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

Abrahamsson, Agneta LU ; Springett, Jane; Karlsson, Leif; Håkansson, Anders LU and Ottosson, Torgny (2005) In Midwifery 21(Jul 14). p.335-345
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
professional perspectives, person-centred health education, pregnancy, smoking cessation, phenomenography
in
Midwifery
volume
21
issue
Jul 14
pages
335 - 345
publisher
Elsevier
external identifiers
  • pmid:16024146
  • wos:000234033700005
  • scopus:28344442530
ISSN
1532-3099
DOI
10.1016/j.midw.2005.02.001
language
English
LU publication?
yes
id
7a6ee2a3-bd95-4175-b643-aea8f851052e (old id 142097)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16024146&dopt=Abstract
date added to LUP
2007-07-17 15:46:31
date last changed
2017-07-23 03:55:25
@article{7a6ee2a3-bd95-4175-b643-aea8f851052e,
  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.},
  author       = {Abrahamsson, Agneta and Springett, Jane and Karlsson, Leif and Håkansson, Anders and Ottosson, Torgny},
  issn         = {1532-3099},
  keyword      = {professional perspectives,person-centred health education,pregnancy,smoking cessation,phenomenography},
  language     = {eng},
  number       = {Jul 14},
  pages        = {335--345},
  publisher    = {Elsevier},
  series       = {Midwifery},
  title        = {Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care.},
  url          = {http://dx.doi.org/10.1016/j.midw.2005.02.001},
  volume       = {21},
  year         = {2005},
}