Anderson Gloria, Zega Maurizio, D'Agostino Fabio, Rega Maria Luisa, Colaceci Sofia, Damiani Gianfranco, Alvaro Rosaria, Cocchieri Antonello
J Obstet Gynecol Neonatal Nurs. 2021 Jan;50(1):6-19. doi: 10.1016/j.jogn.2020.10.005. Epub 2020 Nov 17.
To identify and meta-synthesize results of qualitative studies on the needs of women cared for by midwives during childbirth in hospitals.
MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and the Cochrane Library.
We restricted the bibliographic search to articles published in English to July 31, 2020. The initial search yielded 6,407 articles, and after 2,504 duplicates were removed, we screened the titles and abstracts of 3,903 articles. We conducted a full-text review of 89 articles and included 13 qualitative studies about the needs of women who were hospitalized during childbirth and had midwives as their primary maternity care providers.
We extracted data (e.g., authors, publication date, type of study, sample size, results, and quotes) from the full text of each article into a standardized table. Two authors reviewed all articles using the Critical Appraisal Skills Programme tool to assess study quality and to independently score each study.
We analyzed the findings of each study and synthesized them to develop themes. We found 14 major themes that reflected the needs of women during hospitalization for childbirth: Nutrition, Hygiene, Privacy, Information, Bodily Respect, Respect for Social Role, Family Intimacy, Shelter, Pain Management, Partnership, Movement, Reassurance, Support, and Empowerment. We categorized these themes in Maslow's hierarchy of needs to better understand the phenomenon.
We identified 14 needs that midwives and nurses can meet when they care for women in hospitals during childbirth. Standardized methods to assess these needs and to link them to specific interventions can be used by midwives and nurses, which will likely affect women's satisfaction with their experience and overall quality of care.
识别并综合分析关于在医院分娩期间由助产士护理的女性需求的定性研究结果。
医学文献数据库（MEDLINE）、护理及相关健康文献累积索引（CINAHL）、荷兰医学文摘数据库（Embase）和考克兰图书馆。
我们将文献检索限制在截至2020年7月31日发表的英文文章。初步检索得到6407篇文章，去除2504篇重复文章后，我们筛选了3903篇文章的标题和摘要。我们对89篇文章进行了全文审查，纳入了13项关于分娩期间住院且以助产士为主要产科护理提供者的女性需求的定性研究。
我们将每篇文章全文中的数据（如作者、发表日期、研究类型、样本量、结果和引述）提取到一个标准化表格中。两位作者使用批判性评估技能计划工具审查所有文章，以评估研究质量并独立对每项研究进行评分。
我们分析了每项研究的结果并进行综合以形成主题。我们发现了14个主要主题，这些主题反映了女性在分娩住院期间的需求：营养、卫生、隐私、信息、身体尊重、对社会角色的尊重、家庭亲密关系、住所、疼痛管理、伙伴关系、活动、安心、支持和赋权。我们将这些主题归类到马斯洛需求层次理论中，以更好地理解这一现象。
我们确定了助产士和护士在医院护理分娩女性时可以满足的14项需求。助产士和护士可以使用标准化方法来评估这些需求并将其与特定干预措施联系起来，这可能会影响女性对其经历的满意度和整体护理质量。
