George Washington University, Washington, DC, USA.
White Ribbon Alliance, Washington, DC, USA.
Glob Health Sci Pract. 2022 Feb 28;10(1). doi: 10.9745/GHSP-D-21-00292.
As the respectful maternity care agenda expands, it is necessary to understand what the priorities are for improving respectful, dignified, and high-quality care for newborns. To catalyze and inform a developing research field, we undertook a prioritization exercise to identify global research questions.
We used a modified Delphi process to identify potential research priorities for understanding and addressing respectful care for newborns. Based on a literature review and expert discussions, we sent an open-ended questionnaire to participants in Round 1. The results were consolidated and used to create the Round 2 questionnaire, which asked participants to rank the preliminary list of research questions in 3 categories (descriptive, implementation, and measurement). Responses were weighted by rank and collated to generate a prioritized, consensus-based list of research questions.
Round 1 resulted in 70 research questions from 25 respondents, and 52 participants completed the Round 2 ranked survey. Most participants identified themselves as researchers (53.2%), program designers, implementers, or evaluators (56.5%). More than half of the participants reported working primarily in low-income countries (66%). Top descriptive questions were on understanding manifestations and definitions of disrespectful care among newborns and which perceptions and beliefs held by health workers affect the quality of care provided. Top implementation questions were around how to promote respectful care as a standard, challenges faced by health facilities, and identification of effective advocacy strategies. Top measurement questions were on quantitative and qualitative metrics and the impact of experiences on health outcomes.
This study developed, for the first time, a prioritized list of research questions focusing exclusively on respectful care for newborns. The study highlighted the absence of agreed-upon terminology and tools needed to advance both theoretical and practical efforts. This list should guide researchers and other stakeholders in developing further research.
随着尊重产妇护理议程的扩大，有必要了解改善新生儿尊重、有尊严和高质量护理的优先事项。为了促进和为一个不断发展的研究领域提供信息，我们进行了一次优先排序活动，以确定全球研究问题。
我们使用改良德尔菲法来确定理解和解决新生儿尊重问题的全球研究优先事项。我们根据文献回顾和专家讨论，在第一轮向参与者发送了一份开放式问卷。结果进行了整合，并用于创建第二轮问卷，要求参与者在 3 个类别（描述性、实施性和测量性）中对初步研究问题清单进行排名。响应按排名加权并汇总，生成基于共识的优先研究问题清单。
第一轮从 25 位受访者中产生了 70 个研究问题，52 位参与者完成了第二轮排名调查。大多数参与者将自己确定为研究人员（53.2%）、方案设计者、实施者或评估者（56.5%）。超过一半的参与者报告主要在低收入国家工作（66%）。描述性问题主要集中在理解新生儿中不尊重护理的表现和定义，以及卫生工作者持有的哪些观念和信念影响提供的护理质量。实施方面的首要问题是如何将尊重护理作为一项标准来推广、卫生机构面临的挑战以及确定有效的宣传策略。测量方面的首要问题是关于定量和定性指标以及经验对健康结果的影响。
本研究首次制定了一项专注于新生儿尊重护理的优先研究问题清单。该研究强调了在推进理论和实践工作方面缺乏商定的术语和工具。这份清单应指导研究人员和其他利益相关者进一步开展研究。
