Discussion
This researchexploredasmallsampleofWesternAustralian
women's valuesschemapertainingtodifferentepisodesof
maternity-care.Reflecting preceptsofImageTheory,theresults
supported thenotionofwomenasactiveinconstructing
maternity-carevaluesschemaandusingthesetoevaluatetheir
experiences.Itsuggestedthatalthoughthedetailofwomen's
plans orexpectationsoftheirmaternitycaremightvary,under-
lying valuesshowedhighlevelsofconsistency.Thisaccordswith
Hart's (1999) generalpropositionaboutserviceexpectationsand
affirms Green's (2012) argument thathigh-levelinformationon
the aspectsofcarehighlyvaluedbymostwomenhasutilityfor
maternity-carepolicymakers,practitionersandresearchers.
While muchofwhatthestudyidentified regardingWestern
Australianwomen'sexpectationsandevaluationsofpublicmater-
nity careresonatedwithpastAustralianresearch(Brownand
Lumley,1994;Gambleetal.,2007;Jenkinsetal.,2014) itprovided
this informationinanepisode-specific context.Understandingand
responding tomaternity-careservicedeliveryinthiswayseems
imperativeiftheprocessoforientingservicestomeetwomen's
expectationsistobecomprehensivelyachieved.
Fromapracticeperspective,acentralmessageofthisstudy
accordswith Jenkins etal.'s(2014) conclusion fromtheirresearch
examiningwomen'sexpectationsandexperiencesofmaternity
care intheNewSouthWalespublichealthsystem.Thisisthat
relationalissuesarefront-and-centreacrossthecontinuumofcare
and needtobeaprimaryfocusforallmaternity-careproviders
concerned withimprovingqualityfromthewomen'sperspective.
This studyhasanumberofotherapparentimplicationsfor
those deliveringcareduringthedifferentepisodesintheframe-
work.Forexample,women'sexpectationsthatGP'swillplaya
‘travelagency’ role maynotaltogetherreflect GP'sownviewsor
interpretationsofwhattheyareequippedorbeingaskedtooffer.
This mightbeusefullyexploredinfutureresearchalongwith
considerationofoptionsforsupportingGP'sintheendeavourof
helping womenclarifytheirmaternity-careplansthataccordwith
their values.Anotherimplicationisintheareaofdiagnostictests
in pregnancy,inparticular,processesaroundinformationand
feedbackontheirpurposeandresults.Manywomeninterviewed
in thisstudyindicatedtheyhadhaddiagnostictestswithout
receivingresultsorinformationinrelationtotheseandthiswas
clearlycontrarytotheirvaluesimageandsubsequentexpectancies
of thisaspectoftheircare.
DiscussionThis researchexploredasmallsampleofWesternAustralianwomen's valuesschemapertainingtodifferentepisodesofmaternity-care.Reflecting preceptsofImageTheory,theresultssupported thenotionofwomenasactiveinconstructingmaternity-carevaluesschemaandusingthesetoevaluatetheirexperiences.Itsuggestedthatalthoughthedetailofwomen'splans orexpectationsoftheirmaternitycaremightvary,under-lying valuesshowedhighlevelsofconsistency.ThisaccordswithHart's (1999) generalpropositionaboutserviceexpectationsandaffirms Green's (2012) argument thathigh-levelinformationonthe aspectsofcarehighlyvaluedbymostwomenhasutilityformaternity-carepolicymakers,practitionersandresearchers.While muchofwhatthestudyidentified regardingWesternAustralianwomen'sexpectationsandevaluationsofpublicmater-nity careresonatedwithpastAustralianresearch(BrownandLumley,1994;Gambleetal.,2007;Jenkinsetal.,2014) itprovidedthis informationinanepisode-specific context.Understandingandresponding tomaternity-careservicedeliveryinthiswayseemsimperativeiftheprocessoforientingservicestomeetwomen'sexpectationsistobecomprehensivelyachieved.Fromapracticeperspective,acentralmessageofthisstudyaccordswith Jenkins etal.'s(2014) conclusion fromtheirresearchexaminingwomen'sexpectationsandexperiencesofmaternitycare intheNewSouthWalespublichealthsystem.Thisisthatrelationalissuesarefront-and-centreacrossthecontinuumofcareand needtobeaprimaryfocusforallmaternity-careprovidersconcerned withimprovingqualityfromthewomen'sperspective.This studyhasanumberofotherapparentimplicationsforthose deliveringcareduringthedifferentepisodesintheframe-work.Forexample,women'sexpectationsthatGP'swillplaya‘travelagency’ role maynotaltogetherreflect GP'sownviewsorinterpretationsofwhattheyareequippedorbeingaskedtooffer.This mightbeusefullyexploredinfutureresearchalongwithconsiderationofoptionsforsupportingGP'sintheendeavourofhelping womenclarifytheirmaternity-careplansthataccordwiththeir values.Anotherimplicationisintheareaofdiagnostictestsin pregnancy,inparticular,processesaroundinformationandfeedbackontheirpurposeandresults.Manywomeninterviewedin thisstudyindicatedtheyhadhaddiagnostictestswithoutreceivingresultsorinformationinrelationtotheseandthiswasclearlycontrarytotheirvaluesimageandsubsequentexpectanciesof thisaspectoftheircare.
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