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改善孕产保健中家长信息的共同设计方法的挑战和可行性。

Challenges and Feasibility of Co-Design Methods for Improving Parent Information in Maternity Care.

机构信息

Mater Health, Mater Misericordiae Limited, Newstead, QLD 4006, Australia.

Queensland Centre for Evidence Based Nursing and Midwifery: A Joanna Briggs Centre of Excellence, Mater Health, Newstead, QLD 4006, Australia.

出版信息

Int J Environ Res Public Health. 2022 Mar 22;19(7):3764. doi: 10.3390/ijerph19073764.

Abstract

This study explored the feasibility of using experience-based co-design methods (EBCD), based on participatory action principles, to improve service delivery regarding parent information needs within a metropolitan postnatal maternity unit. Data were collected from January 2018 to March 2019 from parents and staff using surveys, video interviews, a focus group and ward observations of episodes where parents were provided information. Participants included postnatal mothers who had recently given birth, their partners and hospital staff. Survey results ( = 31) were positive regarding content and satisfaction with information delivery. Data from the staff focus group (seven participants) and in-depth video interviews with mothers ( = 4) identified common themes, including challenges to information delivery due to time pressures, the value of breastfeeding advice and environmental influences. Overall, parents were satisfied with the information delivered; however, inconsistencies were present, with time pressures and other environmental factors reported as influencing the process. Staff and parents both identified the amount of content being delivered in such a short time frame as a major challenge and tailoring information was difficult due to individual experiences and circumstances. Additional resources or alternative methods are suggested for conducting future studies to capture patient experience within a similar busy hospital setting.

摘要

本研究探索了基于参与行动原则的基于经验的共同设计方法(EBCD)在改善大都市产后产妇单位中父母信息需求服务提供方面的可行性。 2018 年 1 月至 2019 年 3 月,从父母和工作人员那里收集了使用调查,视频访谈,焦点小组和病房观察提供信息的情况的数据。参与者包括最近分娩的产后母亲,其伴侣和医院工作人员。调查结果(= 31)对信息传递的内容和满意度均呈积极态度。来自工作人员焦点小组(7 名参与者)和对母亲的深入视频访谈(= 4)的数据确定了共同的主题,包括由于时间压力而导致信息传递的挑战,母乳喂养建议的价值以及环境影响。总体而言,父母对所提供的信息感到满意。但是,也存在不一致的情况,据报道,时间压力和其他环境因素会影响该过程。工作人员和父母都认为在如此短的时间内传递大量信息是一个主要挑战,并且由于个人经历和情况,量身定制信息很困难。建议在类似繁忙的医院环境中进行未来的研究以获取患者体验时使用其他资源或替代方法。

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Research co-design in health: a rapid overview of reviews.健康领域的研究共同设计:综述快速概览。
Health Res Policy Syst. 2020 Feb 11;18(1):17. doi: 10.1186/s12961-020-0528-9.
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Patient Satisfaction With Postpartum Teaching Methods.患者对产后教学方法的满意度。
J Perinat Educ. 2016;25(2):129-36. doi: 10.1891/1058-1243.25.2.129.

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