Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care.

Research output: Contribution to journalArticle

Abstract

Objective: to describe the qualitatively different ways in which midwives make sense of how to approach women smokers. Design, setting and participants: a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy. Findings: four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'. Key conclusion: the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking. Implications for practice: health education about smoking that is built on cooperation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks.

Details

Authors
  • Agneta Abrahamsson
  • Jane Springett
  • Leif Karlsson
  • Anders Håkansson
  • Torgny Ottosson
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Nursing

Keywords

  • professional perspectives, person-centred health education, pregnancy, smoking cessation, phenomenography
Original languageEnglish
Pages (from-to)335-345
JournalMidwifery
Volume21
Issue numberJul 14
Publication statusPublished - 2005
Publication categoryResearch
Peer-reviewedYes

Bibliographic note

The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Community Medicine (013241810), Psychiatry/Primary Care/Public Health (013240500)