(Apr. 25) A mirror on practice: Using discourse analysis to critique practice in maternity and child health care
Last updated :2017-04-17
Practical Applications of Functional Linguistics & Discourse Analysis: Lecture Series
The Functional Linguistics Institute, Sun Yat-sen University
A mirror on practice: Using discourse analysis to critique practice in maternity and child health care
Professor Virginia Schmied
Director of Research in the School of Nursing and Midwifery, Western Sydney University, Australia
In our research into maternity and child health care, we have employed discourse analysis to examine midwifery and child and family health (CFH) nursing practice, to understand how organisational culture and individual professional practice influence experiences and outcomes of women and families in Australia. In this presentation I discuss three studies which examine: 1) the implementation of routine psychosocial assessment and depression screening in the perinatal period; 2) the facilitators and barriers to physiological birth positioning; 3) the implementation of principles and strategies to support the initiation and establishment of breastfeeding. An ethnographic approach with observations of practice and discourse analysis allowed us to take a ‘micro-perspective’ of ‘the Institution’ and how it works including an understanding of the cultures and how players act and feel in this context, and where the contradictions and areas of social conflict lie. In these studies we noticed a difference between what midwives and nurses say they do, or what they recognise as best practice, and what they actually do. We were also able to observe and critique what professionals do in practice and to explore the impact of the environment on practice. The presentation also discusses how power is distributed and exercised and how the language and practices of health professionals and organisational culture influence the implementation of evidence based policies and best practice guidelines.
DATE: Tuesday, 25 April 2017
PLACE: Room 210, School of Foreign Languages, Guangzhou South Campus, Sun Yat-sen University
Virginia Schmied is Professor of Midwifery and Director of Research in the School of Nursing and Midwifery, Western Sydney University and she holds a Visiting Professorship at University of Central Lancashire (UK). Her research focuses on transition to motherhood, perinatal mental health, postnatal care, breastfeeding and infant feeding decisions, with a strong focus on the organisation of healthcare, workplace culture and the facilitators and barriers to the delivery of high quality maternity and child health care. Most recently, Virginia and her colleagues have been studying experiences of women and men form diverse cultural backgrounds living in western Sydney.
ALL ARE WELCOME