Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care.
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Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care. / Abrahamsson, Agneta; Springett, Jane; Karlsson, Leif; Håkansson, Anders; Ottosson, Torgny.
I: Midwifery, Vol. 21, Nr. Jul 14, 2005, s. 335-345.Forskningsoutput: Tidskriftsbidrag › Artikel i vetenskaplig tidskrift
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TY - JOUR
T1 - Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care.
AU - Abrahamsson, Agneta
AU - Springett, Jane
AU - Karlsson, Leif
AU - Håkansson, Anders
AU - Ottosson, Torgny
N1 - 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)
PY - 2005
Y1 - 2005
N2 - 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.
AB - 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.
KW - professional perspectives
KW - person-centred health education
KW - pregnancy
KW - smoking cessation
KW - phenomenography
U2 - 10.1016/j.midw.2005.02.001
DO - 10.1016/j.midw.2005.02.001
M3 - Article
VL - 21
SP - 335
EP - 345
JO - Midwifery
JF - Midwifery
SN - 1532-3099
IS - Jul 14
ER -