City, University of London, London, UK.
Reprod Health. 2021 Sep 7;18(1):180. doi: 10.1186/s12978-021-01200-0.
Group antenatal care is a rapidly expanding alternative antenatal care delivery model. Research has shown it to be a safe and effective care model for women, but less is known about the perspectives of the providers leading this care. This systematic review examined published literature that considered health care professionals' experiences of facilitating group antenatal care.
Systematic searches were conducted in seven databases (Cinahl, Medline, Psychinfo, Embase, Ovid Emcare, Global Health and MIDRS) in April 2020. Qualitative or mixed methods studies with a significant qualitative component were eligible for inclusion if they included a focus on the experiences of health care providers who had facilitated group antenatal care. Prisma screening guidelines were followed and study quality was critically appraised by three independent reviewers. The findings were synthesised thematically.
Nineteen papers from nine countries were included. Three main themes emerged within provider experiences of group antenatal care. The first theme, 'Giving women the care providers feel they want and need', addresses richer use of time, more personal care, more support, and continuity of care. The second theme, 'Building skills and relationships', highlights autonomy, role development and hierarchy dissolution. The final theme, 'Value proposition of group antenatal care', discusses provider investment and workload.
Health care providers' experience of delivering group antenatal care was positive overall. Opportunities to deliver high-quality care that benefits women and allows providers to develop their professional role were appreciated. Questions about the providers' perspectives on workload, task shifting, and the structural changes needed to support the sustainability of group antenatal care warrant further exploration.
小组产前护理是一种迅速发展的替代产前护理模式。研究表明，它是一种安全有效的妇女护理模式，但对于提供这种护理的提供者的观点知之甚少。本系统评价审查了考虑医疗保健专业人员促进小组产前护理的经验的已发表文献。
2020 年 4 月，在七个数据库（CINHAL、Medline、Psychinfo、Embase、Ovid Emcare、全球健康和 MIDRS）中进行了系统搜索。如果定性或混合方法研究具有重要的定性部分，并且包括关注促进小组产前护理的医疗保健提供者的经验，则符合纳入标准。遵循了 Prisma 筛选指南，由三名独立审稿人对研究质量进行了严格评估。研究结果通过主题进行了综合分析。
从九个国家的十九篇论文中纳入。提供者在小组产前护理方面的经验中出现了三个主要主题。第一个主题是“为女性提供护理提供者认为她们想要和需要的护理”，涉及更充分地利用时间、更多的个人护理、更多的支持和护理的连续性。第二个主题是“建立技能和关系”，强调自主权、角色发展和等级制度的消解。最后一个主题是“小组产前护理的价值主张”，讨论了提供者的投资和工作量。
医疗保健提供者提供小组产前护理的总体经验是积极的。提供高质量护理的机会使女性受益，并使提供者能够发展其专业角色，这一点受到赞赏。关于提供者对工作量、任务转移以及支持小组产前护理可持续性所需的结构变化的看法的问题值得进一步探讨。
