Learning Objective #1: Identify current macro and micro social systems that impede women's health care decisions. | |||
Learning Objective #2: Differentiate important concepts in nursing care that will promote emancipated decision-making in women's health care. |
The
purpose of this quantitative study was to test the sub-concepts of a newly
developing nursing practice theory, The Wittmann-Price Theory of Emancipated
Decisions-Making (EDM) in women's health care. The sub-concepts proposed as components
of an emancipated decision are empowerment, a flexible environment, personal
knowledge, reflection and social norms. The major assumption was that
oppression exists in healthcare and is an evident negative impingement on women
making healthcare decisions. This practice theory was synthesized through a historical
review, extensive literature search and expert clinical observation. Infant
feeding method was the clinical exemplar to test the sub-concepts. The theory
is grounded in the philosophical underpinnings of Critical Social Theory,
Feminist Theory and Freier's Emancipatory Educational Theory. There were two
hypotheses supported in this research. The first hypothesis was that
emancipated decision-making is directly related to satisfaction with the
decision about infant feeding method in subjects. The second hypothesis was
that the linear combination of the sub-concepts of emancipated decision-making
(personal knowledge and social norms) predict satisfaction with decision-making
better than any one element alone. Subjects were postpartum women who delivered
uncompromised term newborns and begun feeding their infants within the first
day of birth. Subjects were asked to fill out a three part questionnaire. The
first part collected demographic information which was extracted from the
literature as possible variables influencing feeding choice. The second part of
the questionnaire is the EDM Scale which was developed through a pilot study
and has a .88 reliability coefficient. The third part was the Satisfaction with
Decision (SWD) scale developed by Holmes-Rovner et al. (1996). The first
hypothesis was analyzed by the Pearson product-moment correlation coefficient.
The second hypothesis was analyzed using a multiple regression factor analysis.
The study will be replicated with other clinical exemplars that imposed
socially sanctioned healthcare decisions for women.
See more of Women's Health Issues Examined
See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)