Development of model to facilitate male involvement in the reproductive health context by the registered nurses

 
 
 
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  • Abstract


    The purpose of this article is to describe the process followed in the development of the model of facilitating male partner involvement in reproductive health (RH) context by the nurses. Namibia is one of the African countries affected by cultural and socio-economic influences that have persuaded gender roles in a way that hinders male-partner involvement in RH context. This phenomenon make difficult for the nurses to facilitate their involvement.

    The research methods were done in four phases. Phase 1 entitled concepts analysis. Phase one was done into two steps namely step1 - concepts identification and step 2 - concepts definition. During concept identification, qualitative, exploratory, descriptive design was followed. The target population included male and female partners attending health facilities and all nurse managers (registered nurses in charge) that provided RH services in the health facility in a northern region in Namibia. Individual interviews and focus were conducted until data saturation occurred. During the research three fundamental principles such as respect person, beneficence and justice were adhered. Tech’s eight steps of descriptive data analysis were used. Three (3) main categories, six (6) categories and twelve (12) subcategories were identified using open coding and conceptualization. The main concepts of the model were identified and classified using a survey list of Dickoff, James, Wiedenba (Dickoff,James, Wiedenbach, 1968; Mckenna, 2006). Phase 2 dealt with the creation of interrelationship statements between concepts identified in step 1. In phase 3 focuses with the description of the model using strategies proposed by (Chinn & Kramer, 1991). In phase 4, the description of guidelines and evaluation for the model was also done. The applied the principle of trustworthiness through developing dependability, credibility, transferability and confirmability in all four phases.

    A model was developed based on a theory generated approach. The model consist of five phase namely, situational analysis in the external environment (community) and internal environment (health facilities); establishment of partnership (male and female partner and Nurses), management process, maintaining the conducive environment and control & terminus/ outcome phase. It was concluded that facilitation of Male involvement in RH care context is needed. Further the recommendations were made to implement a model within the current health care framework in which reproductive health is provided.


  • Keywords


    Development; Model; Facilitate Male Involvement; Reproductive Health; Context and the Registered Nurses.

  • References


      [1] Babbie, E.;Mouton, J. (2010). The practice of social research. (Cengage Learning, Ed.) (12th Edition). California, USA: Wardsworth: Cengage Learning.

      [2] Beck, C. T. (2013). Routledge International Handbook of Qualitative Nursing Research. (Routledge, Ed.). New York: Routledge.

      [3] Becker M.H, Radius SM, Rosenstock IM,: (1978). Compliance with a medical regimen for asthma: A test of the health belief model. Public Health Rep, 93, 268–277.

      [4] Brink, H. I. (2012). Fundamentals of research methodology for healthcare professionals. (Juta, Ed.). Cape Town: Juta.

      [5] Burns, N ; Grove, S. K. (2005). The Practice of Nursing Research: Conduct, Critique, and Utilization. (E. Saunders, Ed.) (5th Editio.). St. Louis: Elsevier Saunders.

      [6] Chinn, P.L;Kramer, M. . (1991). Theory and nursing: A systematic approach. (S. L. M. Y. Book., Ed.) (6th Editio.). St. Louis: St. Louis: Mosby Year Book.

      [7] De Vos, A. . (2002). Qualitative data analysis and interpretation. In V. Schaik (Ed.), Research atb Grass roots: For the Social Sciences and Human Service Professions (2nd ed., pp. 339–355). Pretoria: Schaik, Van.

      [8] Denzin, Norman K.;Lincoln, Y. S. (2011). The SAGE Handbook of Qualitative Research. (SAGE, Ed.)SAGE (SAGE.). London.

      [9] Dickoff, J;James, P ;Wiedenbach, E. (1968). Theory in a practice discipline. Part 1: Practice orientated theory. Nursing Research, 17(5), 415–435. http://dx.doi.org/10.1097/00006199-196809000-00006.

      [10] Johannesburg, U. of. (2006). Paradigm:Theory of Health Promotion in Nursing. (University of Johannsesburg, Ed.). Auckland Park, Johannesburg: University of Johannsesburg.

      [11] Krueger, D.A.;Casey, M. C. . (2008). Focus Groups: A Practical Guide for Applied Research. (SAGE, Ed.) (4th Editio.). California: SAGE.

      [12] Mckenna, H. (2006). Nursing Theories and Models. (Taylor & Francis Group, Ed.). New York.

      [13] Muller, M. E. (2009). Nursing dynamics. (Heinemann, Ed.) (4th Editio.).

      [14] Muller, M.Bezuidenhout;Jooste, K. (2006). health care service management. (Juta, Ed.). Cape Town: Juta.

      [15] Polit D; Beck C; Hungler B. (2006). Essentials of Nursing Research, Methods, Appraisal and Utilization. (Lippincott Williams & Wilkins, Ed.). Philadelphia 2: Lippincott Williams & Wilkins.

      [16] Polit, D. F.; Beck, C. T. (2014). Essentials of Nursing Research: Appraising Evidence for Nursing Practice. (& W. Lippincott Williams, Ed.) (8th Editio.). Philadelphia: Lippincott Williams, & Wilkins.

      [17] Ulin, P.R.;Robinson, E.T.;Tolley, E.E;McNeill, T. (2002). Qualitative methods: A field guide for applied research in sexual and reproductive health. (FHI, Ed.). San Francisco, USA: FHI.

      [18] Walker, Lorraine olszewski; Avant, K. C. (2011). Strategies for Theory Construction in Nursing. (Prentice Hall, Ed.) (5th Editio.). Prentice Hall. Retrieved from www.coursesmart.com/strategies-for-theory-construction-in-nursing/

      [19] World Health Organization. (1999). Regional Office for Africa: reproductive health. WHO, 99:1.


 

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Article ID: 5018
 
DOI: 10.14419/ijans.v4i2.5018




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