Schmied Virginia, Cooke Margaret, Gutwein Rosalind, Steinlein Elizabeth, Homer Caroline
University of Western Sydney, School of Nursing, Penrith, NSW, Australia.
Women Birth. 2008 Sep;21(3):99-105. doi: 10.1016/j.wombi.2008.04.002. Epub 2008 Jun 24.
In Australia and internationally, women report high levels of dissatisfaction with hospital-based postnatal care.
To design and implement strategies to improve hospital-based postnatal care at a Sydney metropolitan hospital.
This was an Action Research study. In Phase One, midwives considered the literature and participated in group discussions and interviews to determine their perceptions of postnatal care and the factors that facilitate or hinder the provision of quality care. In Phase Two, midwives participated in 12 working group meetings to design strategies to improve care.
Several important principles of postnatal care were described, including building a relationship with women, meeting their individual needs, being flexible in approach and providing continuity of care. 'Listening to women', 'being there,' and 'normalising experiences and expectations' were believed to be critical to achieving these principles. A key strategy 'One to One Time' was designed to provide women with an uninterrupted period of time each day with a midwife who was available to listen to their needs and concerns and discuss issues related to their health and that of their baby.
Midwives designed and implemented strategies that they believed would improve in-hospital postnatal care.
在澳大利亚及国际上，女性对基于医院的产后护理满意度较低。
在悉尼一家大都市医院设计并实施改善基于医院的产后护理的策略。
这是一项行动研究。在第一阶段，助产士研读文献并参与小组讨论和访谈，以确定她们对产后护理的看法以及促进或阻碍提供优质护理的因素。在第二阶段，助产士参加了12次工作组会议，以设计改善护理的策略。
描述了产后护理的几个重要原则，包括与女性建立关系、满足她们的个体需求、方法灵活并提供持续护理。“倾听女性心声”“陪伴左右”以及“使经历和期望正常化”被认为对实现这些原则至关重要。一项关键策略“一对一时间”旨在每天为女性提供一段不间断的时间，由一名助产士倾听她们的需求和担忧，并讨论与她们自身及婴儿健康相关的问题。
助产士设计并实施了她们认为能改善医院产后护理的策略。
