Shaping the midwifery profession in Nepal – Uncovering actors’ connections using a Complex Adaptive Systems framework

Authors: Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E. and Wigert, H.

Journal: Sexual and Reproductive Healthcare

Volume: 10

Pages: 48-55

eISSN: 1877-5764

ISSN: 1877-5756

DOI: 10.1016/j.srhc.2016.09.008

Abstract:

Objectives To explore how actors connect in a system aiming at promoting the establishment of a midwifery profession in Nepal. Methods A qualitative explorative study based on the framework of Complex Adaptive Systems. Semi-structured interviews were conducted with 17 key people representing eight different organisations (actors) promoting the development of the midwifery profession. Results The actors’ connections can be described with a complex set of facilitators for and barriers to promoting the establishment of a midwifery profession. The identified facilitators for this establishment in Nepal are (1) a common goal and (2) a desire to collaborate, whilst the barriers are (1) different political interests and priorities, (2) competing interests of the nursing profession and societal views, (3) divergent academic opinions on a midwifery profession, and (4) insufficient communication. The results also showed that Nepalese society cannot distinguish between nursing and midwifery and that the public support for a midwifery profession was hence minimal. Conclusion The move of midwifery from an occupation to a profession in Nepal is an on-going, challenging process. The study indicates the importance of understanding the motivations of, and barriers perceived by, actors that can promote or obstruct the establishment of the midwifery profession. It also points to the importance of informing the wider public about the role and responsibility of an autonomous midwifery profession.

http://eprints.bournemouth.ac.uk/25964/

Source: Scopus

Shaping the midwifery profession in Nepal - Uncovering actors' connections using a Complex Adaptive Systems framework.

Authors: Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E. and Wigert, H.

Journal: Sex Reprod Healthc

Volume: 10

Pages: 48-55

eISSN: 1877-5764

DOI: 10.1016/j.srhc.2016.09.008

Abstract:

OBJECTIVES: To explore how actors connect in a system aiming at promoting the establishment of a midwifery profession in Nepal. METHODS: A qualitative explorative study based on the framework of Complex Adaptive Systems. Semi-structured interviews were conducted with 17 key people representing eight different organisations (actors) promoting the development of the midwifery profession. RESULTS: The actors' connections can be described with a complex set of facilitators for and barriers to promoting the establishment of a midwifery profession. The identified facilitators for this establishment in Nepal are (1) a common goal and (2) a desire to collaborate, whilst the barriers are (1) different political interests and priorities, (2) competing interests of the nursing profession and societal views, (3) divergent academic opinions on a midwifery profession, and (4) insufficient communication. The results also showed that Nepalese society cannot distinguish between nursing and midwifery and that the public support for a midwifery profession was hence minimal. CONCLUSION: The move of midwifery from an occupation to a profession in Nepal is an on-going, challenging process. The study indicates the importance of understanding the motivations of, and barriers perceived by, actors that can promote or obstruct the establishment of the midwifery profession. It also points to the importance of informing the wider public about the role and responsibility of an autonomous midwifery profession.

http://eprints.bournemouth.ac.uk/25964/

Source: PubMed

Shaping the midwifery profession in Nepal - Uncovering actors' connections using a Complex Adaptive Systems framework

Authors: Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E. and Wigert, H.

Journal: SEXUAL & REPRODUCTIVE HEALTHCARE

Volume: 10

Pages: 48-55

eISSN: 1877-5764

ISSN: 1877-5756

DOI: 10.1016/j.srhc.2016.09.008

http://eprints.bournemouth.ac.uk/25964/

Source: Web of Science (Lite)

Shaping the midwifery profession in Nepal - Uncovering actors' connections using a Complex Adaptive Systems framework.

Authors: Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E. and Wigert, H.

Journal: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives

Volume: 10

Pages: 48-55

eISSN: 1877-5764

ISSN: 1877-5756

DOI: 10.1016/j.srhc.2016.09.008

Abstract:

Objectives

To explore how actors connect in a system aiming at promoting the establishment of a midwifery profession in Nepal.

Methods

A qualitative explorative study based on the framework of Complex Adaptive Systems. Semi-structured interviews were conducted with 17 key people representing eight different organisations (actors) promoting the development of the midwifery profession.

Results

The actors' connections can be described with a complex set of facilitators for and barriers to promoting the establishment of a midwifery profession. The identified facilitators for this establishment in Nepal are (1) a common goal and (2) a desire to collaborate, whilst the barriers are (1) different political interests and priorities, (2) competing interests of the nursing profession and societal views, (3) divergent academic opinions on a midwifery profession, and (4) insufficient communication. The results also showed that Nepalese society cannot distinguish between nursing and midwifery and that the public support for a midwifery profession was hence minimal.

Conclusion

The move of midwifery from an occupation to a profession in Nepal is an on-going, challenging process. The study indicates the importance of understanding the motivations of, and barriers perceived by, actors that can promote or obstruct the establishment of the midwifery profession. It also points to the importance of informing the wider public about the role and responsibility of an autonomous midwifery profession.

http://eprints.bournemouth.ac.uk/25964/

Source: Europe PubMed Central

Shaping the midwifery profession in Nepal - Uncovering actors' connections using a Complex Adaptive Systems framework.

Authors: Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E. and Wigert, H.

Journal: Sexual & Reproductive Healthcare

Volume: 10

Issue: December

Pages: 48-55

ISSN: 1877-5756

Abstract:

OBJECTIVES: To explore how actors connect in a system aiming at promoting the establishment of a midwifery profession in Nepal. METHODS: A qualitative explorative study based on the framework of Complex Adaptive Systems. Semi-structured interviews were conducted with 17 key people representing eight different organisations (actors) promoting the development of the midwifery profession. RESULTS: The actors' connections can be described with a complex set of facilitators for and barriers to promoting the establishment of a midwifery profession. The identified facilitators for this establishment in Nepal are (1) a common goal and (2) a desire to collaborate, whilst the barriers are (1) different political interests and priorities, (2) competing interests of the nursing profession and societal views, (3) divergent academic opinions on a midwifery profession, and (4) insufficient communication. The results also showed that Nepalese society cannot distinguish between nursing and midwifery and that the public support for a midwifery profession was hence minimal. CONCLUSION: The move of midwifery from an occupation to a profession in Nepal is an on-going, challenging process. The study indicates the importance of understanding the motivations of, and barriers perceived by, actors that can promote or obstruct the establishment of the midwifery profession. It also points to the importance of informing the wider public about the role and responsibility of an autonomous midwifery profession.

http://eprints.bournemouth.ac.uk/25964/

Source: BURO EPrints