Afaya Agani, Yakong Vida N, Afaya Richard A, Salia Solomon M, Adatara Peter, Kuug Anthony K, Nyande Flex K
Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Department of Midwifery, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana.
J Caring Sci. 2017 Dec 1;6(4):303-314. doi: 10.15171/jcs.2017.029. eCollection 2017 Dec.
Labor and delivery process is an exciting, anxiety-provoking, but rewarding time for a woman and her family after successful delivery of a newborn. The intrapartum period is the time where mothers expect more care. Taking care of a mother through delivery with no side effects is the task of a professional midwife who is trained with the skill to take the responsibility of caring for mothers and babies. Therefore, the aim of this study was to explore mother's experiences regarding quality of intrapartum nursing/midwifery care. Focused ethnographic study was employed. Data were collected from May to June 2016 TTH, Ghana using semi structured interview guide. Purposive sampling was employed to recruit 20 participants. Eight individual interviews were conducted in the post natal ward after 48 hours of delivery, followed by three focus group discussions two weeks after delivery when mothers visited post natal clinic. Interviews lasted for about 30-45 minutes during each session. Data were analyzed using thematic analysis. The average age of women were 29 years with ranging from 19-43 years. Participants' experiences of nursing/midwifery care during birth were influenced by reception and respect, provision of information, technical skill, providers' behavior, pain management and availability of nurses/midwives. The study findings have revealed that women's experience of care is affected by a wide range of determinants. Therefore, maternal health programs and policies in Ghana must take into account women's perspective on the care they need and their feedback on services they receive. Nursing education should re-enforce communication/relational skills.
分娩过程对于一位女性及其家人来说,在成功产下新生儿后,是一段令人兴奋、引发焦虑但又收获满满的时光。产时阶段是母亲们期望获得更多照料的时期。通过分娩全程照顾母亲且无副作用,这是经过专业培训、具备照顾母婴责任技能的专业助产士的任务。因此,本研究的目的是探讨母亲们在产时护理/助产护理质量方面的经历。采用了聚焦人种志研究方法。2016年5月至6月在加纳的TTH,使用半结构化访谈指南收集数据。采用目的抽样法招募了20名参与者。在分娩48小时后,在产后病房进行了8次个人访谈,随后在母亲们产后两周去产后诊所就诊时,进行了3次焦点小组讨论。每次访谈持续约30 - 45分钟。使用主题分析法对数据进行分析。女性的平均年龄为29岁,年龄范围在19至43岁之间。参与者在分娩期间对护理/助产护理的体验受到接待与尊重、信息提供、技术技能、医护人员行为、疼痛管理以及护士/助产士的可及性等因素的影响。研究结果表明,女性的护理体验受到多种因素的影响。因此,加纳的孕产妇健康项目和政策必须考虑女性对她们所需护理的看法以及她们对所接受服务的反馈。护理教育应强化沟通/关系技能。