Baldwin Karen, Phillips Gail
J Perinat Educ. 2011 Fall;20(4):210-7. doi: 10.1891/1058-1243.20.4.210.
The purpose of this study was to describe the reported perceptions of six midwife participants at different stages of their engagement in a multiphase process of adopting a new model of prenatal care. Midwives were interviewed at five different stages during the process of implementing CenteringPregnancy, a model of group prenatal care. The research methodology used in this study was phenomenology. The conceptual framework for exploring the participants' perceptions was based on the Institute for Healthcare Improvement's patient-centered model and on the International Institute for Restorative Practices' empowerment model. The five themes that emerged from the midwives' experiences mirrored the stages of change health education model. Suggestions for the implementation and sustainability of the CenteringPregnancy model of care are provided based on the five themes that emerged from this study's findings.
本研究的目的是描述六名助产士参与者在采用新的产前护理模式的多阶段过程中不同阶段所报告的认知。在实施“以孕妇为中心的护理”(一种团体产前护理模式)的过程中,助产士在五个不同阶段接受了访谈。本研究采用的研究方法是现象学。探索参与者认知的概念框架基于医疗改进研究所的以患者为中心的模式和国际恢复性实践研究所的赋权模式。助产士经历中出现的五个主题反映了健康教育培训模式的变革阶段。基于本研究结果中出现的五个主题,为“以孕妇为中心的护理”模式的实施和可持续性提供了建议。