School of Nursing and Midwifery, University College, Cork, Ireland.
School of Nursing and Midwifery, Western Sydney University, Sydney, Australia.
J Clin Nurs. 2023 Jul;32(13-14):3378-3396. doi: 10.1111/jocn.16460. Epub 2022 Jul 27.
The aim of this study was to explore fathers' perceptions and experiences of support in the perinatal period. Change in society has seen the increased visibility of fathers being involved during pregnancy and engaging in their infants' lives and the expectation and benefits of men playing an equal and direct role in caring for their children. However, less is known about the nature of support that fathers require to facilitate this role transition.
A scoping review was conducted in accordance with Arksey and O'Malley's six-step scoping review framework and the PRISMA-ScR guidelines.
A systematic search of CINAHL Plus, MEDLINE, the Cochrane Library, PsycARTICLES, PsycINFO, Psychology, Soc INDEX and Behavioural Sciences Collections databases for qualitative or mixed methods studies with qualitative data was undertaken. Qualitative data were extracted from original studies for coding and theme generation. Thematic synthesis was employed for the final stages of analysis.
Overall, 23 papers were included. Men desired to fulfil their rite of passage to be an involved father to their child. This transitional process commenced with men articulating their commitment to creating a role as an involved father and to be a role model for their children. Becoming a father is seen as having a significant status in society which contributes to their self-efficacy as fathers.
Fathers require support from all levels of the 'ecosystem' including policy, socio-cultural and workplace changes as well as recognition and support from partners, family, peers and in particular from health service providers. Developing the parenting partnership requires a co-production approach and commitment at macro, meso and micro levels.
Supporting men to be engaged fathers requires policy, socio-cultural and workplace changes; however, maternity services and particularly midwives have an important role in this change.
本研究旨在探讨父亲在围产期的支持感知和体验。社会的变化使得父亲在怀孕期间更加引人注目，参与到婴儿的生活中，人们期望并认为男性应该在照顾孩子方面发挥平等和直接的作用。然而，对于父亲在这一角色转变中所需的支持性质了解较少。
根据 Arksey 和 O'Malley 的六步式范围综述框架和 PRISMA-ScR 指南进行了范围综述。
对 CINAHL Plus、MEDLINE、Cochrane 图书馆、PsycARTICLES、PsycINFO、Psychology、Soc INDEX 和行为科学收藏数据库进行了系统检索，以获取包含定性或混合方法研究的定性数据的研究。从原始研究中提取定性数据进行编码和主题生成。采用主题综合法进行分析的最后阶段。
总共纳入了 23 篇论文。男性希望完成成为参与孩子的父亲的仪式。这一过渡过程始于男性表达对创造参与父亲角色的承诺，并成为孩子的榜样。成为父亲在社会中被视为具有重要地位，这有助于他们作为父亲的自我效能感。
父亲需要来自“生态系统”各个层面的支持，包括政策、社会文化和工作场所的变化，以及来自伴侣、家庭、同龄人、特别是卫生服务提供者的认可和支持。发展育儿伙伴关系需要在宏观、中观和微观层面采用共同生产方法和承诺。
支持男性成为参与的父亲需要政策、社会文化和工作场所的变化；然而，产妇服务，特别是助产士在这一变化中起着重要的作用。
