Abstract
D.Cur.
The overall objective of this study was to describe the model and criteria for
woman-centered care that will serve as a theoretical framework for implementing
the Batho-Pele Principles in order to facilitate mutual participation between mothers
and attending midwives during childbirth at one hospital of the Capricorn district in
the Limpopo Province.
The phases followed in this study were as follows:
Phase 1: Concept Identification
The concept identification was achieved through the use of a qualitative research
approach which was exploratory, descriptive, contextual and inductive. A sample of
24 mothers and 12 attending midwives participated in the study. Different data
collection methods were utilized. Data obtained from unstructured in-depth
interviews were analyzed according to the protocol by Tesch (1990; cited in
Cresswell, 1994:155). Data analysis from participant observation using semistructured
observation and VAS were performed quantitatively by using frequency
distribution.
The results of interviews indicated experiences that foster/promote dependency in
midwifery care. Woman-centered care was identified as a core category and as a
central approach that would enhance mutual participation during childbirth. To
ensure valid results, a model of trustworthiness as proposed by Lincoln and Guba
(1985: 301-318) was utilized.
Phase 2: Concept Analysis
Following the concept identification, the concept analysis of a core category
‘woman-centered care’ was conducted using the framework as described by Walker
and Avant (1995).
Phase 3: Development of the Model and Criteria
This phase dealt with the description of the structure and process of the model.
Strategies were proposed, described and recommended to implement the model
where there is interaction of a mother (patient) and a midwife (nurse). Evaluation of
the model was done by having dialogue with experts and by utilizing Chinn and
Kramer’s (1995:134-135) guidelines for evaluating theory. The criteria for womancentered
care were formulated. A unique contribution of this study is the concept
analysis of woman-centered care, the development and description of the womancentered
childbirth model and the formulation of criteria for woman-centered care.