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Moralizing substance use in maternal-child symbiosis : an emergent fit dimensional analysis / Clare E. Whitney.
- Format:
- Book
- Thesis/Dissertation
- Author/Creator:
- Whitney, Clare E., author.
- Language:
- English
- Subjects (All):
- Nursing.
- Medical ethics.
- Nursing--Penn dissertations.
- Penn dissertations--Nursing.
- Local Subjects:
- Nursing.
- Medical ethics.
- Nursing--Penn dissertations.
- Penn dissertations--Nursing.
- Genre:
- Academic theses.
- Physical Description:
- 1 online resource (130 pages)
- Contained In:
- Dissertations Abstracts International 82-07B.
- Place of Publication:
- [Philadelphia, Pennsylvania] : University of Pennsylvania ; Ann Arbor : ProQuest Dissertations & Theses, 2020.
- Language Note:
- English
- System Details:
- Mode of access: World Wide Web.
- text file
- Summary:
- Delivering quality maternal-child healthcare is compromised when clinicians moralize pregnant or lactating persons' actions. Clinicians are professionally charged with ensuring quality care delivery. However, they commonly moralize substance use and other similarly stigmatized actions during pregnancy and lactation. As a result, pregnant or lactating persons and their infants experience suboptimal health outcomes. Improving health outcomes in this population necessitates understanding how clinicians come to moralize substance use during pregnancy and lactation. Dimensional analysis in the mode of emergent fit, an interactionist qualitative mode of inquiry, was used to uncover the circumstances under which clinicians moralize substance use in maternal-child symbiosis. The findings of this emergent fit dimensional analysis form a situation specific theory that reveals clinicians moralize substance use in maternal-child symbiosis when they lack self-perceived competence and capacity to provide care to parents. These circumstances exist within the process of the Moral Energy Reflex, which is driven by the condition of "The Truthfulness Factor" and results in the consequence of Reflection on Redirection. The condition, process, and consequence of the phenomenon are conceptually bounded within the context of Unacceptability Uncertainty. All of the dimensions of moralizing substance use during maternal-child symbiosis are understood through the perspective of Am I a "Good Enough" Clinician? Understanding moralization as a process actively formed by the person moralizing provides important new insight into the clinical phenomenon of moral judgment. These findings suggest directions for future inquiry and offer implications for education, practice, and policy.
- Notes:
- Source: Dissertations Abstracts International, Volume: 82-07, Section: B.
- Advisors: Kagan, Sarah H.; Committee members: Autumn Fiester; Kimberly Trout.
- Department: Nursing.
- Ph.D. University of Pennsylvania 2020.
- Local Notes:
- School code: 0175
- ISBN:
- 9798557083898
- Access Restriction:
- Restricted for use by site license.
- This item is not available from ProQuest Dissertations & Theses.
- This item must not be sold to any third party vendors.
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