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Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care
Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
Kristianstad University, Department of Health Sciences.
Kristianstad University, Department of Health Sciences.
Department of Community Medicine, Lund University.
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2005 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 4, p. 335-345Article in journal (Refereed) Published
Abstract [en]

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 co-operation 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.

Place, publisher, year, edition, pages
2005. Vol. 21, no 4, p. 335-345
Keywords [en]
pregnancy, smoking cessation, person-centred health education, professional perspectives, phenomenography
National Category
Public Health, Global Health, Social Medicine and Epidemiology Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-974DOI: 10.1016/j.midw.2005.02.001ISI: 000234033700005PubMedID: 16024146OAI: oai:DiVA.org:hkr-974DiVA, id: diva2:225067
Available from: 2009-06-24 Created: 2009-06-24 Last updated: 2021-09-21Bibliographically approved
In thesis
1. Addressing smoking during pregnancy: the challenge to start from the woman's view
Open this publication in new window or tab >>Addressing smoking during pregnancy: the challenge to start from the woman's view
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Malmö: Univ.-sjukhuset MAS, 2004
Keywords
Smoking cessation, Smoking prevention & control, Smoking psychology, Pregnancy, Motivation, Health education, Tobaksrökning och graviditet, Pregnant women ¡ Tobacco use, Rökavvänjning, Graviditet, Graviditet, Rökning, Rökavvänjning, Rökvanor, Tobaksrökning, Health education, Smoking cessation
National Category
Public Health, Global Health, Social Medicine and Epidemiology Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-977 (URN)91-628-6272-3 (ISBN)
Public defence
(English)
Note

Agneta Abrahamsson (Lund : KFS) ill. S. 1-74: sammanfattning, s. 75-148: 4 uppsatser + appendix

Available from: 2009-06-24 Created: 2009-06-24 Last updated: 2014-07-01

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Abrahamsson, AgnetaOttosson, Torgny

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Abrahamsson, AgnetaSpringett, JaneOttosson, Torgny
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Avdelningen för SamhällsvetenskapForskningsmiljön Arbete i skolan (AiS)Department of Health SciencesAvdelningen för PedagogikResearch environment Learning in Science and Mathematics (LISMA)
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Midwifery
Public Health, Global Health, Social Medicine and EpidemiologyMedical and Health Sciences

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