LGBTQI+ 父母在婴儿喂养选择方面的医疗保健支持和决策体验如何？一项扎根理论研究。
What are LGBTQI+ parental experiences of healthcare support and decision-making regarding infant feeding options? A grounded theory study.
机构信息
University of Rochester Medical Center, Department of Pediatrics, Rochester, NY, USA.
Nationwide Children's Hospital, Department of Pediatrics, Columbus, OH, USA.
出版信息
J Perinatol. 2022 Aug;42(8):1083-1090. doi: 10.1038/s41372-021-01259-4. Epub 2021 Nov 1.
OBJECTIVE
To explore LGBTQI+ parental experiences regarding their interactions with healthcare professionals as a resource for feeding options during the prenatal-to-neonatal period.
STUDY DESIGN
This single-center, interview-based qualitative study of LGBTQI+ parents utilized grounded theory to identify and verify emergent themes and subthemes. We developed a conceptual framework to illustrate relationships among themes and subthemes, as well as opportunities for healthcare professionals and families to improve LGBTQI+ parental support.
RESULTS
Thematic saturation was attained after interviewing 21 parents from 12 families. Analyses revealed four main themes representing opportunities for improvement: education, continuity of care, parental engagement and open communication. Personal and interpersonal factors influenced parental experiences and decisions, which shaped ultimate feeding outcomes.
CONCLUSIONS
LGBTQI+ parents revealed challenges of establishing feeding practices that best aligned with their values and goals. Recognizing these factors can help healthcare professionals improve their counseling, engagement and support of LGBTQI+ parents.
目的
探讨 LGBTQI+ 父母在与医疗保健专业人员互动方面的经验，以此作为产前至新生儿期喂养选择的资源。
研究设计
本单中心、基于访谈的 LGBTQI+ 父母定性研究采用扎根理论来确定和验证新兴主题和子主题。我们制定了一个概念框架，以说明主题和子主题之间的关系，以及医疗保健专业人员和家庭改善 LGBTQI+ 父母支持的机会。
结果
对来自 12 个家庭的 21 名父母进行访谈后达到了主题饱和。分析显示了四个主要主题，代表了改进的机会：教育、护理连续性、父母参与和开放沟通。个人和人际因素影响了父母的经验和决策，从而塑造了最终的喂养结果。
结论
LGBTQI+ 父母揭示了在建立最符合其价值观和目标的喂养实践方面的挑战。认识到这些因素可以帮助医疗保健专业人员改善他们对 LGBTQI+ 父母的咨询、参与和支持。
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