Paper
Wednesday, 19 July 2006
This presentation is part of : Women's Health Issues Examined
Emancipated Decision-Making in Women's Healthcare
Ruth Wittmann-Price, DNSc, RN, CNE, Nursing and Health, DeSales University, Center Valley, PA, USA
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.




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