Birth 32(2):157-167. doi: 10.1016/j.wombi.2018.07.013.
• Byrom, S, Downe, S. (2010). ‘She Sort of Shines’: Midwives Accounts of ‘Good’ Midwifery and ‘Good’ Leadership. Midwifery 26(1):126-37. doi: 10.1016/j.midw.2008.01.011.
• Carolan, M, Hodnett, E. (2007) ‘With woman’ philosophy: examining the evidence, answering the questions. Nursing Inquiry, 14(2):140-152. doi: 10.1111/j.1440-1800.2007.00360.x.
• Cesur, B, Karakoç, S. (2020). The Effect of Philosophical Movement to Midwifery Education. In. Chernopolski PM, Shapekova NL, Ak B, Sançar B, eds. Advances in Health Sciences Research, Sofia, St. Kliment Ohridski University Press
• Demirbaş Meydan, Ş, Kaya, N. (2018).Development of the Midwifery Professional Values Scale. Journal of Health Sciences and Professions, 5(2):129-138. doi.org: 10.17681/hsp.350549
• Durgun, SK. Selma, Ş.Tayhan, E. (2018). National and international midwifery ethical codes. Celal Bayar University Journal of Health Sciences Institute, 5(4):127-223. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://dergipark.org.tr/en/download/article-file/614510
• Elo, S. Kyngas, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1):107-115. doi: 10.1111/j.1365-2648.2007.04569.x.
• Foster Illysa, R. Jon Lasser. (2010). Professional ethics in midwifery practice. Jones & Bartlett Publishers; 2010.
• Göncü Serhatlıoğlu, S. Kaya, N. (2018). Ethical approach to adolescent pregnancies in midwifery services. Journal of Health Sciences and Professions, 5(3):503-508. doi: 10.17681/hsp.411926
• International Confederation of Midwives (ICM). Philosophy and Model of Midwifery Care. https://internationalmidwives.org/assets/files/general-files/2020/07/cd0005_v201406_en_ philosophy-and-model-of-midwifery-care.pdf (Date of Access: 21.04.2023)
• Kaya, N. (2022). Ebelik Felsefesi [Midwifery Philosophy], Istanbul, Academy Press and Publishing: ISBN: 978-605-70825-3-4.
• Kaya, N, Nuraliyeva, Z. (2022). Ebelik felsefesi. Kaya, N. (Ed.) Ebelik Felsefesi içinde 6. Bölüm. İstanbul, Akademi Basın ve Yayıncılık.
• Korkut, S. Kaya, N. (2019). Ethical approach to the decision to give birth by caesarean section with midwife awarenes. Journal of Health Sciences and Professions, 6(1):142-150. doi: 10.17681/hsp.442171
• Kurtoğlu Barol, Z. Kaya, N. (2019). Evaluation of defensive medicine practices in childbirth in terms of patient rights and midwifery ethical codes. Journal of Health Sciences and Professions, 6(3):610-620. doi: 10.5152/hsp.2019.523978
• Miles, M. Chapman, Y. Francis, K. Taylor B. (2013). Exploring Heideggerian hermeneutic phenomenology: A perfect fit for midwifery research. Women and Birth, 26(4):273-276. doi: 10.1016/j.wombi.2013.06.003.
• Reyhan, F. A., & Dağlı, E. (2023). Kadınların Saygılı Annelik Bakımı Doğrultusunda Doğum Deneyimlerinin Değerlendirilmesi: Nitel Bir Araştırma. Sakarya Üniversitesi Holistik Sağlık Dergisi, 6(1), 124-141.
• Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4):334-340. doi: 10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g.
• Shepherd, J. (2017). Becoming an accountable midwife. The Practising Midwife, 20(6):20-23. PMID: 30462467
• Soğukpınar, N. Saydam, BK. Bozkurt, OD. Öztürk, H. Pelik, A. (2007). Past and present midwifery education in Turkey. Midwifery, 23(4):433-42. doi: 10.1016/j.midw.2007.01.011.
• Sönmez, T., & Apay, S. E. (2023). Doğum yönetiminde kadın merkezli bakım: Seçim, kontrol, süreklilik. Anatolian Journal of Health Research, 4(2), 72-75.
• Thompson, SM. Nieuwenhuijze, MJ. Low, LK. De Vries, R. (2019). “A powerful midwifery vision”: Dutch student midwives’ educational needs as advocates of physiological childbirth. Women and Birth, 32(6):e576-e583. doi: 10.1016/j.wombi.2018.12.010.
• UNESCO, (2023). Eighteenth session of the Intergovernmental Committee for the Safeguarding of the Intangible Cultural Heritage. https://ich.unesco.org/en/RL/midwifery-knowledge-skills-and-practices-01968
• Walsh, D. Evans, K. (2014). Critical realism: An important theoretical perspective for midwifery research. Midwifery, 30(1):e1-e6. doi: 10.1016/j.midw.2013.09.002.
• Weston, R.(2012). Telling stories, hearing stories: The value to midwifery students. British Journal of Midwifery, 20(1):41-9. doi: 10.12968/bjom.2012.20.1.41
• Yıldırım, G. Koçkanat, P. Duran, Ö. (2014). National midwifery codes and occupational values. STED, 23(4):148-154. https://hdl.handle.net/20.500.12418/258