卫生保健提供者支持母乳喂养的体验：系统评价定性证据的方案。

Healthcare provider's experiences of supporting breastfeeding: protocol for a systematic review of qualitative evidence.

机构信息

School of Nursing, Lanzhou University, Lanzhou, Gansu, China.

School of Philosophy and Sociology, Lanzhou University, Lanzhou, Gansu, China.

出版信息

BMJ Open. 2022 Apr 8;12(4):e056001. doi: 10.1136/bmjopen-2021-056001.

DOI:10.1136/bmjopen-2021-056001

PMID:35396293

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8996010/

Abstract

INTRODUCTION

Breastfeeding provides various health benefits to both mothers and infants. Despite the efforts that have been made, breastfeeding rates remain lower than recommended worldwide. Healthcare providers often fail to provide the support women need due to various reasons such as lack of time and competency, discontinuity of care and so on. Synthesis of the primary qualitative studies exploring healthcare providers' experience with supporting breastfeeding can provide greater insights into their perceived barriers and facilitators and further provide evidence for the implementation of interventions to improve breastfeeding services.

METHODS AND ANALYSIS

Qualitative studies exploring healthcare providers' experiences with breastfeeding services will be searched in the following databases: PubMed, Embase, CINAHL, Scopus, ProQuest, PsycINFO, the Cochrane Library, Web of Science, China Biology Medicine disc, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, Chinese Wanfang Data, ProQuest Dissertations and Theses, Open Grey collection. Studies reported in English or Chinese and conducted between January 1990 to July 2021 will be included. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research will be used to assess the methodological quality of included studies. The JBI standardised data extraction tools will be used to extract data. The JBI meta-aggregation method will be used to synthesise the data. The synthesised findings will be graded finally according to the ConQual approach to establish confidence. Two authors will independently screen and select the search output, extract data, assess methodological quality and cluster findings. Any disagreements that arise between the two reviewers will be adjudicated by a third reviewer to reach a consensus.

ETHICS AND DISSEMINATION

This review will use published data, so it will not require ethical approval. The findings of this systematic review will be disseminated via an international peer-reviewed journal publication and several scientific conference presentations.

PROSPERO REGISTRATION NUMBER

CRD42021254542.

摘要

引言

母乳喂养为母婴双方提供了多种健康益处。尽管已经做出了各种努力，但全球范围内的母乳喂养率仍然低于建议水平。由于缺乏时间和能力、护理连续性中断等各种原因，医疗保健提供者往往无法为女性提供所需的支持。综合探索医疗保健提供者支持母乳喂养经验的主要定性研究，可以更深入地了解他们所认为的障碍和促进因素，并进一步为实施干预措施以改善母乳喂养服务提供证据。

方法和分析

将在以下数据库中搜索探索医疗保健提供者母乳喂养服务经验的定性研究：PubMed、Embase、CINAHL、Scopus、ProQuest、PsycINFO、Cochrane 图书馆、Web of Science、中国生物医学文献数据库、中国国家知识基础设施、维普数据库、中国万方数据知识服务平台、ProQuest 学位论文全文数据库、Open Grey 收集。纳入的研究报告将使用英文或中文，且研究时间在 1990 年 1 月至 2021 年 7 月之间。将使用 Joanna Briggs 研究所（JBI）定性研究批判性评价清单来评估纳入研究的方法学质量。将使用 JBI 标准化数据提取工具提取数据。将使用 JBI 元综合方法对数据进行综合。最终将根据 ConQual 方法对综合结果进行分级，以建立信心。两位作者将独立筛选和选择搜索结果、提取数据、评估方法学质量和聚类结果。如果两位评审员之间存在分歧，将由第三位评审员进行裁决，以达成共识。