Defining the doula's role: fostering relational autonomy

@article{Meadow2015DefiningTD,
  title={Defining the doula's role: fostering relational autonomy},
  author={Sandra L Meadow},
  journal={Health Expectations},
  year={2015},
  volume={18}
}
  • Sandra L Meadow
  • Published 1 December 2015
  • Psychology, Medicine
  • Health Expectations
Training organizations as well as academic and popular literature provide ambiguous or ethically contentious characterizations of the role of the birth doula, a non‐clinical role assisting women in pregnancy and birth with information and physical and emotional support. Doulas have been criticized for attempting to impose their own agendas on their clients and for interfering with the relationship between women and their medical caregivers. 
Relational autonomy in breast diseases care: a qualitative study of contextual and social conditions of patients’ capacity for decision-making
TLDR
Patients’ confidence and self-trust can be fostered by opportunities for communicative engagement andSelf-reflection over the course of treatment in breast disease, and better integration of their self-identity and social values in treatment decisions.
Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making
TLDR
The nurse-patient relationship should not pursue the change in values and customs of the patient, but position the professional as a witness of the experience of the health and illness process in the patient and family.
A qualitative study of volunteer doulas working alongside midwives at births in England: Mothers' and doulas' experiences.
TLDR
Volunteer doulas can play an important role in improving women's birth experiences by offering continuous, empowering, woman-focused support that complements the role of midwives, particularly where the mothers are disadvantaged.
Hospital-based maternity care practitioners' perceptions of doulas.
TLDR
Adequate staff training in the doula model of care, explicit role definition, and increasing practitioner exposure to doulas may promote effective integration of doulas into hospital maternity care teams.
The voices of death doulas about their role in end-of-life care.
TLDR
The ambiguity of the role of death doulas in end-of-life care including the skills, training and experience ofdeath doulas; how the role is communicated to the community; and the relationships to palliative care providers and other health professionals are explored.
Towards a relational conceptualisation of teacher autonomy : narrative research on the autonomy perceptions of upper-secondary school teachers in different contexts
This narrative research focuses on teachers’ perceptions of autonomy because of its importance to job commitment, efficiency, satisfaction, and motivation. A positive perception of autonomy relates
Assisted Childbirth in the United States : A Critical Literature Review
Music therapy assisted childbirth is an approach of music therapy in which a licensed and credentialed professional utilizes music therapy interventions to address a variety of goals during
The Role of a Doula During the Perinatal Period
Doulas provide valuable care and information for families throughout pregnancy, birth and early parenthood. What is the evidence to support their role?
Attitudes of Physicians, Midwives, and Nurses About Doulas: A Scoping Review
TLDR
More research is needed to identify attitudes of members of the maternity care team toward doulas and to better understand implications of their attitudes on working together collaboratively and on patient outcomes.
An interprofessional approach to prevent recurrent obstetric anal sphincter injury (OASIS): A case report
TLDR
The interprofessional birth care team (IBCT) model exemplified by this case focuses on best practice in promoting a family's preferences for physiologic birth and preventing recurrent OASIS.
...
1
2
...

References

SHOWING 1-10 OF 83 REFERENCES
Doula Support and Attitudes of Intrapartum Nurses: A Qualitative Study from the Patient’s Perspective
TLDR
The purpose of this pilot qualitative study was to examine the level of acceptance shown by intrapartum nurses for doula support, as perceived by the parturient woman.
Beyond holding hands: the modern role of the professional doula.
  • A. Gilliland
  • Medicine
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 2002
This article illustrates the five main aspects of the doula's role: providing specific labor support skills; offering guidance and encouragement; assisting mothers to cover gaps in their care;
Conscientious Autonomy: Displacing Decisions in Health Care
  • R. Kukla
  • Medicine
    The Hastings Center report
  • 2005
The standard bioethics account is that respecting patient autonomy means ensuring patients make their own decisions. In fact, respecting patient autonomy often has more to do with the overall shape
Supporting Patient Autonomy: The Importance of Clinician-patient Relationships
TLDR
It is suggested that a strong focus on decision situations is problematic, especially when combined with a tendency to stress the importance of patients’ independence in choosing, and that Relational understandings of autonomy support recognition of the value of good patient-professional relationships and can enrich the specification of the principle of respect for autonomy.
Power Issues in the Doctor-Patient Relationship
TLDR
The ethical effectiveness of a health system is maximised by empowering doctors and patients to develop `adult-adult' rather than ` adult-child' relationships that respect and enable autonomy, accountability, fidelity and humanity.
The life of a Canadian doula: successes, confusion, and conflict.
  • Sahba Eftekhary, M. Klein, S. Xu
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2010
TLDR
Better recognition and respect from other providers significantly influenced doulas' satisfaction, and this study helps clarify areas of possible conflict and obstacles that doulas may face in their work environment and in their interactions with other maternity care providers.
The politics of women's health : exploring agency and autonomy
Acknowledgments 1. Introduction Susan Sherwin with Voices from the Network 2. A Relational Approach to Autonomy in Health-Care Susan Sherwin 3. Situating Women in the Politics of Health Margaret Lock
Postnatal Reproductive Autonomy: Promoting Relational Autonomy and Self-Trust in New Parents
TLDR
This paper shows how a relational view of autonomy--attentive to the coercive effects of oppressive social norms and to the importance of developing autonomy competency, especially as related to self-trust--can improve the understanding of the situation of new parents and signal ways to cultivate and to better respect their autonomy.
“Going Beyond the Call of Doula”: A Grounded Theory Analysis of the Diverse Roles Community-Based Doulas Play in the Lives of Pregnant and Parenting Adolescent Mothers
TLDR
Using grounded theory analysis, seven problem-solving strategies emerged that doulas apply in helping pregnant and parenting adolescents navigate multiple social and health settings that often serve as barriers to positive maternal- and child-health outcomes.
Swedish women's experiences of doula support during childbirth.
TLDR
The role of the doula lies between natural care and professional care, veering towardsprofessional care, and the different supporting roles of doulas and midwives in maternity care should be addressed.
...
1
2
3
4
5
...