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医护人员对瑞典分娩女性的患者安全感知 - 一项访谈研究。

Healthcare professionals' perceptions of patient safety for the woman in childbirth in Sweden - An interview study.

机构信息

Department of Health Sciences Faculty of Health, Science and Technology Karlstad University Karlstad Sweden.

Faculty of Health and Welfare Östfold University College Fredrikstad Norway.

出版信息

Nurs Open. 2019 Dec 18;7(2):642-649. doi: 10.1002/nop2.435. eCollection 2020 Mar.

Abstract

AIM

To describe healthcare professionals' perceptions of patient safety with a focus on the woman in connection to childbirth.

DESIGN

A descriptive and qualitative design with a phenomenographic approach.

METHODS

Individual qualitative face-to-face interviews with 19 healthcare professionals (midwives, nursing assistants and physicians) were conducted in three labour wards in Sweden. The data were analysed according to Dahlgren and Fallsberg's seven steps.

RESULTS

The informants' perceptions of patient safety for the women were identified in four qualitative different descriptive categories: , , and . Supportive care and listening to the woman were important for patient safety. It was crucial to follow labour stages and to avoid unnecessary interventions. An open and tolerant atmosphere between the healthcare professionals improved decision-making, and a reasonable workload was essential for ensuring safe care.

摘要

目的

描述医疗保健专业人员对患者安全的看法,重点关注与分娩相关的女性。

设计

描述性和定性设计,采用现象学方法。

方法

在瑞典的三个产房进行了 19 名医疗保健专业人员(助产士、护理助理和医生)的个人定性面对面访谈。数据根据 Dahlgren 和 Fallsberg 的七个步骤进行分析。

结果

确定了受访者对女性患者安全的四种不同的定性描述类别:(1)对女性的信任;(2)支持性护理;(3)避免不必要的干预;(4)合理的工作量。对女性的信任和支持性护理以及倾听女性的意见对于患者安全至关重要。遵循分娩阶段和避免不必要的干预至关重要。医护人员之间开放和宽容的氛围有助于决策,合理的工作量对于确保安全护理至关重要。

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