Skip to main content

Open Access Understanding the Everyday Moral Practices of Midwives and Intrapartum Nurses Comprendre les aspects moraux des pratiques quotidiennes des sages-femmes et des infirmières de la phase intrapartum

Download Article:
(PDF 203.1748046875 kb)
The authors use Margaret Urban Walker's expressive-collaborative model of morality to illuminate the everyday practices and knowledge of midwives and intrapartum nurses as moral practices and knowledge. They provide examples of these moral practices and knowledge by drawing on qualitative studies of intrapartum care. Using Walker's model to interpret the findings of these studies, they identify 3 themes: creating a space for relationship, encountering morally uninhabitable environments, and renegotiating the moral-social order through advocacy. The spaces that nurses and midwives create for relationship with labouring women reveal to them some of their moral responsibilities. However, nurses and midwives encounter environmental constraints: Hierarchical arrangements within teams and institutions constrain their ability to enact their moral responsibilities, rendering the environment morally uninhabitable at times. They understand that in order to renegotiate these arrangements they must advocate for women in labour.

Les auteures recourent au modèle de moralité « expressive-collaborative » de Margaret Urban Walker pour illustrer, sous l'éclairage de la moralité, les pratiques quotidiennes et les connaissances des sages-femmes et des infirmières du volet intrapartum. Elles donnent des exemples de ces pratiques et connaissances morales en s'inspirant d'études qualitatives sur les soins intrapartum. En se fondant sur le modèle de madame Walker pour interpréter les résultats de ces études, elles ont relevé trois thèmes, soit la création d'un espace pour l'établissement de la relation, l'affrontement de milieux moralement hostiles et la renégociation de l'ordre moral-social par la défenses des droits. Les espaces créés par les infirmières et les sages-femmes pour établir une relation avec les femmes en couches leur révèlent quelques-unes de leurs responsabilités morales. Elles doivent toutefois subir les contraintes du milieu : les rapports hiérarchiques au sein des équipes et les institutions qui entravent leur capacité à prendre leurs responsabilités morales, ce qui rend le milieu inhospitalier à certains moments. Elles ont compris que pour redéfinir ces relations, elles doivent se porter à la défense des droits des femmes qui accouchent.

8 References.

No Supplementary Data.
No Data/Media
No Metrics


Document Type: Research Article

Publication date: 2007-12-01

More about this publication?
  • To the CJNR Readership:

    We are excited to report that as of January 2016, the CJNR (Canadian Journal of Nursing Research) is being published under the SAGE Publications, Inc. banner.

    All inquiries relating to future issues of CJNR should be directed to:

    Daniel Ruth
    Senior Acquisitions Editor
    SAGE Publications In
    T (805) 410-7251
    E [email protected]

    Currently published issues of the CJNR (1969-2015) are being moved to the McGill online archives where they will be hosted in perpetuity. This migration should be completed by Spring 2016. During this transition, all issues of CJNR remain accessible to our readers as before:

    1) Past issues of CJNR from 2003 to December 2015 through ingentaconnect.

    2) Issues from 2002 to 1969 can be accessed through the CJNR digital archive.

    We understand that this is a significant change. Please be confident that all parties are working diligently to make this a seamless transition that will further advance the scope and impact of CJNR.

    Thank you.
  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • Archives
  • Overview / Permissions
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more