Amish Childbearing Beliefs and Practices and the Implications for Nurse-Midwives as Servant ... PDF
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AAnnddrreewwss UUnniivveerrssiittyy DDiiggiittaall CCoommmmoonnss @@ AAnnddrreewwss UUnniivveerrssiittyy Dissertations Graduate Research 2006 AAmmiisshh CChhiillddbbeeaarriinngg BBeelliieeffss aanndd PPrraaccttiicceess aanndd tthhee IImmpplliiccaattiioonnss ffoorr NNuurrssee--MMiiddwwiivveess aass SSeerrvvaanntt--LLeeaaddeerr CCaarree PPrroovviiddeerrss Victoria L. Wickwire Andrews University Follow this and additional works at: https://digitalcommons.andrews.edu/dissertations Part of the Medicine and Health Commons RReeccoommmmeennddeedd CCiittaattiioonn Wickwire, Victoria L., "Amish Childbearing Beliefs and Practices and the Implications for Nurse-Midwives as Servant-Leader Care Providers" (2006). Dissertations. 1542. https://digitalcommons.andrews.edu/dissertations/1542 This Dissertation is brought to you for free and open access by the Graduate Research at Digital Commons @ Andrews University. It has been accepted for inclusion in Dissertations by an authorized administrator of Digital Commons @ Andrews University. For more information, please contact [email protected]. Thank you for your interest in the Andrews University Digital Library of Dissertations and Theses . Please honor the copyright of this document by not duplicating or distributing additional copies in any form without the author’s express written permission. Thanks for your cooperation. Andrews University School of Education AMSH CHILDBEARING BELIEFS AND PRACTICES AND THE IMPLICATIONS FORNURSE-MIDWIVES AS SERVANT-LEADER CARE PROVIDERS A Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy by Victoria L. Wickwire January 2006 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. UMI Number: 3213132 Copyright 2006 by Wickwire, Victoria L. All rights reserved. INFORMATION TO USERS The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleed-through, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. UMI UMI Microform 3213132 Copyright 2006 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, Ml 48106-1346 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ©Copyright by Victoria L. Wickwire 2006 Ail Rights Reserved Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. AMISH CHILDBEARING BELIEFS AND PRACTICES AND THE IMPLICATIONS FOR NURSE-MIDWIVES AS SERVANT-LEADER CARE PROVIDERS A dissertation presented in partial fulfillment of the requirements for the degree Doctor of Philosophy by Victoria L. Wickwire APPROVAL BY THE COMMITTEE: Chair: Loretta B. Dean, School of Education James Jeffery Member: PC«aÛndice Hollin^ad g V a-Cr.. ' Member: Delyse Steyn a/t./Db Ex^man Mary Ann McNeilus, M.D Date approved Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT AMISH CHILDBEARING BELIEFS AND PRACTICES AND THE IMPLICATIONS FOR NURSE-MIDWIVES AS SERVANT-LEADER CARE PROVIDERS by Victoria L. Wickwire Chair: Loretta B. Johns Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT OF GRADUATE STUDENT RESEARCH Dissertation Andrews University School of Education Title: AMISH CHILDBEARING BELIEFS AND PRACTICES AND THE IMPLICATIONS FOR NURSE-MIDWIVES AS SERVANT-LEADER CARE PROVIDERS Name of researcher: Victoria L. Wickwire Name and degree of faculty chair: Loretta B. Johns, Ph.D. Date completed: January 2006 Problem The knowledge, beliefs, and practices associated with childbearing among Amish women from their perspective are not widely known. The available research on Amish childbearing health practices does indicate that these women are at high risk for problems during the childbearing period. This indication, coupled with both a general mistrust of outsiders and the Amish separateness from society at large, creates opportunities for misunderstandings. These misunderstandings in turn have created challenges for care providers outside the Amish culture who are seeking research-based knowledge about what constitutes culturally congruent childbearing care from the Amish woman's perspective. It is unknown how using a Servant-Leadership model to provide care in a culturally congruent manner could decrease misunderstandings and build mutual Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. trust and respect so that opportunities for risk reduction during childbearing may be realized. Method A qualitative ethnographic design was chosen to facilitate exploration and understanding of Amish women’s perceptions of their childbearing beliefs and practices, as well as the implications for care providers who seek to provide care in a culturally congruent manner. The charaeteristics that are central to a meaningful practice of Servant-Leadership were explored using an ethnographic approach. The use of semi structured interview questions and field observation assisted in exploring the constructs of the three research questions. These explorations and analysis of the data were discussed and eonceptualized through ease study representation. Results The 10 guiding principles of Servant-Leadership were found to be congruent with the Amish ways as stated from the perspective of these Amish women. Utilizing these principles afforded opportunities for nurse-midwives as Servant-Leader care providers to positively impact the childbearing health eare of the Amish women in this community by facilitating educational opportunities during childbearing. Conclusions The 10 guiding principles of Servant-Leadership facilitated the construction of the Concept of Care Model which supplies the non-Amish care provider a visual aid to incorporate when planning provision of culturally congruent care to Amish women. The model includes caring, culturally sensitive, and informed eoncepts geared toward Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. solidifying a congruent partnership between the two different cultures. The Servant- Leader model provided a framework from which both the Amish childbearing woman and the nurse midwife felt comfortable to apply the 10 characteristics of Servant- Leadership, incorporating these culture-caring principles as needed into their care plan to build a trusting relationship. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
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