Terese Bondas

Previous Birth Experience in Women With Intense Fear of Childbirth

OBJECTIVEnTo describe the meaning of previous experiences of childbirth in pregnant women who have exhibited intense fear of childbirth such that it has an impact on their daily lives.nnnDESIGNnA descriptive phenomenological study.nnnSETTINGnA maternity clinic for women with fear of childbirth in the western part of Sweden.nnnPARTICIPANTSnNine women with intense fear of childbirth who were pregnant with their second child and considered their previous birth experiences negative.nnnMETHODSnInterviews that were transcribed verbatim and analyzed with a reflective life-world approach.nnnRESULTSnThe essential meanings that emerged were a sense of not being present in the delivery room and an incomplete childbirth experience. The women felt as if they had no place there, that they were unable to take their place, and that even if the midwife was present, she did not provide support. The experience remained etched in the womens minds and gave rise to feelings of fear, loneliness, and lack of faith in their ability to give birth and diminished trust in maternity care. These experiences contrasted with brief moments that made sense.nnnCONCLUSIONSnPrevious childbirth experiences for pregnant women with intense fear of childbirth have a deep influence and can be related to suffering and birth trauma. The implication is to provide maternity care where the nurse/midwife is present and supports women during birth in a way that enables them to be present and take their place during birth.

Long-term memories and experiences of childbirth in a Nordic context - a secondary analysis

The experience of childbirth is an important life experience for women. However, in-depth knowledge about long-term experiences is limited. The aim of the study was to describe womens experiences two to 20 years after birth. This study is a part of a meta-synthesis project about childbearing in the Nordic countries. Methodologically, the study was a secondary analysis performed on original data from three selected qualitative studies by the authors, in three Nordic countries, Finland, Iceland and Sweden, and in two different forms of care, birth centre care and standard maternity care. There were 29 participants, both primipara and multiparous women. The result from this study shows that women, in a long-term perspective describe childbirth as an encounter with different participants and the most important is with the midwife. The midwife is also important in connection to the atmosphere experienced during birth. The childbirth experience has a potential to strengthen self-confidence and trust in others or, on the contrary, it can mean failure or distrust. Impersonal encounters linger feelings of being abandoned and alone. This dimension is in particular demonstrated in the description of the woman who had given birth at standard maternity care. The conclusion of this study is that childbirth experience has a potential to strengthen self-confidence and trust in others or on the contrary failure or distrust. Maternity care should be organized in a way that emphasis this aspects of care.

Nursing leadership from the perspective of clinical group supervision: a paradoxical practice

bondas t. (2010) Journal of Nursing Management18, 477–486 nNursing leadership from the perspective of clinical group supervision: a paradoxical practice n nAimu2002 Increase understanding of nursing leadership in group clinical supervision (CS). n nBackgroundu2002 Leadership in CS has received little interest besides the theories in use and administrative CS. n nMethodu2002 Hermeneutic interpretation of written narratives of 24 clinical nurse supervisors. n nResultsu2002 Continuity in structuring, story and mission and reflection in group and leadership processes and theories of nursing and caring characterize leadership in CS. Leadership by inhibiting and creating fear, inapproachability and indistinctiveness were patterns in content brought to CS. Supervision when leadership was involved illuminated a reflexive change in focus from leadership to nursing care, from particular experiences to nursing and caring science, and from the unfamiliar to the well known and the well known to the unknown. n nConclusionsu2002 Continuity and reflective changes using nursing and caring theories seem to be core ideas of nursing leadership from the perspective of CS. The poles of separation and communion show opposites of nursing leadership as it is illuminated in CS. The findings add knowledge to Bondas’ theory of caritative leadership. n nImplications for nursing managementu2002 CS is a reflexive practice of support and guidance that seems to have an impact on the trajectory of nursing care and staff development using nursing and caring theories.AIMnIncrease understanding of nursing leadership in group clinical supervision (CS).nnnBACKGROUNDnLeadership in CS has received little interest besides the theories in use and administrative CS.nnnMETHODnHermeneutic interpretation of written narratives of 24 clinical nurse supervisors.nnnRESULTSnContinuity in structuring, story and mission and reflection in group and leadership processes and theories of nursing and caring characterize leadership in CS. Leadership by inhibiting and creating fear, inapproachability and indistinctiveness were patterns in content brought to CS. Supervision when leadership was involved illuminated a reflexive change in focus from leadership to nursing care, from particular experiences to nursing and caring science, and from the unfamiliar to the well known and the well known to the unknown.nnnCONCLUSIONSnContinuity and reflective changes using nursing and caring theories seem to be core ideas of nursing leadership from the perspective of CS. The poles of separation and communion show opposites of nursing leadership as it is illuminated in CS. The findings add knowledge to Bondas theory of caritative leadership.nnnIMPLICATIONS FOR NURSING MANAGEMENTnCS is a reflexive practice of support and guidance that seems to have an impact on the trajectory of nursing care and staff development using nursing and caring theories.

'The responsibility of someone else': a focus group study of collaboration between a university and a hospital regarding the integration of caring science in practice.

AIMnThe aim of the study was to develop insights into how nurses, senior preceptors and head nurses experience the integration of caring science in practice and how they value the contributions of nursing students to the integration of caring science in practice.nnnBACKGROUNDnResearch still reveals differences between theory and practice by nursing students. In Sweden, clinical education units have become one way of creating consistency between university and health care practices on values of caring.nnnMETHODnThe study is hermeneutic in design comprising data from three focus group interviews. The participants include registered nurses, senior preceptors and head nurses.nnnRESULTnThe study shows that roles and mandates are not clearly defined between the different actors. The university and hospital collaboration in caring science integration was regarded as someone elses responsibility. Research and development seemed excluded from the everyday life of the hospital units. The students seemed to fall somewhere between the hospital practice and concrete world of production and the university theory world of education and research. Three themes emerge: integration--someone elses responsibility, the hospital--a culture of production and the hospital and the university--different realities.nnnDISCUSSIONnThe results suggest the need for professionals within health care and university to reflect on their responsibilities in terms of research and development. The ethos of caring science implies the alleviation of suffering and caring for vulnerable patients including research and development.Scand J Caring Sci; 2012; 26; 579–586 n n n n‘The responsibility of someone else’: a focus group study of collaboration between a university and a hospital regarding the integration of caring science in practice n n n nAim:u2002 The aim of the study was to develop insights into how nurses, senior preceptors and head nurses experience the integration of caring science in practice and how they value the contributions of nursing students to the integration of caring science in practice. n n n nBackground:u2002 Research still reveals differences between theory and practice by nursing students. In Sweden, clinical education units have become one way of creating consistency between university and health care practices on values of caring. n n n nMethod:u2002 The study is hermeneutic in design comprising data from three focus group interviews. The participants include registered nurses, senior preceptors and head nurses. n n n nResult:u2002 The study shows that roles and mandates are not clearly defined between the different actors. The university and hospital collaboration in caring science integration was regarded as ‘someone else’s responsibility’. Research and development seemed excluded from the everyday life of the hospital units. The students seemed to fall somewhere between the hospital ‘practice and concrete world of production’ and the university ‘theory world of education and research’. Three themes emerge: ‘integration – someone else’s responsibility’, ‘the hospital – a culture of production’ and ‘the hospital and the university – different realities’. n n n nDiscussion:u2002 The results suggest the need for professionals within health care and university to reflect on their responsibilities in terms of research and development. The ethos of caring science implies the alleviation of suffering and caring for vulnerable patients including research and development.