Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model
Objective The aim of the study was to explore women's birth in public hospitals in the Harari Region of eastern Ethiopia.Design An exploratory phenomenological qualitative study design was used.Setting Two public hospitals (Hiwot Fana Specialized University Hospital and Jugal General Hospital)....
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| Format: | Article |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e055250.full |
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| author | Roseanne C Schuster Nega Assefa Maleda Tefera Kedir Teji Roba Letta Gedefa Alex Brewis |
| author_facet | Roseanne C Schuster Nega Assefa Maleda Tefera Kedir Teji Roba Letta Gedefa Alex Brewis |
| author_sort | Roseanne C Schuster |
| collection | DOAJ |
| description | Objective The aim of the study was to explore women's birth in public hospitals in the Harari Region of eastern Ethiopia.Design An exploratory phenomenological qualitative study design was used.Setting Two public hospitals (Hiwot Fana Specialized University Hospital and Jugal General Hospital).Participants and methods The study enrolled women who gave birth at the selected hospitals through purposive sampling. We conducted in-depth interviews with 38 women who gave birth to singleton, full-term babies via vaginal delivery (47%; n=18) or caesarean section (53%; n=20) with no pregnancy-related complications. Interviews were audio-recorded and transcribed on the spot and the interviews were analysed using a deductive content analysis approach. Data were analysed using the four components of Roy’s Adaptation Model (RAM) as a guiding framework of women’s experiences: physiological, self-concept, role and function, and interdependence.Results Various behaviours were identified: under physiological mode, common behaviours identified included labour pain, fatigue, surgical site pain and anaesthesia-related complication. The women’s major problems in self-concept mode were concern for future pregnancy, lack of privacy, newborn health status, relationship with healthcare providers and lack of family support. Due to the prolonged hospital stay and surgical site pain, the women who were unable to care for themselves, their newborn babies and their families adapted poorly to role and function mode. Finally, women who had no family support and who got less attention from healthcare providers reported ineffective adaption for interdependence mode.Conclusions Application of RAM principles could be used to improve care for Ethiopian women, providing an intervention framework that can gauge and respond to interacting factors that can make women vulnerable to negative birth experiences. |
| format | Article |
| id | doaj-art-a2c532cd07324a9db78ceee856eee85d |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a2c532cd07324a9db78ceee856eee85d2025-01-31T17:05:14ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-055250Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation ModelRoseanne C Schuster0Nega Assefa1Maleda Tefera2Kedir Teji Roba3Letta Gedefa4Alex Brewis5Arizona State University, Tempe, Arizona, USA4 School of Nursing, Haramaya University College of Health and Medical Sciences, Harar, EthiopiaCollege of Health and Medical Science, School of Nursing and Midwifery, Haramaya University, Dire Dawa, Ethiopia4 School of Nursing, Haramaya University College of Health and Medical Sciences, Harar, EthiopiaCollege of Health and Medical Science, School of Nursing and Midwifery, Haramaya University, Dire Dawa, EthiopiaArizona State University, Tempe, Arizona, USAObjective The aim of the study was to explore women's birth in public hospitals in the Harari Region of eastern Ethiopia.Design An exploratory phenomenological qualitative study design was used.Setting Two public hospitals (Hiwot Fana Specialized University Hospital and Jugal General Hospital).Participants and methods The study enrolled women who gave birth at the selected hospitals through purposive sampling. We conducted in-depth interviews with 38 women who gave birth to singleton, full-term babies via vaginal delivery (47%; n=18) or caesarean section (53%; n=20) with no pregnancy-related complications. Interviews were audio-recorded and transcribed on the spot and the interviews were analysed using a deductive content analysis approach. Data were analysed using the four components of Roy’s Adaptation Model (RAM) as a guiding framework of women’s experiences: physiological, self-concept, role and function, and interdependence.Results Various behaviours were identified: under physiological mode, common behaviours identified included labour pain, fatigue, surgical site pain and anaesthesia-related complication. The women’s major problems in self-concept mode were concern for future pregnancy, lack of privacy, newborn health status, relationship with healthcare providers and lack of family support. Due to the prolonged hospital stay and surgical site pain, the women who were unable to care for themselves, their newborn babies and their families adapted poorly to role and function mode. Finally, women who had no family support and who got less attention from healthcare providers reported ineffective adaption for interdependence mode.Conclusions Application of RAM principles could be used to improve care for Ethiopian women, providing an intervention framework that can gauge and respond to interacting factors that can make women vulnerable to negative birth experiences.https://bmjopen.bmj.com/content/12/7/e055250.full |
| spellingShingle | Roseanne C Schuster Nega Assefa Maleda Tefera Kedir Teji Roba Letta Gedefa Alex Brewis Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model BMJ Open |
| title | Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model |
| title_full | Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model |
| title_fullStr | Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model |
| title_full_unstemmed | Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model |
| title_short | Women’s hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy’s Adaptation Model |
| title_sort | women s hospital birth experiences in harar eastern ethiopia a qualitative study using roy s adaptation model |
| url | https://bmjopen.bmj.com/content/12/7/e055250.full |
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