“我们知道这不好，但我们受到限制”：加纳北部紧急产科和新生儿护理质量研究
"We know it is not good, but we are constrained": A study on quality of emergency obstetric and newborn care in Northern Ghana.
作者信息
Ayawine Alice, Atinga Roger A
机构信息
School of Public Health and Allied Sciences, Catholic University of Ghana, Fiapre-Sunyani, Ghana.
Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana.
出版信息
Heliyon. 2023 Apr 5;9(4):e15250. doi: 10.1016/j.heliyon.2023.e15250. eCollection 2023 Apr.
OBJECTIVE
To explore the quality of emergency obstetric and newborn care provided to newly delivered women in rural Ghana.
METHODS
A multiple case study design, involving in-depth face to face interviews, was deployed to draw evidence from essential health providers, clients and caretakers. Data were further derived from non-participant observation by means of an observation guide and analysis of physical artifacts using the room-by-room walk-through tool. Data analysis followed Yin's five phase process to case study analysis.
RESULTS
Quality of care was compromised by non-adherence to standard practices, inadequate monitoring, crude treatment procedures, lack of basic care needs and poor health providers' relational behaviours. Limited supplies of drugs, equipment and essential care providers further weakened the provision of quality emergency obstetric and newborn care.
CONCLUSION
Inadequate supply of essential logistics and skill gaps on the part of health providers in some maternal and newborn care components adversely produced poor maternal and neonatal outcomes in rural Ghana. Elements of disrespectful care for women suggest violations of their rights in the maternal and newborn care encounter.
目的
探讨加纳农村地区为刚分娩妇女提供的产科急诊和新生儿护理质量。
方法
采用多案例研究设计，通过深入面对面访谈，从基本医疗服务提供者、服务对象和护理人员处获取证据。数据还通过观察指南进行非参与式观察以及使用逐室巡查工具对实物进行分析得出。数据分析遵循尹氏案例研究分析的五个阶段流程。
结果
不遵守标准操作规范、监测不足、治疗程序粗糙、基本护理需求缺乏以及医疗服务提供者关系行为不佳，均影响了护理质量。药品、设备供应有限以及基本医疗服务提供者短缺，进一步削弱了产科急诊和新生儿护理质量的提供。
结论
在加纳农村地区，基本后勤供应不足以及医疗服务提供者在一些孕产妇和新生儿护理环节存在技能差距，对孕产妇和新生儿结局产生了不利影响。对妇女不尊重的护理因素表明，在孕产妇和新生儿护理过程中侵犯了她们的权利。
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