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台湾地区妇女的医院助产士护理体验:一项现象学研究。

Taiwanese women's experiences of hospital midwifery care: a phenomenological study.

机构信息

Graduate Institute of Nurse-Midwifery, National Taipei College of Nursing, 365 Ming-Te Road, Taipei 112, Taiwan.

出版信息

Midwifery. 2010 Aug;26(4):450-6. doi: 10.1016/j.midw.2008.09.002. Epub 2008 Dec 11.

DOI:10.1016/j.midw.2008.09.002
PMID:19084299
Abstract

OBJECTIVE

to explore women's experiences in interaction with their midwives during their antenatal checks and during labour.

DESIGN

a qualitative study using a phenomenological approach. Data were collected via tape-recorded interviews. All interviews were transcribed verbatim. Data were analysed using Colaizzi's method for data analysis.

SETTING

the homes of the study participants in the district of a Taipei (Taiwan) teaching hospital.

PARTICIPANTS

a purposive sample of 11 Taiwanese women, one primipara, and 10 multiparae, who were one to three months post-childbirth at the time of interview.

FINDINGS

five major themes revealed the essence of women's experiences of their interaction with a midwife during pregnancy and childbirth: (1) being respected, (2) being accompanied, (3) trust, (4) being satisfied, and (5) professional competence.

KEY CONCLUSIONS

the women recognised the service model of the midwife; they treasured their mutual relationships and the benefits that women derived from midwifery care during childbirth. In Taiwan, the government is mandated to offer midwifery models of care in hospitals, and to allow women to choose different types of care provider.

IMPLICATIONS FOR PRACTICE

an awareness of women's experiences will help identify the caring behaviours as recognised by the women and may help health-care professionals provide better support and care for women during the pregnancy and childbirth periods. These findings can serve as references for future midwifery practice models and improvements in quality of care.

摘要

目的

探讨妇女在产前检查和分娩期间与助产士互动的体验。

设计

采用现象学方法的定性研究。通过录音访谈收集数据。所有访谈均逐字转录。使用 Colaizzi 的数据分析方法进行数据分析。

地点

台北(台湾)教学医院所在区的研究参与者家中。

参与者

11 名台湾妇女的目的性样本,1 名初产妇和 10 名经产妇,在访谈时产后 1 至 3 个月。

结果

五个主要主题揭示了妇女在妊娠和分娩期间与助产士互动的体验本质:(1)被尊重,(2)被陪伴,(3)信任,(4)满意,(5)专业能力。

主要结论

妇女认可助产士的服务模式;她们珍惜彼此的关系以及分娩期间从助产护理中获得的好处。在台湾,政府授权在医院提供助产士护理模式,并允许妇女选择不同类型的护理提供者。

实践意义

对妇女体验的认识将有助于确定妇女认可的护理行为,并可能有助于医疗保健专业人员在妊娠和分娩期间为妇女提供更好的支持和护理。这些发现可以作为未来助产实践模式和护理质量改进的参考。

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Respect for woman's decision-making in spontaneous birth: A thematic synthesis study.尊重女性在自然分娩中的决策:一项主题综合研究。
Iran J Nurs Midwifery Res. 2016 Sep-Oct;21(5):449-457. doi: 10.4103/1735-9066.193389.