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UBC Theses and Dissertations
Early postpartum discharge : factors affecting a woman’s decision not to participate Mahy, Jill
Abstract
This study was designed to investigate factors influencing a woman’s decision not to participate in an early postpartum discharge program. A factor-searching exploratory survey study was chosen for this study. The conceptual framework directing the study was Pender’s (1987) Health Promotion Model. The sample was composed of 55 postpartum women who gave birth at a tertiary care maternity hospital during a two month period. The study participants and their newborns had met the hospital’s early discharge program criteria but the women had made the decision not to participate. All the women in the study were interviewed by the investigator on their second or third postpartum day prior to hospital discharge. The reasons expressed by the women for not participating in the hospital’s early discharge program were grouped into two major categories: need for physical and emotional restoration, and need for care. External and internal influences on their decision were also identified. The need for physical and emotional restoration included the following: need for sleep, rest and relaxation, need for comfort, and need for time alone. The need for care included: need for help, need for support, and need for protection. External and internal influences and barriers affecting a woman’s decision to stay in the hospital included: children at home, no help at home, lack of awareness of the program and influences of physician and family. Recommendations from this study include the need for further research to examine the perceptions and benefits of early discharge in regards to consumers, varying cultural groups, and health-care professionals. Education with respect to the concept of early discharge is also needed. Postpartum preparation and planning for women and their families in the prenatal period through strong collaboration and networking between hospitals and community health units, and the establishment of family, community support systems, and resources is crucial. Development of a regional wide perinatal home care program, standardized perinatal healthcare and follow-up for childbearing women and their families is also strongly recommended.
Item Metadata
Title |
Early postpartum discharge : factors affecting a woman’s decision not to participate
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Creator | |
Publisher |
University of British Columbia
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Date Issued |
1994
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Description |
This study was designed to investigate factors influencing a woman’s decision not
to participate in an early postpartum discharge program. A factor-searching exploratory
survey study was chosen for this study. The conceptual framework directing the study
was Pender’s (1987) Health Promotion Model. The sample was composed of 55
postpartum women who gave birth at a tertiary care maternity hospital during a two
month period. The study participants and their newborns had met the hospital’s early
discharge program criteria but the women had made the decision not to participate. All
the women in the study were interviewed by the investigator on their second or third
postpartum day prior to hospital discharge.
The reasons expressed by the women for not participating in the hospital’s early
discharge program were grouped into two major categories: need for physical and
emotional restoration, and need for care. External and internal influences on their
decision were also identified.
The need for physical and emotional restoration included the following: need for
sleep, rest and relaxation, need for comfort, and need for time alone. The need for care
included: need for help, need for support, and need for protection. External and internal
influences and barriers affecting a woman’s decision to stay in the hospital included:
children at home, no help at home, lack of awareness of the program and influences of
physician and family. Recommendations from this study include the need for further research to examine
the perceptions and benefits of early discharge in regards to consumers, varying cultural
groups, and health-care professionals. Education with respect to the concept of early
discharge is also needed. Postpartum preparation and planning for women and their
families in the prenatal period through strong collaboration and networking between
hospitals and community health units, and the establishment of family, community support
systems, and resources is crucial. Development of a regional wide perinatal home care
program, standardized perinatal healthcare and follow-up for childbearing women and their
families is also strongly recommended.
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Extent |
1597204 bytes
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Genre | |
Type | |
File Format |
application/pdf
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Language |
eng
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Date Available |
2009-03-04
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Provider |
Vancouver : University of British Columbia Library
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Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
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DOI |
10.14288/1.0099178
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
1994-11
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Campus | |
Scholarly Level |
Graduate
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Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.