It is aimed to raise awareness about the science of nursing for women's health and the use of nursing theories and models in research by reviewing the studies using theories or models in postpartum care.
Data sources
The data of the study were obtained by searching YÖK National Thesis Center, EBSCOhost, PubMed, Web of Science, Cochrane, and ScienceDirect databases. Reviewed studies were analyzed in terms of the type of research, sample characteristics, purpose, the field of use of theory and model in the research, and research results.
Conclusions
As a result of the review, it was noted that in the studies, Orem's Self-Care Deficit Nursing Theory/Model (n = 9), Roy's Adaptation Theory (n = 7), and Kolcaba's Theory of Comfort (n = 7) were the most used theories, theories and models were not used in a systematic structure at every stage of the research, and positive outcomes were obtained with the theory and model-based nursing interventions.
Implications for nursing practice
The application of theory and model in postpartum care can be chosen by nurses as it improves patient outcomes. Furthermore, the use of theories and models in research to develop nursing knowledge will benefit nursing science while increasing professional autonomy.
AkbabaH.SohbetR. (2012). Investigating the maternities behavior about health and self-care strengths after birth. [Master thesis].
2.
AkgunÖ.DuranA. Ö. (2020). Determination of mothers’ postpartum comfort levels and affecting factors. Journal of Contemporary Medicine, 10, 385–393. https://doi.org/10.16899/jcm.695648
3.
AksoyD. Y.PasinlioğluT. (2017). The effect of nursing care based on comfort theory on women's postpartum comfort levels after caesarean sections. International Journal of Nursing Knowledge, 28(3), 138–144. https://doi.org/10.1111/2047-3095.12122
4.
AktasN.KaracamZ. (2015). Postpartum fatigue, self-care power of women and related factors. Journal of Izmir Tepecik Training Hospital, 27(3), 186–196. https://10.5222/terh.2017.186
5.
ApayS. E.PasinliogluT. (2014). Using Roy's model to evaluate the care given to postpartum women following cesarean delivery. Open Journal of Nursing, 04(11), 784–796. https://doi.org/10.4236/ojn.2014.411084
6.
AyhanY.IntepelerS. S. (2015). The advancing research & clinical practice through close collaboration model: Use of evidence-based fall prevention strategies. E-Journal of Dokuz Eylul University Nursing Faculty, 8(3), 195–202.
7.
BenderM. (2018). Models versus theories as a primary carrier of nursing knowledge: A philosophical argument. Nursing philosophy: An International Journal for Healthcare Professionals, 19(1), 2–8. https://doi.org/10.1111/nup.12198
8.
BicakciH.EgeE. (2010). The effect of postpartum mothers' self-care power on their readiness for hospital discharge. [Master thesis].
9.
BuldumA.VefikulucayY. D. (2020). Holistic nursing approach to postpartum mother according to Watson human care theory: Case report. University of Health Sciences Journal of Nursing, 2(2), 121–128.
10.
CangolE.HotunS. N. (2017). A model of breastfeeding support: Motivational interviews based on Pender's Health Promotion Model. Journal of Education and Research in Nursing, 14(1), 98–103. https://10.5222/head.2017.098
11.
CodyW. K. (2006). Philosophical and theoretical perspectives for advanced nursing (4th ed.) (p. 43–44). Jones and Bartlett Publishers.
12.
DagciM. (2019). Model and theory based nursing researches between the years 2008–2018 in turkey: A systematic review. Istanbul Gelisim University Journal of Health Sciences, 9(1), 929–943. https://10.38079/igusabder.59108
13.
DinmezS.ErogluK.AkyuzA. (2019). The use of model/theory in thesis on women's health nursing and its characteristics. E-Journal of Dokuz Eylul University Nursing Faculty, 12(3), 199–205.
14.
DurmazogluG.CeceÖ.YasarogluT. S.OkumusH.AlusT. M. (2020). Evaluation of effectiveness of breastfeeding in-service education based on Watson's Theory of Human Caring given to childbirth, breastfeeding educator nurses and midwives. Pamukkale Medical Journal, 14(1), 79–88. https://10.31362/patd.758760
15.
EkimA.ManavG.OcakciA. F. (2012). Theory based nursing research in turkey: A systematic review. E-Journal of Dokuz Eylul University Nursing Faculty, 5(4), 157–161.
16.
ErbayÖ.YildirimY.FadilogluÇ.AykarS. F. (2018). Use of Watson's Theory of Human Caring in nursing care of patients with hypertensive attack: Case report. Turkish Journal of Cardiovascular Nursing, 9(19), 82–88. https://10.5543/khd.2018.41275
17.
EvciliF.DemirelG.BekarM.GulerH. (2020). Effectiveness of postpartum sexual health education programme structured according to Levine's Conservation Model: An interventional study. International Journal of Nursing Practice, 26(3), e12855. https://10.1111/ijn.12855
18.
FaustC. (2002). Orlando's deliberative nursing process theory: A practice application in an extended care facility. Journal of Gerontological Nursing, 28(7), 14–18. https://10.3928/0098-9134-20020701-05. PMID: 12168713.
19.
FawcettJ. (2005). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories. F.A. Davis.
20.
FawcettJ.AberC.HausslerS.WeissM.MyersS. T.HallJ. L.SilvaV. (2011). Women's perceptions of caesarean birth: A Roy international study. Nursing Science Quarterly, 24(4), 352–362. https://10.1177/0894318411419211
21.
FawcettJ.GigliottiE. (2001). Using conceptual models of nursing to guide nursing research: The case of the Neuman systems model. Nursing Science Quarterly, 14(4), 339–345. https://doi.org/10.1177/089431840101400411
22.
FigueiredoJ. V.FialhoA. V. M.MendoncaG. M. M.RodriguesD. P.SilvaL. F. D. (2018). Pain in the immediate puerperium: Nursing care contribution. Revista Brasileira De Enfermagem, 71(Suppl 3), 1343–1350. https://10.1590/0034-7167-2017-0345
23.
HaranC.vanDrielM.MitchellB. L.BrodribbW. E. (2014). Clinical guidelines for postpartum women and infants in primary care-a systematic review. BMC Pregnancy and Childbirth, 14, 51. https://doi.org/10.1186/1471-2393-14-51
24.
HortaD. G.AksuH.ÖzsoyS. (2017). Usage of roy model in women's adaptation to postpartum period. Journal of Ege University Nursing Faculty, 33(1), 180–190.
25.
KhoshnoodZ.RayyaniM.TirgariB. (2018). Theory analysis for Pender's Health Promotion Model (HPM) by Barnum's criteria: A critical perspective. International Journal of Adolescent Medicine and Health, 32(4), 1–9. https://10.1515/ijamh-2017-0160
KimY.DeeV. (2017). Self-care for health in rural Hispanic women at risk for postpartum depression. Maternal and Child Health Journal, 21(1), 77–84. https://10.1007/s10995-016-2096-8
KolcabaK. (2003). Comfort theory and practice a vision for holistic health care and research (pp. 57). Springer Publishing Company.
31.
KurtC. E.EjderA. S. (2020). Type of delivery: Does it effect the level of comfort and delivery satisfaction levels?Journal of Inonu University Health Services Vocational School, 8(3), 547–565. https://doi.org/10.33715/inonusaglik.753497
32.
LambermonF.VandenbusscheF.DeddingC.vanDuijnhovenN. (2020). Maternal self-care in the early postpartum period: An integrative review. Midwifery, 90, 102799. https://10.1016/j.midw.2020.102799
33.
LeiningerM. M. (1999). What is transcultural nursing and culturally competent care?Journal of Transcultural Nursing, 10(1), 9. https://10.1177/104365969901000105
34.
LevinR. F.Fineout-OverholtE.MelnykB. M.BarnesM.VetterM. J. (2011). Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: A pilot test of the advancing research and clinical practice through close collaboration model. Nursing Administration Quarterly, 35(1), 21–33. https://doi.org/10.1097/NAQ.0b013e31820320ff
35.
LevineM. E. (1991). The conservation principles: A model for health. In K. M.SchaeferPondJ. B. (Eds.), Levine's Conservation Model: A frame work for nursing practice (pp. 1–11). F.A. Davis.
36.
LimaJ. V.GuedesM. V.SilvaL. F.FreitasM. C.FialhoA. V. (2017). Usefulness of the comfort theory in the clinical nursing care of new mothers: Critical analysis. Revista Gaucha De Enfermagem, 37(4), e65022. https://10.1590/1983-1447.2016.04.65022
37.
MathiesonA.GrandeG.LukerK. (2018). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: A systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20, e6. https://10.1017/S1463423618000488
38.
McCarthyC. T.Aquino-RussellC. (2009). A comparison of two nursing theories in practice: Peplau and Parse. Nursing Science Quarterly, 22(1), 34–40. https://doi.org/10.1177/0894318408329339
39.
McevenM.WillsE. M. (2014). Theoretical basis for nursing (5th ed.) (pp. 142–146). Lippincott Williams & Wilkins. 177–182.
40.
McKennaH. P. (1997). Chapter 4: Nursing theories and models (pp. 42).
41.
NahasV.AmashehN. (1999). Culture care meanings and experiences of postpartum depression among Jordanian Australian women: A transcultural study. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society, 10(1), 37–45. https://doi.org/10.1177/104365969901000113
42.
NazikE.EryilmazG. (2009). The impact of the care given by using self-care model on the prevention and removal of postpartum complications. [Doctoral thesis].
43.
OzerY. N. E.AksuH. (2021). Using the Orlando's nursing process to nursing care for a puerperant woman diagnosed with Covid 19: Case report. Gumushane University Journal of Health Sciences, 10(1), 153–158.
44.
OzturkS.ErciB. (2011). The effect of the Roy adaptation model education given to mothers on maternal sensitivity during postpartum process. [Doctoral thesis].
45.
PasalakS. I.ErogluK.AkyuzA. (2018). Theory/model usage in research in women's health nursing. Journal of Ege University Nursing Faculty, 34(1), 91–108.
46.
PekusluS.OzbasaranF. (2008). Women recovering from childbirth for prenatal care during pregnancy and measuring their self care agency. [Master thesis].
47.
SahinE.YavanY. (2015). Evaluation of the effect of planned discharged education that is given during postpartum period and consultation on self care agency and breastfeeding. [Doctoral thesis].
48.
SariC.AltayN. (2020). Effects of providing nursing care with web-based program on maternal self-efficacy and infant health. Public Health Nursing (Boston, Mass.), 37(3), 380–392. https://doi.org/10.1111/phn.12712
49.
SechristK. R.WalkerS. N.PenderN. J. (1987). Development and psychometric evaluation of the exercise benefits/barriers scale. Research in Nursing & Health, 10(6), 357–365. https://doi.org/10.1002/nur.4770100603
50.
SengunF.UstunB.BademliK. (2013). Exploration of theory/model based nursing research ın turkey. Journal of Anatolia Nursing and Health Sciences, 16(2), 132–139.
51.
SerçekuşP.MeteS. (2010). Investigation that effect of childbirth education classes and individual education on pregnancy and postpartum adaptation. [Doctoral thesis].
52.
TektasP.CamO. (2017). The effects of nursing care based on Watson's Theory of Human Caring on the mental health of pregnant women after a pregnancy loss. Archives of Psychiatric Nursing, 31(5), 440–446. https://doi.org/10.1016/j.apnu.2017.07.002
53.
UstgorulS.BaydarÖ.YanıkkeremE. (2018). Use of Roy adaptation model in nursing care of a case with abnormal placental invasion. Celal Bayar University Health Sciences Institute Journal, 5(3), 84–88.
54.
WangE.LiL. (2021). The effect of community nursing based on the Roy adaptation model on postpartum depression and sleep quality of parturients. American Journal of Translational Research, 13(7), 8278–8285. PMID: 34377317.
55.
WatsonJ. (2009). Caring science and human caring theory: Transforming personal and professional practices of nursing and health care. Journal of Health and Human Services Administration, 31(4), 466–482. PMID: 19385422.
56.
WithersM.KharazmiN.LimE. (2018). Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries. Midwifery, 56, 158–70. https://10.1016/j.midw.2017.10.019
