Centenary Hospital for Women and Children, and University of Canberra, Faculty of Health, 11 Kirinari St, Bruce, ACT 2617, Australia.
ACT Government Health Directorate and University of Canberra, Faculty of Health, 11 Kirinari St, Bruce, ACT 2617, Australia.
Women Birth. 2021 Nov;34(6):e624-e630. doi: 10.1016/j.wombi.2020.12.007. Epub 2020 Dec 30.
Many maternity services in Australia offer women a variety of models of care including midwife led models. Childbearing women, however, need to understand the differences between these models if they are to make an informed decision about their choice of care. Decision Aids (DA) help people decide when there is not a single best option and the best decision will be based upon the values of the decision maker. There is no current tool that focuses on the choice of midwife led vs other models of maternity care.
This research aimed to develop, and pilot test a Decision Aid focusing on the choice between midwife led and standard models of maternity care.
The DA was developed using the International Patient Decision Aid Standards and pilot tested for acceptability with a group of clinicians who provide antenatal care in one jurisdiction in Australia. A posttest only study was conducted assessing knowledge, acceptability and decisional conflict, with a group of women of childbearing age living in the jurisdiction.
A DA was developed and pilot acceptability testing with 14 women and 13 clinicians of Australian Capital Territory (ACT) health demonstrated its acceptability and highlighting areas for further development.
Some revisions may be needed to address issues of balance and bias toward midwife-led care identified by some recipients.
Pilot acceptability testing with women and staff of ACT health provides a steppingstone to further research, development and evaluation of this DA.
澳大利亚的许多孕产服务机构为女性提供了各种护理模式,包括助产士主导的模式。然而,如果产妇要对自己的护理选择做出明智的决定,就需要了解这些模式之间的差异。决策辅助工具(DA)可以帮助人们在没有单一最佳选择的情况下做出决策,并且最佳决策将基于决策者的价值观。目前没有专门针对选择助产士主导模式与其他孕产护理模式的工具。
本研究旨在开发并试点测试一款专注于选择助产士主导模式与标准孕产护理模式的决策辅助工具。
该决策辅助工具是使用国际患者决策辅助工具标准开发的,并在澳大利亚一个司法管辖区提供产前护理的一组临床医生中进行了试点测试,以评估其可接受性。随后进行了一项仅有后测的研究,评估了知识、可接受性和决策冲突,参与者为该司法管辖区的育龄女性。
在澳大利亚首都领地(ACT)卫生部门的 14 名女性和 13 名临床医生中进行了决策辅助工具的开发和试点测试,证明了其可接受性,并突出了进一步开发的领域。
一些修订可能需要解决一些接受者认为的平衡和对助产士主导护理的偏见问题。
在 ACT 卫生部门的女性和工作人员中进行的试点测试为进一步的研究、开发和评估该决策辅助工具提供了一个契机。