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The professional role of skilled birth attendants’ in Nepal – A phenomenographic study
Jönköping University, School of Health and Welfare, HHJ. ADULT.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.ORCID iD: 0000-0001-8563-750x
2019 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 21, p. 60-66Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to describe the Nepali Skilled Birth Attendants’ (SBAs) perceptions of their professional role.

Methods: Fifteen Nepalese SBAs were interviewed using a semi-structured interview guide. A phenomenographic approach was chosen to describe their qualitatively different and unreflective conceptions of the professional role. Data was analysed in a seven-step process and three description categories and six conceptions emerged.

Results: The SBAs described the role as provider, the role as counsellor and the role as educator. As provider, the SBA maintained midwifery nursing and prevented maternal deaths. As counsellor, the SBA advocated and empowered women and facilitated family planning. As educator, the SBA promoted health of families and health in the society. She also tutored students and colleagues about skills and human rights.

Conclusion: The SBAs’ vulnerability emerged especially in rural areas while preventing complications and newborn and maternal death in rural areas where she often worked alone with lack of proper equipment and access to other medical professionals. The SBAs perceived that their professional roles required knowledge and experiences, were safety was closely linked to health education. Ethical dilemma could arose when they had to relate to the families' cultural decisions. Education was a key factor connected to close life-saving procedures and to retain good quality and safety in newborn and maternal healthcare. The SBAs switched between their three roles, always striving to be aware of compliance with the Sustainable Development Goals policy. 

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 21, p. 60-66
Keywords [en]
Education, Nepalese culture, Skilled birth attendant, Vulnerability
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-45331DOI: 10.1016/j.srhc.2019.05.003Scopus ID: 2-s2.0-85068054015OAI: oai:DiVA.org:hj-45331DiVA, id: diva2:1337059
Available from: 2019-07-11 Created: 2019-07-11 Last updated: 2019-08-05Bibliographically approved

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The full text will be freely available from 2020-05-21 00:00
Available from 2020-05-21 00:00

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Björklund, MargerethMunck, Berit

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