Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/20085
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Women's Experiences of Infertility - Towards a Relational Model of Care
Authors: Cunningham, Nicola
Cunningham, Tom
Contact Email: n.a.cunningham@stir.ac.uk
Keywords: fertility
nurse–patient relationship
nursing education
patient-centred care
quality of care
reproductive health
Issue Date: Dec-2013
Publisher: Wiley-Blackwell
Citation: Cunningham N & Cunningham T (2013) Women's Experiences of Infertility - Towards a Relational Model of Care, Journal of Clinical Nursing, 22 (23-24), pp. 3428-3437.
Abstract: Aims and objectives: To consider the effectiveness of current models of patient-centred infertility care. Background: Patient centredness is defined as one of six key dimensions of quality of care. In the field of infertility, a new interaction model of patient-centred infertility care is proposed. Despite positive moves, this model reveals shortcomings in knowledge about the lived experience of infertility and lacks the shift in attitudes and approach that effective patient-centred care requires. Design: The study has a qualitative research design. Nine women living with and through infertility participated in online life-story interviews. Methods: Data were analysed using a layered strategy influenced by the voice-centred relational method, emphasising narrative content, form and function. Results: Women reveal a complex experience. Three key themes were found: Approaching the clinic narratives are infused with personal expectations while deeply reflective of cultural expectations and social norms. Relatedness recognises women's experiences cannot be neatly separated into distinct domains. Liminality and infertility describes women's experiences lost in transition through and beyond infertility treatment. Conclusions: The current model of patient-centred infertility care requires further development. Women in this study found themselves lost in transition and irrespective of treatment failure or success. Conceptual development must embrace a relational understanding of patient's experience to ensure that patient-centred infertility care is realistic and relevant to patients, clinical staff and the system as a whole. Relevance to clinical practice: Psychosocial skills are recognised as core competences for fertility nurses. A relational conceptualisation of patient's experiences, living with and through infertility, provides further information for the development of staff and enhanced knowledge and practice skills.
Type: Journal Article
URI: http://hdl.handle.net/1893/20085
DOI Link: http://dx.doi.org/10.1111/jocn.12338
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: HS Health - Stirling
University of Stirling

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