挪威产后早期护理服务组织变革中医护人员的经历：一项定性研究。
Midwives' experiences of an organizational change in early postpartum care services in Norway: A qualitative study.
作者信息
Levorstad Trude, Saue May-Sissel, Nilsen Anne Britt V, Vik Eline S
机构信息
Department of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
出版信息
Eur J Midwifery. 2022 Apr 19;6:24. doi: 10.18332/ejm/147746. eCollection 2022.
INTRODUCTION
The length of postpartum hospital stays is decreasing internationally. The ongoing organizational change from hospital to home-based postpartum care implies the promotion of family-centered care for healthy women, their babies and families. The aim of the study was to explore midwives' experiences of an organizational change in early postpartum care services from hospital to home-based care in Norway.
METHODS
Ten midwives participated in two separate focus-group interviews. Systematic Text Condensation (STC) was the method used to analyze the data.
RESULTS
The midwives in the current study described that the organizational change in early postpartum care services from hospital to home-based care was characterized by: 1) unclear leadership, 2) increased continuity of care and professional growth, and 3) the midwives being solution-oriented.
CONCLUSIONS
The midwives had both positive and negative experiences of an organizational change in early postpartum care services from hospital to home-based care in Norway. The study indicates a need for increased resources, training in new tasks and employees being more included when changes in midwifery practice are planned and implemented. The current study contributes knowledge of relevance to those planning to start home-based postpartum care, which may contribute to improving quality of care, employees' satisfaction and prevent burnout.
引言
产后住院时间在国际上正在缩短。从医院产后护理向家庭产后护理的持续组织变革意味着要促进以家庭为中心的护理，为健康的产妇、她们的婴儿和家庭提供服务。本研究的目的是探讨挪威助产士对产后早期护理服务从医院护理转变为家庭护理这一组织变革的体验。
方法
10名助产士参与了两次单独的焦点小组访谈。采用系统文本浓缩法（STC）对数据进行分析。
结果
本研究中的助产士描述说，产后早期护理服务从医院护理转变为家庭护理的组织变革具有以下特点：1）领导不明确；2）护理连续性增加和专业成长；3）助产士以解决问题为导向。
结论
挪威助产士对产后早期护理服务从医院护理转变为家庭护理的组织变革既有积极体验，也有消极体验。该研究表明，在规划和实施助产实践变革时，需要增加资源、开展新任务培训并更多地纳入员工。本研究为那些计划开展家庭产后护理的人提供了相关知识，这可能有助于提高护理质量、员工满意度并预防职业倦怠。
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