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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

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Abstract:

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.

French
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.

Keywords: ETHICS; FEMINIST; MIDWIFERY; PERINATAL NURSING

Document Type: Research Article

Publication date: December 1, 2007

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