Application of “Swanson’s Middle Range Caring Theory” in Sweden after miscarriage英文文献资料.docVIP

International Journal of Clinical Medicine, 2011, 2, 102-109 doi:10.4236/ijcm.2011.22021 Published Online May 2011 (http://www.SciRP.org/journal/ijcm) Application of “Swanson’s Middle Range Caring Theory” in Sweden after Miscarriage —Swanson’s Middle Range Caring Theory, Miscarriage, Missed Miscarriage, Qualitative Method Caroline Jansson , Annsofie Adolfsson 1 2 1 2 Division of Reproductive and Perinatal Health Care, Department of Women’s Health, Karolinska Institutet, Stockholm, Sweden; School of Life Sciences, University of Sk?vde, Sk?vde, Sweden. Email: caroline.jansson@karolinska.se, annsofie.adolfsson@his.se Received January 26 , 2011; revised April 5 , 2011; accepted April 20 , 2011. th th th ABSTRACT Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarriage in preg- nancy week 18 - 20. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscar- riages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of car- ing for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. Results: Each woman described her personal experience of miscarriage in the relative terms of a human experience. The midwives and nurses described their experiences with women who received care for missed miscarriage. The interviews included information about the treatment provided by the caregivers during the period afterward of the diagnosis. The caregiver attitude was formed from Swanson’s caring categories: “