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BMC Pregnancy Childbirth. 2020 May 19;20(1):304. doi: 10.1186/s12884-020-03001-y.
Although compassion is considered to be of prime importance in nursing and midwifery, there is no clear understanding of what compassionate care in childbirth entails, and how midwives perceive compassionate care is largely unknown. This study accordingly seeks to describe the characteristics, of compassionate care during childbirth as perceived by midwives.
A qualitative descriptive inquiry was undertaken with a voluntary online survey, where participants were recruited via snowball sampling on the social networking site, Facebook. The participants were midwives, and the unit of analysis was the received responses. Participants reported on instances of compassionate care during childbirth. The data was thematically analysed using Tesch's eight steps to identify common themes.
Ninety-eight responses were analysed and three themes with eight sub-themes emerged as dominant characteristics. Themes and sub-themes were as follows: making meaningful connections with women (displaying good interpersonal skills, conduct based on dignity and respect, establishing trust); initiating individualised understanding of each woman (showing empathy, permitting maternal choice) and action through care and support (providing emotional support, assistance through instrumental care, continuous informational support).
In seeking to determine what characterises compassionate care in childbirth, the findings reveal a process of making meaningful connections with women through recognising their needs, initiating individualised understanding of each woman's needs and desiring to ease it, which is subsequently manifested in action through emotional, instrumental and informational care and support. A better understanding of how midwives perceive compassionate care could potentially improve the quality of care midwives offer during childbirth.
尽管同情被认为是护理和助产学的首要任务，但人们并不清楚分娩中的同情护理意味着什么，以及助产士如何看待同情护理在很大程度上是未知的。因此，本研究旨在描述助产士对分娩中同情护理的特征。
采用定性描述性研究方法，通过社交网站 Facebook 上的雪球抽样进行自愿在线调查，参与者为助产士，分析单位为收到的回复。参与者报告了分娩过程中的同情护理情况。使用 Tesch 的八个步骤对数据进行主题分析，以确定常见主题。
分析了 98 份回复，出现了三个主题和八个子主题，这些主题和子主题是主要特征。主题和子主题如下：与妇女建立有意义的联系（展示良好的人际交往技巧、基于尊严和尊重的行为、建立信任）；对每个妇女的个体需求进行个体化理解（表现出同理心，允许产妇选择）并通过护理和支持采取行动（提供情感支持、通过器械护理提供帮助、持续提供信息支持）。
为了确定分娩中同情护理的特征，研究结果揭示了一种通过识别妇女的需求、对每个妇女的需求进行个体化理解并渴望减轻这些需求的方式与妇女建立有意义联系的过程，这随后通过情感、器械和信息护理和支持的行动表现出来。更好地理解助产士如何看待同情护理，可能会提高助产士在分娩期间提供的护理质量。
