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女性对孕产护理的看法:女性如何理解连续性护理过程?

Women's views about maternity care: how do women conceptualise the process of continuity?

作者信息

Jenkins Mary G, Ford Jane B, Todd Angela L, Forsyth Rowena, Morris Jonathan M, Roberts Christine L

机构信息

Clinical and Population Perinatal Health Research, The Kolling Institute, University of Sydney at Royal North Shore Hospital, St Leonards, NSW 2065, Australia.

Clinical and Population Perinatal Health Research, The Kolling Institute, University of Sydney at Royal North Shore Hospital, St Leonards, NSW 2065, Australia; Discipline of Obstetrics, Gynaecology and Neonatology, University of Sydney at Royal North Shore Hospital, St Leonards, NSW 2065, Australia.

出版信息

Midwifery. 2015 Jan;31(1):25-30. doi: 10.1016/j.midw.2014.05.007. Epub 2014 May 14.

Abstract

OBJECTIVE

to gain an understanding of how women conceptualise continuity of maternity care.

DESIGN

a qualitative study involving in-depth semi-structured interviews and thematic analysis.

SETTING

a range of urban and rural public hospitals in New South Wales, Australia.

PARTICIPANTS

53 women aged 18-44 years (median age 27 years) receiving maternity care in 2011-2012.

FINDINGS

responses from women suggested five concepts of continuity: continuity of staff, continuity of relationship, continuity of information, continuity across pregnancies and continuity across locations. These concepts of continuity differed by parity and location.

CONCLUSION AND IMPLICATIONS FOR PRACTICE

continuity of maternity care has a variety of meanings to women. If health care providers are to commit to providing woman-centred maternity care it is important to recognise the diversity of women's experiences, and ensure that systems of care are flexible and appropriate to women's circumstances and needs.

摘要

目的

了解女性如何理解孕产护理的连续性。

设计

一项定性研究,包括深入的半结构化访谈和主题分析。

地点

澳大利亚新南威尔士州一系列城乡公立医院。

参与者

2011 - 2012年期间接受孕产护理的53名年龄在18 - 44岁(中位年龄27岁)的女性。

研究结果

女性的回答提出了连续性的五个概念:医护人员的连续性、关系的连续性、信息的连续性、不同孕期的连续性以及不同地点的连续性。这些连续性概念因胎次和地点而异。

结论及对实践的启示

孕产护理的连续性对女性有多种意义。如果医疗服务提供者致力于提供以女性为中心的孕产护理,认识到女性经历的多样性并确保护理系统灵活且符合女性的情况和需求非常重要。

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