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Application of the salutogenic theory in the perinatal period: A systematic mixed studies review
- Source :
- International Journal of Nursing Studies. 101:103398
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background The pregnancy process has always been medicalized with a focus on the prevention of adverse pregnancy outcomes and a lesser emphasis on enhancing women's wellbeing during the perinatal period. This trend urges healthcare professionals to consider the use of a salutogenic approach throughout the perinatal period. Objective To consolidate and appraise evidence on the use of the salutogenic theory across the perinatal period. Design A systematic mixed studies review. Methods Four electronic databases (CINAHL, ScienceDirect, PsycINFO, and PubMed) were searched for English studies from each database's inception to November 2018. Thirty-four studies met the inclusion criteria and were appraised for quality by two researchers independently. A narrative synthesis was conducted to consolidate and synthesize results from mixed methodology studies. Results Four themes emerged from the synthesis: (1) factors affecting sense of coherence (generalized resistance resources), (2) influences of sense of coherence, (3) ways to promote sense of coherence among mothers, and (4) use of salutogenic framework across perinatal healthcare. Sociodemographic background, psychological and birth-related factors, and availability of social support affect sense of coherence among parents, which are positively correlated to quality of relationship, satisfaction of perceived support, psychological wellbeing, and overall birth experience. Sense of coherence also determines mothering orientation and choice of delivery method. Ways to enhance maternal sense of coherence include ensuring continuity of care in the postpartum period, increasing parental involvement, focusing on wellness topics, and having balanced relationships between parents and healthcare providers. Conclusion Despite consolidating evidence on positive relationships of generalized resistance resources, sense of coherence, and parental outcomes during the perinatal period, the scarcity of literature highlights a need for more in-depth research on the underlying mechanisms of salutogenesis and its components as these insights may underpin future maternal health promotion efforts.
- Subjects :
- Sense of Coherence
Health Personnel
media_common.quotation_subject
Mothers
Resistance (psychoanalysis)
PsycINFO
CINAHL
Models, Psychological
Developmental psychology
03 medical and health sciences
Social support
0302 clinical medicine
Promotion (rank)
Pregnancy
Health care
Humans
030212 general & internal medicine
Qualitative Research
General Nursing
media_common
030504 nursing
business.industry
Salutogenesis
Perinatal Care
Female
0305 other medical science
Psychology
business
Postpartum period
Subjects
Details
- ISSN :
- 00207489
- Volume :
- 101
- Database :
- OpenAIRE
- Journal :
- International Journal of Nursing Studies
- Accession number :
- edsair.doi.dedup.....f68b8a767de4330aa32fb0997a2c3b0d
- Full Text :
- https://doi.org/10.1016/j.ijnurstu.2019.103398