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Role of a midwife essay
The character of a midwife
Midwifery Explained
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Throughout pregnancy, women predominately receive their health care through the medium of a midwife (National Institute for Health and Care Excellence, NICE, 2008) whose role it is to provide support and health education (Nursing & Midwifery Council, NMC, 2015; World Health Organisation, WHO, n.d.). The midwife will analyse the women’s health and lifestyle to ensure appropriate care and services are made available to them, whilst taking into account any cultural and diversity barriers (NMC, 2015). In this essay, the author, a student midwife, will reflect upon a single event in their clinical practice; focusing on a particular client who was unable to communicate in English. The author will also explore the impact this has on the disclosure …show more content…
During the appointment, it became apparent to the student midwife that the client did not speak English, however, it was noted that the husband, who was also in attendance, was able to provide translation for her. The husband’s presence allowed the student to communicate with the client by proxy. Although this scenario facilitated the sharing of information, the student was aware that it would be inappropriate to discuss sensitive issues, such as, domestic abuse, with the husband present, thus resulting in the client receiving inadequate care and the failure of the student midwife in following the national guideline (NICE, …show more content…
One of these feelings, nervousness, developed as a result of this being the first engagement the student had with a client who was unable to communicate in English. Despite this, the student was self-aware and prevented her emotions from protruding into the appointment, and maintained her professionalism. She did this through raising her awareness of her body language and the non-verbal signs that she was expressing, enhancing these aspects, as per Egan’s (2010) SOLER theory, compensating for the lack of verbal communication, resulting in a comprehensive building of rapport. Non-verbal communication is the primal, and most fundamental, aspect of communication, and is responsible for, approximately, 65% of interactions (Deane-Gray, 2014; Pease & Pease, 2006). The student used these techniques with the aim of encouraging the client to become more confident and trusting within this environment, thus increasing authenticity of the information
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
"I had traveled much on the Kennebec, by water, by ice, and, during those treacherous seasons when the river was neither one nor the other, by faith" (e.g., A Midwife's Tale). Martha's diary is one of the few documents written by a woman that exist today and that describes the behavior, occupation, roles, and daily activities of a common society in the 18th century during and after the Revolution. Although she dedicates her whole life to help others and her family, the diary exposes a very different world with the very different community. Many other history documents lacked the problems of women and the lack of written documents by the female gender. Through this document, Martha gives the importance of women in the community and how they
non verbal(facial expression) can give an expression on how we are feeling about the conversation. It is crucial to be aware of the facial expressions made in conversation. Posture is how the way you holding yourself, whether it be with your hands in the air or on your hips this can give an understanding on how you are feeling and can also put across mixed signals. Hand gestures, these can be used to really emphasise what is being spoken about. Proxemics, this is the space between you and the person you are communicating with. Haptics, this is touching the other person in conversation, this can make some people feel uncomfortable but usual with distressed client it works quite well with just placing a hand on there upper arm for reassurance. Appearance, this is important as a person will already know how they feel about you before a conversation has begun. Par...
The goal in any therapeutic setting is to assist a client with gaining effective tools to have a healthy, meaningful life, provide emotional support and offer advice. Therapy does involve “…transition and change, which can be anxiety producing for any client” (Williams and Abeles, p 645). In addition to expressing feelings, needs and experiences, communication can and is being expressed through non-verbal queues, whether the individual has the ability to speak or not. Examples of non-verbal queues could include: posture, strong emotions, and rate of breath. These language queues are common to people, however the use of sign language is not universal language. “While it would be ideal to be able to match deaf patients with therapists fluent in their preferred language mode, this is often not feasible in smaller centers” (Porter, 1999, 163). Counselors seek...
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the patients. At the moment the strategies most hospitals use in Durham Region are Video’s and Parenting Booklets that are primarily based in the English Language. In such a culturally diverse region this becomes a barrier to providing the health teaching to patients who do not speak English as a first language (ESL). This reflection will explore the challenges I faced when providing health teaching to an ESL patient as well as the importance of health teaching in the post-partum area.
There was clearly a barrier in communication with the mother and the nurse. Even though the mother was able to make her English be understood. The nurse should have had the mother repeat back the instructions of how, when and route to give the medication to the child. In the initial assessment this nurse could have asked more information about the culture and language that the patient follows. This information should have been used to have an interpreter and or language line in the room to communicate the information to the mother. If there was an improved cultural awareness may have enhanced the care given to the family in this case
I overcame two major barriers as I worked toward my goal, my father’s opinion about appropriate careers for women and my lack of English. I grew up in a village where the nearest doctor was three hours away. When I was eight years old, I was surprised by my aunt’s pregnancy and intrigued to learn more about pregnancy and fetal development.
For one woman, this vision of childbirth is not the norm. Ana Rhodes is a midwife, and she is one of the only birth attendants available to...
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
I was able to talk to my client without being visibly nervous. I am proud to say I handled my client’s problems as they came up without fear that I may say the wrong thing. In the first video, I found myself repeating things, for what reason I do not know. I can say my nonverbal skills need improving. One specific aspect of the interview was my hand gestures and motions. I really got involved with my client’s problems, and the way I tried to help her understand what I was saying and to get an understanding what she was saying, so I used my hands. I tried to keep by body in a position that would let the client know that I was using attentive listening skills. I cared about why she came to the facility for help. Each session, I adjusted my seat to make eye contact so my client could like she could trust me with her information and that I cared enough to listen to her
Currie (2007) states Effective Verbal Communication is important when building relationships with clients, customers, and the media (pg 1). Verbal communication is important along with listening skills so that communication between parties is clear. Verbal communication is accompanied by sign language called non verbal communication. This communication can be expressed in many ways: One can ask another “How are you today” Reply, “I’m okay” but the shrugging of the shoulders, squinting of eyes and lips closed tightly together gives another answer.
In the United States today, a nurse is more likely to encounter patients who speak a language that is different from their own. This kind of intercultural difference poses a formidable communication challenge, as one’s ability to communicate will depend on whether one can understand one another's verbal and nonverbal codes (Jandt, 2012).
The verbal communication goal is to encourage the client to fully express the changes and wants of set outcomes established. Both verbal and non- communication can have an impact on the client once interaction is met. Non-verbal communication consists of body language, facial expressions, closeness, and eye contact (Schore, 2008). If a client senses the listener is uninterested or showing signs of discomfort due to their diagnosis or disability, it can cause one to be unengaged in the conversation. Verbal communication can also result in the same disengagement due to the social worker/ therapist tone of voice. Social workers are to be mindful and educated on the background of the client being served to be aware of the different approaches to take when engaging with the individual. The social work intern effective of non-verbal communication skills as the client continued to discuss her life before her recent hospitalization. The social work intern ensured to make steady eye contact, in which the client was receptive of. The social work intern also created a posture that created empathic body language, allowing the client to be more open during
In this reflective account I will reflective upon an incident that occurred while on practice placement. I will identify how I recognised the limitations of my knowledge and skill as a student midwife and made the transition from a registered nurse to that of a student midwife. I will employ Gibbs (1988) reflective cycle, as it comprises six stages that will enable me to holistically reflect upon the incident. The name of the woman has been changed to Jane; with my mentor’s name has been changed to Lucy due to the Nursing and midwifery council (2008) code of professional conduct clause 5.1 which maintains treat patient’s information as confidential and use it only for the purpose for which it is given. I will begin giving a brief account of my previous work and training experience before commencing the midwifery course. A definition will be given of a Pinard’s stethoscope as it played a vital role.
Interpersonal communication is one of the significant skills while communicating with other individuals. It normally covers an extensive area and includes both verbal and non-verbal communication. Body language and facial expression may affect the accurateness of the message transmission directly. Interpersonal communication skills normally ensure that the message is sent and received correctly without any alteration thus improving the communication efficiency. Learning diverse aspects of interpersonal communication has greatly aided me in better understanding of what it consists. I am capable of applying the knowledge gained from this course to my personal experiences. This paper reflects on my personal experience in learning interpersonal communication.