Douglas Pamela S, Mares Renata E, Hill Peter S
Discipline of General Practice, The University of Queensland, Herston, Qld 4029, Australia.
Aust J Prim Health. 2012;18(4):332-8. doi: 10.1071/PY11073.
The objectives of this study were to analyse the perspectives of key informants with clinical expertise in the care of unsettled babies in the first few months of life and their families, concerning changes required to improve outcomes. The research used a purposive selection strategy and thematic analysis of key informant interviews of24 health professionals from 11 disciplines. Informants were selected for extensive experience in the management of unsettled babies and their families. Participants corroborated existing evidence that post-birth care in Australia is fragmented. All held the view that, first, early primary care intervention for unsettled infants and their families, and second, improved cross-professional communication, are vital if the burden of this problem to the infant, family and health system are to be minimised. There was consensus, third, that significant gaps exist in health professionals' knowledge base and management behaviours. The development of education resources, best practice guidelines, shared assessment frameworks for primary care practitioners and strategies for improved cross-professional communication are necessary to improve the health outcomes and decrease the burden of this common yet complex post-birth problem.
本研究的目的是分析在照顾出生后最初几个月烦躁不安的婴儿及其家庭方面具有临床专业知识的关键信息提供者对于改善结果所需变化的看法。该研究采用了目的抽样策略，并对来自11个学科的24名卫生专业人员进行了关键信息提供者访谈的主题分析。信息提供者因其在管理烦躁不安的婴儿及其家庭方面的丰富经验而被选中。参与者证实了澳大利亚产后护理分散的现有证据。所有人都认为，首先，对烦躁不安的婴儿及其家庭进行早期初级护理干预，其次，改善跨专业沟通，对于将这个问题给婴儿、家庭和卫生系统带来的负担降至最低至关重要。第三，大家一致认为，卫生专业人员的知识库和管理行为存在重大差距。开发教育资源、最佳实践指南、为初级保健从业者制定共享评估框架以及改善跨专业沟通的策略对于改善健康结果和减轻这个常见但复杂的产后问题的负担是必要的。
