Department of Obstetrics & Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands; Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Department of Obstetrics & Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Midwifery. 2019 Nov;78:25-31. doi: 10.1016/j.midw.2019.07.012. Epub 2019 Jul 15.
Handover of care has been internationally acknowledged as an important aspect in patient safety. Families who are vulnerable due to low socio-economic status, a language barrier or poor health skills, benefit especially from a decent handover of care from one healthcare professional to another. The handover from primary midwifery care and maternity care to Preventive Child Healthcare (PCHC) is not always successful, especially not in case of vulnerable families.
Obtaining insight in and providing recommendations for the proces of handover of information by primary midwifery care, maternity care and PCHC in the Netherlands.
A qualitative research through semi-structured interviews was conducted. Community midwives, maternity care nurses and PCHC nurses from three municipalities in the Netherlands were invited for interviews with two researchers. The interviews took place from February to April 2017. The qualitative data was analyzed using NVivo11 software (QSR International).
A total of 18 interviews took place in three different municipalities with representatives of the three professions involved with the handover of care and of information concerning antenatal, postnatal and child healthcare: six community midwives, six maternity care assistants and six PCHC nurses. All those interviewed emphasized the importance of good information transfer in order to provide optimum care, especially when problems within the family ar present. In order to improve care, a large number of healthcare professionals prefered a fully digitized handover of information, providing the privacy of the client is warrented and the system works efficiently. To provide high quality care, it is considered desirable that healthcare workers get to know each other and more peer agreements are prepared. The 'obstetric collaborative network' or another structured meeting was considered most suitable for this exchange.
This study shows that the handover of care and of information between professionals in the fields of antenatal, postnatal and child healthcare is gaining awareness, but a more rigorous chain of care and collaboration between these disciplines is desired. Digitizing seems important to improve the handover of information.
交接护理已在国际上被公认为患者安全的一个重要方面。由于社会经济地位低、语言障碍或健康技能差而处于弱势的家庭，特别是从一位医疗保健专业人员到另一位医疗保健专业人员的良好交接护理中受益。初级助产护理和产科护理向预防儿童保健（PCHC）的交接并不总是成功的，尤其是对于弱势家庭而言。
了解并为荷兰初级助产护理、产科护理和 PCHC 之间的信息交接过程提供建议。
通过半结构化访谈进行了定性研究。邀请来自荷兰三个城市的社区助产士、产科护士和 PCHC 护士与两位研究人员进行访谈。访谈于 2017 年 2 月至 4 月进行。使用 NVivo11 软件（QSR International）对定性数据进行分析。
在三个不同的城市中，与产前、产后和儿童保健护理交接和信息交接相关的三个职业的代表进行了总共 18 次访谈：六名社区助产士、六名产科助理和六名 PCHC 护士。所有接受采访的人都强调了良好信息传递的重要性，以提供最佳护理，特别是在家庭中存在问题时。为了改善护理，许多医疗保健专业人员更喜欢完全数字化的信息交接，前提是客户的隐私得到保障并且系统高效运行。为了提供高质量的护理，医疗保健工作者希望相互了解并准备更多的同行协议。认为“产科协作网络”或另一个结构化会议最适合这种交流。
这项研究表明，产前、产后和儿童保健领域的专业人员之间的护理和信息交接正在引起关注，但希望在这些学科之间建立更严格的护理链和协作关系。数字化似乎对于改善信息交接很重要。
