School of Public Health, University of Adelaide, Adelaide, South Australia 5005, Australia.
School of Public Health, University of Adelaide, Adelaide, South Australia 5005, Australia; Discipline of General Practice, University of Adelaide, Adelaide, South Australia 5005, Australia.
Women Birth. 2023 Feb;36(1):89-98. doi: 10.1016/j.wombi.2022.03.005. Epub 2022 Mar 23.
The majority of South Australian pregnant women who smoke do not quit during pregnancy. Additionally, the prevalence of smoking is higher among pregnant women living in socially disadvantaged areas.
Understanding challenges in midwives' provision of smoking cessation care can elucidate opportunities to facilitate women's smoking cessation.
We aimed to understand midwives' perspectives on current practices, perceived barriers and facilitators to delivery of smoking cessation care, and potential improvements to models of smoking cessation care.
An exploratory qualitative research methodology and thematic analysis was used to understand the perspectives of midwives in five focus groups.
Four themes were generated from the data on how midwives perceived their ability to provide smoking cessation care: Tensions between providing smoking cessation care and maternal care; Organisational barriers in the delivery of smoking cessation care; Scepticism and doubt in the provision of smoking cessation care; and Opportunities to enable midwives' ability to provide smoking cessation care.
A combination of interpersonal, organisational and individual barriers impeded on midwives' capacities to approach, follow-up and prioritise smoking cessation care. Working with women living with disadvantage and high rates of smoking, the midwife's role was challenging as it balanced delivering smoking cessation care without jeopardising antenatal care.
Providing midwives with resources and skills may alleviate the sense of futility that surrounds smoking cessation care. Provision of routine training and education could also improve understandings of the current practice guidelines.
大多数南澳大利亚的孕妇在怀孕期间都没有戒烟。此外，生活在社会劣势地区的孕妇吸烟率更高。
了解助产士在提供戒烟护理方面的挑战可以阐明促进妇女戒烟的机会。
我们旨在了解助产士对当前实践、提供戒烟护理的感知障碍和促进因素，以及改善戒烟护理模式的潜力。
采用探索性定性研究方法和主题分析，了解了五组焦点小组中助产士的观点。
数据产生了四个主题，说明助产士如何看待他们提供戒烟护理的能力：提供戒烟护理和产妇护理之间的紧张关系；提供戒烟护理的组织障碍；在提供戒烟护理方面的怀疑和怀疑；以及为助产士提供戒烟护理能力创造机会。
人际、组织和个人障碍的结合，阻碍了助产士接近、跟进和优先考虑戒烟护理的能力。与生活在劣势和吸烟率高的妇女一起工作，助产士的角色具有挑战性，因为它平衡了提供戒烟护理，而不会危及产前护理。
为助产士提供资源和技能可能会减轻围绕戒烟护理的徒劳感。常规培训和教育的提供也可以提高对当前实践指南的理解。
