Lugina H I, Lindmark G, Johansson E, Christensson K
Faculty of Nursing, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.
Midwifery. 2001 Dec;17(4):267-78. doi: 10.1054/midw.2001.0285.
to explore midwives' views in relation to the provision of systematic postpartum care.
qualitative focus group study using grounded theory approach.
Dar es Salaam, Tanzania.
49 nurse/midwives in five focus group discussions, each having 9-11 participants.
eight categories were identified: 'reflecting', 'getting ready', 'defining abilities', 'networking', 'integrating', 'balancing', 'dealing with reality', and 'caring'. The identified core category that integrated and encapsulated all other categories was 'becoming a good resource and support person for postpartum woman'. The mediating factors found to have potential for influencing how a midwife can function in order to become a good resource and support person were: a) the structure and approach in maternal and child health services, b) midwives' knowledge, attitude and skills, c) informal sources of knowledge to parents, and d) cultural beliefs and practices.
the findings of this study provide an understanding of the way midwives feel and think about the provision of postpartum care. The findings demonstrate that midwives need support in their efforts to achieve what they consider necessary for postpartum care. Interventions for educating and supporting midwives should be targeted at enabling them to deal with all the factors that influence their role and help them to identify and use better strategies to provide quality care.
探讨助产士对提供系统化产后护理的看法。
采用扎根理论方法的定性焦点小组研究。
坦桑尼亚达累斯萨拉姆。
49名护士/助产士参与了5次焦点小组讨论，每次讨论有9至11名参与者。
确定了8个类别：“反思”“准备就绪”“界定能力”“建立网络”“整合”“平衡”“应对现实”和“关怀”。整合并囊括所有其他类别的核心类别是“成为产后女性的优质资源和支持人员”。发现的对助产士如何发挥作用以成为优质资源和支持人员具有潜在影响的中介因素有：a）母婴健康服务的结构和方法，b）助产士的知识、态度和技能，c）向父母提供知识的非正式来源，d）文化信仰和习俗。
本研究结果有助于理解助产士对提供产后护理的感受和想法。结果表明，助产士在努力实现他们认为产后护理所需之事时需要支持。针对助产士的教育和支持干预措施应旨在使他们能够应对所有影响其角色的因素，并帮助他们识别和采用更好的策略来提供优质护理。
