Revealing tact within postnatal care.
In this article, we explore the nature of good postnatal care through a hermeneutic unpacking of the notion of tact, drawing on the philosophical writings of Heidegger, Gadamer, and van Manen. The tactful encounters considered were from a hermeneutic research study within a small, rural birthing center in New Zealand. Insights drawn from the analysis were as follows: the openness of listening, watching and being attuned that builds a positive mode of engagement, recognizing that the distance the woman needs from her nurse/midwife is a call of tact, that tact is underpinned by a spirit of care, within tact there are moods and tact might require firmness, and that all of these factors come together to build trust. We conclude that the attunement of tact requires that the staff member has time to spend with a woman, enough energy to engage, and a spirit of care. Women know that tactful practice builds their confidence and affects their mothering experience. Tact cannot be assumed; it needs to be nurtured and sheltered.
1Auckland University of Technology, Auckland, New Zealand.
Elizabeth
E
Smythe
Deborah
D
Payne
Sally
S
Wilson
Ann
A
Paddy
Kate
K
Heard
D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008880:Midwifery; D009520:New Zealand; D009723:Nurse-Patient Relations; D010687:Philosophy, Nursing; D011181:Postnatal Care; D036301:Qualitative Research; D012424:Rural Population; D035502:Trust
Gadamer; Heidegger; childbirth; hermeneutics; midwifery; nursing, maternity; postpartum care; relationships, patient–provider; van Manen