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1
com, Kafka1@bigpond, and Jennifer Dodd. "Positively Promising: Women's Decision Making Pregnancy and Health Promotion." Murdoch University, 2003. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20050728.132130.
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This thesis explores the ways in which health promotion campaigns presuppose the pregnant subject and how main stream health promoters construct theories and practices of empowerment, health literacy and rationality.
Two Western Australian main stream health promotion campaigns directed at pregnant women in the period 1996 to 1997 (the time of interviewing) and still current at time of writing, will be analysed and comparisons made with the development of health promotion theory and practice generally. The normalisation of medicallscientific approaches toward pregnancy care and behaviour will be illustrated by providing examples from health promotion literature, medical and health journals, popular pregnancy books, magazines and newspaper stories. The assumption that health literacy is the major attribute necessary to enable empowerment is intenogated and the limitations of this perspective illustrated.
The second part of the thesis deals more directly with the interview material and illustrates how the women interviewed related to, and engaged with, main stream health information. The diversity with the group of middle class women interviewed is highlighted, and the diferent pfulosophical positions they occupy in relation to main stream health information explored. The complexity and contextual situatedness of women's decision making in relation to notions about health literacy, rationality and empowerment is outlined. The concluding chapters of the thesis discuss the most recent developments in main stream health promtion theory, examining the limitations of social capital theory, social marketing and other health promotion strategies. The conclusion imagines the possible benefits for women as health subjects and main stream health promoters as experts, in rethinking rationality and re-supposing women as positive health subjects that are promising rather than permanently risky and in need of improvement.
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Wright, Lauren. "Women's experience of decision-making regarding prophylactic mastectomy." Thesis, University of Leicester, 2017. http://hdl.handle.net/2381/40400.
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Literature review: A systematic review of the existing literature was conducted, eliciting ten studies which met the inclusion criteria examining psychosocial predictors of prophylactic mastectomy in women with a confirmed BRCA gene alteration. Narrative synthesis identified that results coalesced around temporal, familial and other factors including conceptualisation of cancer and perceived risk. The relative scarcity of published research, and an accompanying dominant biomedical focus, highlight that further exploration of psychosocially predictive factors, particularly those which are modifiable, is needed. Research report: Interpretative Phenomenological Analysis (IPA) was utilised to explore five women’s experience and sense-making of their decision to opt for prophylactic mastectomy, and how they experienced the period between opting for preventative surgery and waiting for this to occur. Four superordinate themes were identified: ‘It’s a no-brainer’ illuminated how women approached and made sense of their decision; ‘good breast/bad breast’ reflected women’s experience of simultaneously holding conflicting views towards their breasts; ‘big B on my shoulder’ highlighted worry held in relation to geneticised identity; and ‘the preciousness of life’ illustrated the impact of familial and existential experience. Findings emphasised the importance of clinicians remaining mindful to experiential, emotional and systemic motivations for surgery and to recognise and support women with the potential tension they may still hold as they debate and navigate prophylactic mastectomy. Critical appraisal: A reflective account is presented to support the consolidation of personal and professional learning points and reflections made during the research process.
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Tzafettas, Marilena. "Women's decision making process regarding prenatal diagnostic testing." Thesis, London Metropolitan University, 2017. http://repository.londonmet.ac.uk/1244/.
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Objective: Expanding the original scope of the study, which was to explore the decision-making process of pregnant women in the uptake of invasive diagnostic tests - amniocentesis and Chorionic Villus Sampling (CVS) – and taking into account the latest emergence of a Noninvasive Prenatal Testing, NIPT, the primary goal of this study was to explore factors that influence women’s decision to have an invasive, a non-invasive or no further testing at all. Design and sample: The Prenatal Decision Making Questionnaire (PDMQ) developed for the purposes of this study. Following a pilot test and factor analysis, it was distributed to a population of pregnant women (N=421) prior to them receiving their combined screening results. The total sample was divided into three sub-groups according to their risk status (low-intermediate-high) for the analysis. Results. Logistic regression analysis using the R version 3.0.3 revealed that none of the PDMQ factors had a significant impact on women’s decision to have an invasive test (CVS), whereas the following three factors had a significant impact on the decision to have a non-invasive test (NIPT): negative attitude to doctors and an internal locus of control were associated with the uptake of NIPT, whereas a negative attitude to medicine was associated with rejection of NIPT When risk status was included in the model it was found that uptake of NIPT was predicted by the presence of some level of risk for T21 or T13/T18. On the contrary, uptake of CVS was only predicted by an increased risk for T21. Conclusion(s): Women’s decision making process in prenatal diagnosis is affected by several factors with personalised risk being one of the key determinants. The findings of this study can be used by healthcare professionals in providing the appropriate support and information and facilitating an informed decision during this stage of pregnancy.
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Cappiello, Joyce D. "Women's experience of decision-making regarding medication abortion." Thesis, Swansea University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678350.
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Say, Rebecca Emily. "Decision making about breech presentation : exploring women's experiences and developing decision support." Thesis, University of Newcastle upon Tyne, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.701155.
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Breech presentation affects 3-4% of women pregnant with a single baby after 37 weeks of pregnancy. These women face two key decisions: firstly, whether or not to attempt to turn their baby by external cephalic version (ECV). Secondly, if they decide not to attempt this, or it is unsuccessful, then they need to decide how to give birth to their baby, either by planned caesarean section (CS) or vaginal breech birth (VBB). This thesis explores the process of decision making about breech presentation from both women’s and health professionals’ perspectives and documents the development of a patient decision aid (PDA), consisting of an animated film and website, for women facing these decisions in the future. In this qualitative study, data were collected using observed consultations, semi-structured interviews, with both women and professionals, and user-centred design workshops. Thirty nine women and 30 health professionals were respondents. Data were analysed using constant comparison. The results show that the diagnosis of breech presentation often comes late in pregnancy and begins with uncertainty, partly because many professionals are reluctant to provide information about options until the diagnosis is confirmed by ultrasound examination. Professionals are concerned about causing unnecessary anxiety to women who do not have a breech presentation confirmed, but such an approach fails to take account of women’s clear preference for information as soon as the possibility of breech presentation is raised. Women report researching options online and amongst their social contacts, as they strongly value experiential accounts. However they may struggle to find trustworthy information from these sources as they are frequently told horror stories. Women may also be directively counselled by professionals who have a clear preference for attempting ECV. In response to these themes, a PDA was developed which is freely available to women and includes a website summarising the evidence about the different options. In relation to decision making, women described five key values: wanting to keep their baby safe; wanting to experience a natural birth and to breastfeed; preferring to avoid surgery; needing to be able to care for other children; and wanting to have control. Postnatally, they shared vivid accounts of their experiences of ECV and birth, which were used to inform the script for the animated film that aims to provide the experiential information women wanted and also help them to explore their own values about decision making.
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Dodd, Jennifer. "Positively promising : women's decision making pregnancy and health promotion /." Dodd, Jennifer (2003) Positively promising: women's decision making pregnancy and health promotion. PhD thesis, Murdoch University, 2003. http://researchrepository.murdoch.edu.au/24/.
Full textAbstract:
This thesis explores the ways in which health promotion campaigns presuppose the pregnant subject and how main stream health promoters construct theories and practices of empowerment, health literacy and rationality.
Two Western Australian main stream health promotion campaigns directed at pregnant women in the period 1996 to 1997 (the time of interviewing) and still current at time of writing, will be analysed and comparisons made with the development of health promotion theory and practice generally. The normalisation of medicallscientific approaches toward pregnancy care and behaviour will be illustrated by providing examples from health promotion literature, medical and health journals, popular pregnancy books, magazines and newspaper stories. The assumption that health literacy is the major attribute necessary to enable empowerment is intenogated and the limitations of this perspective illustrated.
The second part of the thesis deals more directly with the interview material and illustrates how the women interviewed related to, and engaged with, main stream health information. The diversity with the group of middle class women interviewed is highlighted, and the different philosophical positions they occupy in relation to main stream health information explored. The complexity and contextual situatedness of women's decision making in relation to notions about health literacy, rationality and empowerment is outlined. The concluding chapters of the thesis discuss the most recent developments in main stream health promtion theory, examining the limitations of social capital theory, social marketing and other health promotion strategies. The conclusion imagines the possible benefits for women as health subjects and main stream health promoters as experts, in rethinking rationality and re-supposing women as positive health subjects that are promising rather than permanently risky and in need of improvement.
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Payget, Jasmine Marcia. "Unchoking women's voices : women in environmental decision-making at the local level /." Title page, contents and abstract only, 1994. http://web4.library.adelaide.edu.au/theses/09ENV/09envp344.pdf.
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Lagan, Briege M. "Women's decision making in pregnancy : the role of the internet." Thesis, Ulster University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.445055.
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Harris, Allyssa L. "Factors that influence contraceptive decision-making in African American women, an intergenerational perspective." Thesis, Boston College, 2008. http://hdl.handle.net/2345/26.
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Thesis advisor: Joellen W. HawkinsAfrican American women represent a unique group of women in the United States and have a long history of lack of reproductive freedom. Slavery and forced procreation, sterilization abuses, the Eugenics movement, and federally mandated contraception have all impacted on African American women’s independence in contraceptive decision-making. Given this population’s history, it is important for healthcare providers to understand African American women’s contraceptive decision-making, as women often seek their guidance. The purpose of this dissertation research was to discover the intergenerational influences on African American women’s contraceptive decision-making. The specific aims of this study were to: 1) develop an understanding of African American women’s contraceptive decision-making process; 2) identify the factors that influence their decision-making; and 3) develop knowledge that can be used to influence nursing practice. Included in this exploration were questions on the role of mothers and grandmothers in adolescents’ decision-making, familial beliefs about contraceptive choices and whether societal and social factors continue to influence contraceptive decisionmaking in the 21st Century. For this work, I used a qualitative descriptive approach to develop an understanding of the phenomenon from the participants’ worldview. I recruited a purposive sample of 7 triads from a metropolitan community in the northeast United States. I conducted an individual interview, using a semi-structured guide, with each participant. Six themes emerged from the data: 1) southern influences; 2) a worldview of relationships; 3) communication: key to preparedness; 4) seeking information from Mom; 5) "I got caught up in the game"; and 6) contraceptive use and beliefs. African American women's contraceptive decision making is influenced by a variety of factors including familial beliefs, attitudes, culture, and ethnicity. These patterns are transferred to each succeeding generation. Nurses have a significant role to play in providing appropriate contraceptive information and education in a culturally competent context that will meet the needs of these women and their families
Thesis (PhD) — Boston College, 2008
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Howard, Amanda Fuchsia Star. "Women's decision making regarding hereditary breast and ovarian cancer risk-reducing strategies." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/23498.
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Women found to carry mutations in the BRCA1 or BRCA2 genes have up to an 88% lifetime risk of breast cancer and up to a 65% lifetime risk of ovarian cancer. Strategies to address these heightened risks include breast cancer screening, and risk-reducing (RR) surgeries (i.e., mastectomy and salpingo-oophorectomy). Some women might change their lifestyle or use complementary and alternative medicine to prevent hereditary breast and ovarian cancer (HBOC). The objectives of this research were to describe: a) the HBOC RR strategies used by women prior to receiving their genetic test results, the influence of individual and psychological factors on the uptake of these strategies, and their risk management information needs, b) how women construct the ‘right time’ to consider RR surgery decisions, and c) the process of making decisions regarding HBOC RR strategies. A survey of 143 women was conducted to address the first objective and in-depth interviews with 22 BRCA1/2 carriers were conducted to address the remaining two objectives.
Survey respondents engaged in breast cancer screening at the time of genetic testing and a sub-group modified their lifestyle to reduce their cancer risk. Qualitative analyses revealed women’s constructions of the ‘right time’ to consider RR surgery decisions to be when: (1) decisions fit into their lives, (2) they had enough time to think about decisions, (3) they were ready emotionally, (4) all the issues and conflicts were sorted out, (5) there were better options available, and (6) the health care system was ready for them. Grounded theory analyses suggested that the overarching process of making decisions about HBOC RR strategies was one of ‘preserving the self.’ This process was shaped by the characteristics of health services, the nature of HBOC RR decisions, gendered roles, and the women’s perceived proximity to cancer. The women engaged in five decision-making styles, which were characterized by combinations of seven decision-making approaches. Findings from these three studies capture the diverse trajectories of decision making about HBOC risk management and highlight the role of personal and social context in shaping these decisions.
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Canfield, Beth A. "Participating in a clinical trial: HIV+ women's experiences and decision-making processes." The Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=osu1061246658.
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Chorny, Yelena. "Routinization of prenatal screening: Women's perspectives on decision making about screening uptake." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/27341.
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Background. Prenatal screening programs, in which screening is routinely offered to all pregnant women, have been implemented in a number of regions in Canada and other countries. Such programs are typically marketed as having the goal of providing women with the opportunity to make an informed choice about screening. Studies have suggested, however, that structural and cultural factors related to the rise of surveillance medicine have combined to effectively routinize the offer and uptake of prenatal screening, potentially hindering the capacity to ensure true autonomy and informed choice for women.
Purpose. This study was conducted to explore the concept of the routinization of prenatal screening by examining women's accounts of their decision making about accepting or declining prenatal screening and what judgments they made about the value of prenatal screening for themselves and others.
Methods. This was a descriptive, exploratory study using qualitative research methods for data collection and analysis. Data were collected from 18 women who had delivered healthy babies using semi-structured interviews. Both data collection and analysis were conducted using methods of Grounded Theory.
Results. Routine uptake of prenatal screening was described by many women. Themes arising from interviews included: the recognition of choice and/or the need for deliberation; the ways in which prenatal screening is presented; the value placed on the information provided by screening; varying conceptions of risk; and the relationships between prenatal screening, abortion, disability, and responsibility.
Conclusions. Factors contributing to the routinization of prenatal screening operate at a variety of levels: individual, structural, and cultural. Further research is needed to clarify and quantify the effects of routine acceptance of screening on women and their families, and to determine the most effective and appropriate ways of ensuring that women's choices are truly informed and deliberated.
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St, Clair Laura Ann. "Why Take the Risk?: Women's Interpretive Repertoires for Choosing Home Birth." The University of Montana, 2008. http://etd.lib.umt.edu/theses/available/etd-05112008-130518/.
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The purpose of this project was to use a social constructivist approach to understand the perception of risk by mothers making the choice to give birth at home in Missoula, Montana. Social constructivism assumes that knowledge about risk is filtered through social and cultural frameworks of understanding (Lupton and Tulloch 2002, 321). The information gained from participants in this study was interpreted as a representation of the individuals culture, including their beliefs, values and upbringing, as well as the influences of the individuals social network which can include family members, spouses, friends, and community members. Various phenomena, elements or constructs in society are viewed as realities by social groups whether they exist as reality or not. Social constructs in the United States create a reality around the normalcy of hospital birth and tend to paint a picture of home birth mothers as risk takers (Craven 2005) (Davis-Floyd 1992). However, in developing this study, I predicted that home birth mothers would construct a different type of reality around risk in order to explain their decision to have a home birth. By examining the interpretive repertoires of home birth mothers in Missoula, Montana, one can begin to understand how women interpret their individual risk concerning birth and respond according to their determined level of vulnerability. First, the mothers confronted the dominant social norm that home birth is risky. In response to accusations of making a risky decision, these home birth mothers responded by emphasizing the risks that they see in hospital birth. For home birth mothers, the importance of having minimal medical interventions during the birth of their baby outweighed other potential risks associated with homebirth identified by medical authorities or published studies. Furthermore, many of the women in this study emphasized feeling very positively about their home birth experiences and felt that going through with this decision helped them gain feelings of confidence and empowerment.
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Mavuso, Jabulile Mary-Jane Jace. "Women's micro-narratives of the process of abortion decision-making : justifying the decision to have an abortion." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017885.
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Much of the research on abortion is concerned with determining women’s psychological outcomes post-abortion. There is a small, but increasing, body of research around women’s experiences of abortion (conducted predominantly in Scandinavian countries where abortion laws are liberal). However, research around the decision-making process regarding abortion, particularly research that locates the decision to have an abortion within the economic, religious, social, political, and cultural aspects of women’s lives and that looks at women’s narratives, is virtually non-existent. Drawing on Foucauldian and feminist post-structuralism as well as a narrative-discursive approach, this study sought to explore women’s micro-narratives of the abortion decision-making process in terms of the discourses used to construct these micro-narratives and the subject positions made available within these discourses. This study also sought to determine whether the power relations referred to by participants contributed to unsupported and unsupportable pregnancies and the implications this had for reproductive justice. Purposive sampling was used to recruit a total of 25 participants from three different abortion facilities in the Eastern Cape. Participants were ‘Black’ women, mostly unemployed and unmarried with ages ranging between 19 and 35 years old. In analysing and interpreting participants’ narratives, the picture that emerged was an over-arching narrative in which women described the abortion decision as something that they were ‘forced’ into by their circumstances. To construct this narrative, women justified the decision to have an abortion by drawing on discourses that normalise certain practices located within the husband-wife and parent-child axes and make the pregnancy a problematic, unsupported and unsupportable one. Gendered and generational power relations reinforced this and contributed to the denial of reproductive justice
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Amanor-Boadu, Yvonne. "A comparison of immigrant and non-immigrant women's decision making in abusive relationships." Manhattan, Kan. : Kansas State University, 2009. http://hdl.handle.net/2097/1849.
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Ganska, Karen T. "Unemployed Younger Baby Boom Women's Career Decision-Making Experiences: An Interpretative Phenomenological Analysis." Thesis, Duquesne University, 2016. http://digital.library.duq.edu/u?/etd,197175.
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This exploratory qualitative study seeks to describe and understand the career decision-making process of unemployed American women who make up the younger cohort of the baby boom generation, namely those born between 1955 and 1964. Career decision making is a complex process involving a number of generational characteristics as well as personal and economic considerations. Unemployment further complicates this process, especially in the decade prior to receiving retirement benefits. This study uses interpretative phenomenological analysis to analyze semi-structured interviews with eight unemployed younger baby boom women to investigate how their thoughts, assumptions, and opinions affect their career decision-making experience. Bronfenbrenner's bioecological model (2005), Erikson's lifespan theory (1959), and selected career development theories provide lenses through which these women's experiences can be understood. Eight themes emerged from the data, including the following: unemployment as a preparation period; career aspirations; digital natives; age discrimination; bioecological systems influence; generativity vs. stagnation; identity expressed in career decision making; and influence of intuition, chance, and personal factors. The findings suggest that the women used the period of unemployment to become self-aware and thoughtful about future career decision making, and enhance their computer as well as career decision making skills. Implications for theory and counseling practice as well as suggestions for future research are provided.School of Education;
Counselor Education and Supervision (ExCES)
PhD;
Dissertation;
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Wong, Yuen-ha. "A process of change : abused women's decision to stay in or leave their abusive relationships /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36396795.
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Leduc, Lisa Rose. "Options for battered women: Vocabularies of motive and social support factors in the decision-making process." Thesis, University of Ottawa (Canada), 1992. http://hdl.handle.net/10393/7939.
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Muzvidziwa, Itai. "Gender equality in decision-making processes: the case of the Zimbabwean cabinet." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1018649.
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Although Zimbabwe is a signatory to various regional and international conventions, treatises, declarations and protocols that seek to promote and create an environment conducive the attainment of gender equality, despite all these commitments, the Zimbabwean Government still lags behind in the area of political participation of women. This study was done to investigate gender equality and the level of participation in governmental decision making processes with specific reference to the cabinet of Zimbabwe. The subject for discussion was traced back to 1980 when Zimbabwe gained its independence and the researcher aimed to ascertain whether there was any significant improvement in terms of women’s participation in governmental decision-making processes and structures. The study also unravelled reasons why women have been at the peripherals of decision- making in cabinet. The study also brought out and evaluated the strategies used by the government of Zimbabwe in managing a gender-sensitive working environment and the legislation that has been put in place to guide the process. At the same time an evaluation was done among the respondents to ascertain the strengths and weaknesses of the strategies identified. Political parties were also included in the process since women who find their way into parliament do so using the tickets of their respective political parties. The political parties have a role to play since they have their respective constitutions in gender sensitive issues and it remains to be seen if they are implementing this which would result in identifying the numbers of women who are in the cabinet. The study is of significance to the Zimbabwean situation at the moment as the country is in the process of drafting a new constitution. The current Constitution in its Section 23 which provides for “protection from discrimination on the grounds of race, tribe, political opinion or physical disability of the persons concerned it is not clear as to what form of representation or position women should occupy in politics and decision-making positions. Given the above research analysis it is possible to conclude that indeed women have an impact on decision making in cabinet. The findings show the impact of considering the value of women in decision-making bodies as they spearheading development in their respective wards and the nation at large. Women were also viewed as decision makers who would contribute in the development of the nation just as much as men are assumed to do. The empowerment of women legislators and the aspiring candidates is a process that has a long way to go to ensure gender equality in governmental decision making processes but it is a necessary process.
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Shodhan, Shivani. "Knowledge of HIV/AIDS & women's status in decision-making in India for women ages 15-49 /." VCU Scholars Compass, 2007. http://scholarscompass.vcu.edu/etd_retro/135.
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Objective: Global HIV/AIDS pandemic continues to affect people worldwide. India has approximately 2 million women living with HIV/AIDS. Women in India maintain a low status in society, with minimal autonomy. This study investigated the relationship between women's autonomy in decision-making and their AIDS knowledge (designated ever heard of AIDS').Methods: This study used the 1998-2000 Demographic Health Survey with India's National Family Health Survey (NFHS-2). Data were collected on 90,300 ever-married women ages 15-49. Statistical analyses were conducted in SAS 9.1, including descriptive analysis, univariate analysis, and multiple logistic regression.Results: In the sample, 40,777 (45.2%) of the 90,300 women had ever heard of AIDS. Younger women (15-24 years) had the lowest prevalence of AIDS knowledge (40.9%). The highest geographic prevalence of knowledge was in South India (= 70.4%) compared to the lowest in Central India (=21.6%). Socio-economically, women in lowest level for standard of living had the lowest prevalence of AIDS knowledge (20.6%). Half of women with primary educations and 42.9% of Hindu women reported knowledge. Women were 1.71 (95% CI, 1.66-1.77) times more likely to have AIDS knowledge in the role of primary decision-makers. Even after adjusting, women in primary decision-making roles for their health care remained 16% (95% CI, 11-22) more likely to have AIDS knowledge compared to women whose husbands were primary decision-makers.Conclusion: The study allows for better understanding of the role that decision-making autonomy plays in HIV/AIDS knowledge among women in India. Intervention and education programs can integrate the findings to strengthen their effectiveness.
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LeGrow, Tracy L. "Access to health information and health care decision-making of women in a rural Appalachian community." Huntington, WV : [Marshall University Libraries], 2007. http://www.marshall.edu/etd/descript.asp?ref=746.
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Hussey, Laura Selena. "Social policy and social services in women's pregnancy decision-making political and programmatic implications /." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3840.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2006.Thesis research directed by: Government and Politics. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Blix-Lindström, Sabine. "Decision-making related to augmentation of labour : women's and midwives' perceptions regarding influencing factors /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-488-0/.
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Lambert, Carol. "The influence of self in women's decision-making about birthplace : an interpretive phenomenological study." Thesis, University of Hull, 2013. http://hydra.hull.ac.uk/resources/hull:8109.
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In the United Kingdom current maternity policy advocates the importance of flexible individualised services that fit with the needs of women. Choice of services for women as consumers is paramount in a system that aims to promote safe, high quality care. As women make choices, they navigate a complex journey; learning from women’s experiences is fundamental to understanding this journey and influencing future policy and practice. Literature on what influences decision-making demonstrates a paucity of information and a limitation of women’s voices. Following an Interpretive Phenomenological approach grounded in a feminist perspective to promote women’s voices, a group of 25 antenatal and postnatal women were asked about their experiences, perceptions and choices in the context of their maternity care. This study explored how they may be socially influenced and pressured to conform to authority in birthplace choices. It illuminates how emancipation and conformity are linked to consider whether emancipation reduces pressure to conform and what the implications of this might mean in a wider sociological context of birth experience. Based on Interpretative Phenomenological Analysis, a unique, seven stage iterative framework of analysis was developed. Self and aspects of self emerged as the most significant theme for decision-making existing within a frame of constant interplay of external influences such as environment, knowledge and professionals. As different pregnancy identities emerged, it was evident that this interplay has positive and negative effects as women experience decision-making. Conformity and emancipation are profoundly linked to decision-making; self is complex but critical to this process. For women to be self-determined and assured in their birthplace choices there is urgent need to reconsider interactions at every level. This approach must address the complexities of self so women and midwives remain equal partners. The implications of this reach beyond the discipline of maternity care.
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Marchese, Jeanfreau Michelle. "A qualitative study investigating the decision-making process of women's participation in marital infidelity." Manhattan, Kan. : Kansas State University, 2009. http://hdl.handle.net/2097/2171.
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Al-Hariri, Rafeda. "An approach to decision-making and communication among women's school administrators in Saudi Arabia." Thesis, University College London (University of London), 1986. http://discovery.ucl.ac.uk/10019627/.
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The aim of this study is to indentify the difficulties faced by women administrators in making decisions and in communicating, and to try to find solutions for these difficulties. Women's education in Saudi .Arabia is only 26 years old' and Saudi women administrators are still taking their, first steps in a new field of work and they need practice, experience and training. This work is divided into three sections: 1.- The development of women's education in Saudi Arabia. A brief historical background of Saudi women's education. section also family structure and the status society and in Islam. 2.- Theories of effective management talks about of women in Saudi Arabia This section is intended to define authority and responsibility, and their relations to decision making. This section has brought out some definition of decision-making as the heart of administration. Theories for decision-making were considered in this section such as the Barnard theory and Simon's theory of decision-making. From the theories about decision-making indicated in Section two of the thesis, some methods could be implemented in decision- making in Saudi Arabia women's administration. 3. Research findings A questionnaire was sent to 70 Saudi women administrators in Riyadh and 27 Saud i women administrators in Riyadh were interviewed. The questionnaire and interview questions covered all aspects of experience and problems in decision-making and exchanging information. From the response of the sample, 29 tables were produced. Section three of the research finding was concluded by suggested changes, for example, women must meet men to discuss problems with them, taking into account respect for Islamic customs. It is also suggested that women replace men in the General Presidency of Girls' Education starting with the President. Nineteen further suggested points appear at the end of Section Three, which have been derived from thi s research work by both ways indirectly and directly.
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Kadmon, Ilana. "Breast cancer : women's experiences of decision-making and the role of the nurse counsellor." Thesis, University of Edinburgh, 1994. http://hdl.handle.net/1842/19885.
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The research method used is based on the phenomenological line of thought, involving an in-depth exploration of thoughts and views of women with breast cancer who have faced decisions regarding their treatment. Ten women were individually interviewed, and later a group meeting of all these women was held for further discussion. Another group discussion with twelve women attending a 'Reach for Recovery' self-help meeting took place. In addition, seven nurses working as counsellors in breast cancer care were separately interviewed. Twelve themes emerged during the analysis of the data relating to the decision-making experience. These themes suggested a social process of decision-making which was experienced by the women. Three different social realities: the self-world, the relationship with the doctor, and the network of support are discussed in relation to decision-making. The doctor was seen as 'invading' the Self-World, and the Network of Support provided the means by which the women regain the stability of the Self-World. In relation to nurse counselling as a specific form of support, six themes were analysed: the timing of counselling, counselling as a source of information and advice, and emotional support given by the specialist breast-care-nurse-counsellor, the holistic approach to counselling, the training of the counsellor, and finally, the limitations of nurse counselling. A description of the women's and nurses' perceptions of each of these issues is given. The researcher herself and her experiences form an integral part of the research process. Based on the analysis of the data, practical matters related to breast care nurse counselling are addressed.
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Jolicoeur, Lynne J. A. "Women's decision making needs related to treatment for recurrent ovarian cancer: A pilot study." Thesis, University of Ottawa (Canada), 2006. http://hdl.handle.net/10393/27257.
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Context. Ovarian cancer is the 5th leading cause of cancer death among women in Canada (National Cancer Institute of Canada, 2005). It is estimated that 2,400 women were diagnosed in Canada in 2005. Unfortunately mortality for ovarian cancer is high; in 2005 approximately 1,550 Canadian women died of the disease (National Cancer Institute of Canada, 2005). Despite response rates to primary treatment of between 70 and 80%, 70% of cancers will recur within 24 months (McGuire, 2002).
Due to an increasing number of chemotherapy options available for recurrent ovarian cancer, its management has shifted from a palliative approach to that of a chronic disease approach (Fitch & Turner, 2003b). Randomized controlled trials have failed to demonstrate clear evidence that any one treatment provides superior long-term survival, response rates, or better quality of life (Fung Kee Fung, Elit, Hirte, Rosen, & Members of the Gynecologic Oncology Disease Site Group, 2003). It has been suggested that, in the absence of such evidence, treatment decisions should be based on patient preference (O'Connor et al., 2004).
Objectives. The purpose of this pilot study was to describe the decision making needs of women considering treatments for recurrent ovarian cancer.
Design. A retrospective, cross-sectional needs assessment was conducted to describe the treatment decision making needs of women with recurrent ovarian cancer. Data were collected from women using face-to-face interviews. A semi-structured interview guide was developed based on the Ottawa Decision Support Framework and a standard template developed by Jacobsen and O'Connor (1998). The data were analyzed using Silverman's (2001) approach to content analysis.
Setting. The Regional Gynecologic-Oncology Program of the participating center.
Participants. Thirteen women with recurrent ovarian cancer who had made treatment decisions within the past 3 months were recruited from the outpatient day care unit.
Outcome measures. Participants' views of their needs when considering treatment decisions for recurrent ovarian cancer. The interview guide elicited: perceptions of the decision including decisional conflict; perceptions of others involved in the decision; resources to make the decision; and individual characteristics. The Control Preference Scale was used to measure role preference (Degner & Sloan, 1992). Additional questions were asked about the extent to which hope influenced decisions.
Results. Only five of 13 women perceived that they had options, only two of 13 had manifestations of decisional conflict. All women understood the poor prognosis associated with ovarian cancer. Seven of 13 women had played a passive role in the treatment decision. When considering future decisions, 9 of 13 women stated that they would prefer a shared or autonomous role. Moreover, 7 of 13 women wanted to be presented with options. Participants valued the role of nurses in providing information. In addition, the women identified hope as an important element in their lives.
Conclusions. This pilot study provides preliminary information on women's decision making needs related to treatment for recurrent ovarian cancer. The findings need to be replicated in a study with a larger sample and in multiple centers before recommendations can be made. The findings also provide some direction for the design of a multidisciplinary decision making approach. Such an intervention would fit well in Cancer Care Ontario's strategy to improve the flow of care by developing care pathways.
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Dunn, Susag Jane. "Women and urban transport : a study of women's experience of and their participation in urban environmental decision-making /." Title page, contents and abstract only, 1995. http://web4.library.adelaide.edu.au/theses/09ENV/09envd923.pdf.
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Appel, Jacob M. "Toward a model rule Statutory imprecision and surrogate decision-making for pregnant women." Thesis, Icahn School of Medicine at Mount Sinai, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1535747.
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This paper seeks to investigate how concerns regarding pregnant women have been resolved by state legislatures when drafting surrogacy and advance directive statues. It also examines two related questions: Have narrow concerns regarding a relatively rare phenomenon had a significant and potentially detrimental impact on overall state policy regarding end-of-life decision making? And what lessons can be drawn from these experiences for understanding future policy battles at the nexus of bioethics and public health?
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Sharma, Richa. "Decision Making and Role Playing: Young Married Women's Sexual and Reproductive Health in Ahmedabad, India." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/20712.
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This MA thesis examines the decision-making capacity of young women married during adolescence within the context of their sexual and reproductive health in an urban ghetto in the city of Ahmedabad, India. Specifically, the development literature on married female adolescents (MFAs) is characterized by negative health indicators such as higher rates of unwanted pregnancies, reproductive tract infections, sexually transmitted diseases, high infant and maternal mortality and morbidity coupled with the phenomenon of early marriage, poverty and an overall lower social status. The result is a disempowering discourse that constructs and presents them as powerless victims who lack any decision-making capacity and are perpetually oppressed. This research is an effort to move the discussions of “Other third world women” outside the realm of victimization by challenging and destabilizing this disempowering, hegemonic discourse. We must ask what does decision making look like for these women, as exercised within the context of their sexual and reproductive health. This qualitative analysis is informed by primary research through focus groups and semi-structured interviews with young married women, and was conducted with the help of a local NGO, Mahila Patchwork Co-operative Society. The study provides insights on the young married women’s participation and role in determining their own health outcomes (negative and positive) to better inform programs and services offered by the community NGOs.
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Edwards, Marlene. "Factors affecting women's caregiving decision-making to accept or decline formal and/or informal support." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0025/MQ52052.pdf.
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Huber, Karen E. "Sex and its consequences abortion, infanticide, and women's reproductive decision-making in France, 1901-1940 /." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1187032776.
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To, Sandy Sin Chi. "Understanding Chinese professional women's marriage views and marriage partner decision making : a grounded theory perspective." Thesis, University of Cambridge, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.610436.
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Kauffman, Alicia Jane. "Agency and Empowerment in the Childbirth Process: The Effect of Medicalization on Women's Decision Making." Thesis, North Dakota State University, 2015. https://hdl.handle.net/10365/27873.
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Over the past decade, rates of caesarean section births and other interventions in
childbirth have increased substantially. With increased medicalization of childbirth, it is often
viewed as an illness requiring treatment rather than a natural process that women are equipped to
handle with little intervention in most cases. A qualitative study was completed that included
interviews with nine women participants who had previously given birth to at least one child.
The findings elaborate on how women navigated the medical structures of childbirth in order to
assert themselves as decision makers in the process, how they related to their bodies during
childbirth, and how they educated themselves about childbirth. Seven categories emerged, of
which two dominant areas, power of words and provider and nurse/doula relationships, affected
women?s empowerment in childbirth. A key finding is the way prenatal appointments were
structured and how they began the process of constraint experienced by women.
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Wiggins, Daisy. "What role does the decision support tool 'MyBirthplace' play in women's information gathering and decision making about place of birth?" Thesis, Bournemouth University, 2018. http://eprints.bournemouth.ac.uk/31109/.
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Health professionals and women accessing health care are increasingly recognising the importance of shared decision making (SDM) within pregnancy. Despite recognition, implementing SDM and truly supporting an informed choice is suggested to still be lacking in clinical exchanges. Literature focuses on creating ways and tools to support SDM in health care. One possible way is to incorporate Decision Support Tools (DST) into practice. Evidence within the context of general health care shows they improve knowledge and satisfaction with information, however less is known about DST use in pregnancy. MyBirthplace was developed by a National Health Service (NHS) Trust in response to both a local and national call for information in accessible formats and to enable women to be more informed about their choice regarding place of birth; as hospital birth is still seen as the norm. The primary aim of this thesis was to assess how effective a new DST called MyBirthplace is in helping make this decision. The impact of the DST was assessed using the Stages of Decision Making Scale (SDMS) (O’Connor 2000). Secondary aims were to; identify when women make a decision about place of birth; explore women’s information gathering and decision making behaviours during pregnancy to understand women’s views and opinions about using the DST; and to determine the use of the DST by their midwives. A mixed method, multiphase, sequential exploratory design was conducted with 172 pregnant women within one large urban NHS Trust. The study involved three phases. Phase 1 utilised questionnaires given to the participants’ pre and post the first appointment with the midwife where they had access to the DST. Phase 2 followed up these women via a survey sent at 28 weeks of pregnancy. In phase 3, face to face interviews were conducted with 12 women purposively chosen from the initial two phases. Finally, data were retrieved from the hospital database to identify actual place of birth. This study provides new evidence that the use of MyBirthplace positively affects women’s decision making. The DST resulted in a positive increase in decision making (reduced conflict) and by the 28 week follow up there was a significant shift with greater decision-making. Women’s views showed a division in the level of information they found acceptable, but in general they valued MyBirthplace as a source of information to help make them aware of their choices. Women highlighted the role a midwife plays in supporting them to be proactive in accessing MyBirthplace and the way in which midwives frame information affects women’s choices. Unfortunately, for some women the midwives acted as a barrier, making them rethink their birth options or not providing women with information about MyBirthplace. These findings provide a unique view of both the effectiveness of MyBirthplace and women’s views regarding choice for place of birth. The findings fill the gap highlighted by the recent maternity review that asked for more information to be given to women and to be available in different formats. DSTs have been found to be valuable in aiding women in decision making about place of birth but only when the midwives are engaged, supportive and women are introduced to MyBirthplace at the first appointment.
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Jefferson, Therese. "Australian women's financial security in later life : the effects of social structures and decision processes /." Curtin University of Technology, Graduate School of Business, 2005. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=16372.
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Existing studies provide a range of insights into the causes of womens low retirement incomes and emphasise the effect of low life-time incomes on womens access to economic resources in later life. Despite these insights, however, there is relatively little research on the roles played by motivations, social institutions and decision-making processes in determining womens capacity to save for retirement. In order to address some of these gaps in our understanding, this study aimed to broaden the range of theoretical approaches applied to economic studies of womens retirement savings strategies. Based on methodological perspectives informed by critical realism and feminist epistemology, the study utilised grounded research methods to collect and analyse qualitative data relevant to womens financial decisions and retirement plans. The data collection and analysis process are conceptually organised and integrated to propose a theoretical contribution that emphasises the links between social structures and specific decision-making processes that systematically contribute to low retirement savings for women. The studys findings are discussed with reference to existing economic literature that has not previously been utilised in studies of womens retirement incomes. The conclusions from this study suggest that there are significant features of womens decision-making contexts that contribute to ongoing under-saving to support women in later life.
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Hansen, Esther. "Negotiating present and future selves : women's decision-making to pursue breast augmentation surgery on the NHS." Thesis, University of East London, 2004. http://roar.uel.ac.uk/3753/.
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A material-discursive framework was used in this qualitative study of eight women's decision-making for breast augmentation surgery on the NHS, using pre-surgery interviews. The NHS offers cosmetic breast augmentation surgery in "exceptional circumstances". An interpretative phenomenological analysis was carried out to consider how women conceptualised the process of deciding to pursue this surgery, which included their reasons for pursuing surgery and their perceptions of the risks involved. The women described how they viewed their breasts as "abnormal" and "unfeminine", which impacted on how they perceived themselves. The consequent distress led them to seek breast augmentation surgery, which they anticipated would lessen their distress and produce positive feelings. The women also explained how the anticipated changes rendered the medical and psychosocial risks negligible. The women's accounts of their decision to have breast surgery revealed the dynamic nature of decision-making, evident through continuing risk-to-benefit appraisals, ambivalence and the accumulation of supporting evidence. This would indicate that breast surgery was a satisfactory rather than optimal choice. Subsequently, the Foucauldian discourse analysis focused on the discursive constructions of 'small breasts' and 'breast augmentation surgery'. It revealed how discourses which perpetuate the notions of self-improvement and bodily interventions as acceptable, positively framed the women's decision to have surgery. The women's construction of bodily appearance as central to self-identity and self-worth supported their evaluation of their breasts as making them feel "unfeminine" and their choice of surgery as a means of producing a feminine identity. The women's perception of surgery as a process of psychological change suggests that service provision should involve psychologists. The process of obtaining breast augmentation surgery on the NHS also reinforces women's perceptions of their breasts as "abnormal". Current pathways should be reconsidered and it may be helpful for primary care interventions to promote solutions other than BAS.
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Thompson, Jennifer Jo. "Managing Menopause: An Ethnographic Study of Women's Midlife Information-Seeking and Decision-Making in the Southwest U.S." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/194960.
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In this dissertation, I look to contemporary menopause management in the Southwest, United States, as an ideal case study of the 'real world' negotiation of a widespread contemporary conundrum--characterized by discourses of risk, proliferation of information and choice, chronic doubt, and personal responsibility for decision-making. While there have been previous studies of menopause in the US, this circumstantial ethnography seeks to understand contemporary menopause management in an era characterized by a massive shift in the biomedical risk discourses about menopause, the explosion of therapeutic choice in a burgeoning pluralistic health care environment, and the broad expansion of women's identities, body projects, and life priorities over the last several decades.I report on fourteen months of ethnographic fieldwork conducted in 2007 and 2008 with menopausal women and health care providers in the southwestern US. Research components included ethnographic interviews (N=60) and focus groups (6 groups with 27 participants) with midlife women, interviews with health care providers across a range of therapeutic modalities (N=20), and observation of emerging discourses of menopause in science, media and marketing.This dissertation illustrates that contemporary menopause management is a recursive process characterized by the ongoing re-evaluation of the impact menopause is having on one's life--in context. Participants described the unfolding of the lived-experience of menopause over time--even years beyond the end of menstruation. Risk discourses are not embodied en masse but reflect the concerns most salient in women's lives. While women access various expert and lay resources, they favor personal experts--sources deemed professionally sound and personally relevant--and their own embodied knowledge. For their part, health care providers described themselves as "normalizing" menopause and practicing patient-centered care aimed at empowering women to make their own decisions about how to manage menopause. Lacking an ideal choice, women make provisional treatment decisions that resonate with their current menopausal subjectivity. Despite abundant options, menopause management is increasingly stratified, with some able to access more information resources and afford more extensive decision-support. Among women with severe symptoms, bioidentical hormone therapy--productively positioned between biomedicine and complementary/alternative medicine--has emerged as a popular harm reduction strategy.
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Nicholl, Katherine Louise. "Is women's legal right of access to informed decision making in maternity care assured in New Brunswick?" [Moncton, N.B.] : New Brunswick Office of the Ombudsman, 2007. http://site.ebrary.com/lib/librarytitles/Doc?id=10222487.
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Madi, Banyana Cecilia. "Women's decision-making and factors affecting their choice of place of delivery : systematic review and qualitative study." Thesis, University of Surrey, 2001. http://epubs.surrey.ac.uk/856/.
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The aim of the thesis is to explore pregnant women's decision-making and major influences on their preferences for a place of delivery. The study was prompted by the UK government's policy of a woman centred maternity service (Department of Health 1993b), and the observation that studies had concentrated on professionals' rather than women's views about the place of delivery. Two factors were considered to have potential influence in decision making, one being the individual woman's risk perception related to the process of childbirth, and the other, knowledge about available options for place of birth. First, a systematic review was conducted, looking at available studies on women's views about the place of delivery. Only 9 studies were found, suggesting a need for more studies. Secondly, a primary study was conducted using in-depth interviews with 20 women planning a hospital birth, and 13 planning a home birth to explore factors that led to their respective choices. Results from the primary study indicate that women were not offered information about the availability of home birth. Consequently, 90% of those planning a hospital birth did not give thought to where they were going to have their babies, but assumed they were going to go to hospital. On the other hand, those planning a home birth found information privately and discussed the options with their husbands before making a decision. Additionally, results exposed differences in perception of safety concerning childbirth for subsequent deliveries according to planned place of delivery. Control of the birth process and environment was also found to be important for women planning a home birth. Risk perception and information about available options were found to influence decision-making about the place of birth, thus supporting the hypotheses of the thesis.
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Khan, Mahin. "Organizational Democracy and Women's Empowerment: An Examination of Four Advocacy Organizations in Bangladesh." Diss., Virginia Tech, 2014. http://hdl.handle.net/10919/47600.
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Women's empowerment is an important aim of the development activities of Non-Government Organizations (NGOs) in Bangladesh. In a patriarchal society, women experience discrimination and their participation in decision making processes often is not allowed in domestic, political and economic affairs. Most women's organizations mainly work to create a better, non-discriminatory, and equal society for women. To focus on this goal, these organizations often are not conscious of democracy at their own workplaces and equal participation of their members and employees in decision making. In addition, only a small amount of scholarship has been concerned with the structures and governance, organizational democracy, and women's participatory roles in organizational decision making. By using a multiple case study design, this research explores the ways four advocacy women's NGOs in Bangladesh promote women's empowerment and equality at the organizational level and how organizational structures and internal decision making processes help NGOs to achieve these goals. None of the organizations has pure democratic or bureaucratic structure and participatory decision making process. More democratic organizational structures or participatory decision making processes are more effective in promoting more cognitive and psychological empowerment of its members and employees.Ph. D.
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Handsel, Vanessa A. "Psychological variables in battered women's stay/leave decisions : risk-taking perceived control, and optimistic bias /." Electronic version (PDF), 2007. http://dl.uncw.edu/etd/2007-1/handselv/vanessahandsel.pdf.
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Wong, Yuen-ha, and 黃婉霞. "A process of change: abused women's decision to stay in or leave their abusive relationships." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011953.
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Hausegger, Lori Joanne. "The impact of interest groups on judicial decision making : a comparison of women's groups in the U.S. and Canada /." The Ohio State University, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=osu1488191124571516.
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Williams, Wendy Christine. "Women in decision making: does it make a difference? : case studies of Newfoundland and Labrador Heart Health Project sites /." Internet access available to MUN users only, 2002. http://collections.mun.ca/u?/theses,159758.
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Sulistyaningsih, Ekandari Oratai Rauyajin. "Adolescent acquaintance rape survivors' experience of unwanted pregnancy : a study of perception, decision making, effects, and women's strategies in Yogyakarta, Indonesia /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd376/4637970.pdf.
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Reid, Brigid Bernadette. "An examination of pregnant and non-pregnant women's decision-making processes with regard to antenatla screening for down syndrome in Northern Ireland." Thesis, University of Ulster, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.518133.
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Ssali, Sarah Evelyn Nabwire. "The impact of health user fees on women's role in household health care decision-making in Mukono District, Uganda : a gender analysis." Thesis, Queen Margaret University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269191.
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Stone, Linda C. (Linda Carol). "Retail Buyers Saleability Judgements: A Comparison of Merchandise Categories." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc501130/.
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The purpose of this study was to investigate the saleability judgements of retail store buyers of women's and men's wear. A sample of 81 women's and men's wear buyers, representing two specialty stores and one mass merchandiser, was sent questionnaires. Principal Components Factor Analysis with Varimax Rotation was used to reduce the number of product, vendor and information source variables to eight factors. Three significant differences existed between the women's wear and men's wear buyers, verifying that not all retail buyers are alike. Results will benefit educators in preparing students to become more effective buyers, retail management can incorporate this same information into a buyer training program and apparel manufacturers can use the study in planning product strategies to retailers.