Meeting the health and social needs of pregnant asylum seekers - midwifery students' perspectives. A critical discourse analysis of language use by midwifery students in their social constructions of the health and social needs of asylum seekers accessing maternity services.
Featherstone, Brigid M.
KeywordCritical discourse analysis
Case study approach
Problem based learning as a research method
Pregnant asylum seekers
Health and social needs
The University of Bradford theses are licenced under a Creative Commons Licence.
InstitutionUniversity of Bradford
DepartmentSchool of Health
MetadataShow full item record
AbstractCurrent literature has indicated a concern about standards of maternity care experienced by pregnant asylum seeking women. As the next generation of midwives, it would appear essential that students are educated in a way that prepares them to effectively care for pregnant asylum seekers. Consequently, this study examined the way in which midwifery students constructed a pregnant asylum seeker's health and social needs, the discourses that influenced their constructions and the implications of these findings for midwifery education. For the duration of year two of a pre-registration midwifery programme, eleven midwifery students participated in the study. Two focus group interviews using a problem based learning (PBL) scenario were conducted. In addition, three students were individually interviewed and two students' written reflections on practice were used to construct data. Following a critical discourse analysis, dominant discourses were identified which appeared to influence the way that pregnant asylum seekers were perceived. The findings suggested an underpinning discourse around the asylum seeker as different and of a criminal persuasion. In addition, managerial and medico-scientific discourses were identified, which appeared to influence how midwifery students approach their care of women in general, at the expense of a woman centred, midwifery perspective. The findings from this study were used to develop 'the pregnant woman within the global context' model for midwifery education and it is recommended that this be used in midwifery education, to facilitate the holistic assessment of pregnant asylum seekers' and other newly arrived migrants' health and social needs.
NotesBecame: Haith-Cooper, Melanie. Please search under Haith-Cooper for later articles.
Showing items related by title, author, creator and subject.
Relationships, Personal Communities and Visible Facial DifferenceSmall, Neil A.; Sargeant, Anita R.; Newell, Robert J.; Peacock, Rosemary Elizabeth (University of BradfordFaculty of Health Studies, 2015)People with visible facial difference often experience other people reacting negatively to their appearance. For many, this is part of everyday life. Research has identified social support as critical in adaptation processes. This is the case both for those whose facial difference was apparent at birth, and those who experienced injury or illness. There is a lack of a comprehensive theoretical construct for exploring how personal communities provide resources needed by adults to live well with visible facial difference. The combination of semi-structured interviews and creation of personal community maps provided opportunities to explore the interplay between respondent accounts and patterns of relationships people are embedded within. Seventeen adults with visible facial difference and two unaffected ‘significant others’ were interviewed. The findings provide evidence that personal communities are important social spaces for negotiation of resources that enable adults to feel connected, valued and safer within wider communities. Social support was not described as a property of the individual, but as experienced with combinations of people that change according to situation, place, or time. A diversity of personal community patterns were found, largely consistent with findings from Spencer and Pahl (2006), with one variation which increased intimate support. Some personal communities were less supportive and consequently people were at risk of isolation. Processes within personal communities were helpful both in dealing with negative social environments and in helping establish different versions of ‘normal’ life. The importance of focussing on social contexts, when seeking to understand how people live with visible facial differences, is highlighted.
Is It Just Enough? Is Social Justice Necessary?Solas, John (2018)Since its inception social work has professed an abiding commitment to social justice. Indeed, it is perhaps one of the few professions to have maintained such an obligation. This pledge is officially inscribed in the code of ethics of the National Association of Social Workers. This document affirms the pursuit of social justice as a core value, not just for members of the Association, but also for social workers in general. However, what kind of social justice does the Association advocate and how just is it? While answers to these questions are critical to Association's members and the broader social work community, they are, without doubt, of vital importance to those whom social work seeks to serve. This paper examines the nature and scope of the principles of social justice subscribed to by the NASW.