加纳一家三级保健机构助产士对尊重产妇护理的认识及其作用：一项定性研究。

Charge midwives' awareness of and their role in promoting respectful maternity care at a tertiary health facility in Ghana: A qualitative study.

机构信息

Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

PLoS One. 2023 May 15;18(5):e0284326. doi: 10.1371/journal.pone.0284326. eCollection 2023.

DOI:10.1371/journal.pone.0284326

PMID:37186643

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10184897/

Abstract

BACKGROUND

Evidence suggests that the implementation of respectful maternity care (RMC) interventions is one of the surest and most effective means of minimising mistreatment during intrapartum care services. However, to ensure the successful implementation of RMC interventions, maternity care providers would have to be aware of RMC, its relevance, and their role in promoting RMC. We explored the awareness and role of charge midwives in promoting RMC at a tertiary health facility in Ghana.

METHODS

The study adopted an exploratory descriptive qualitative study design. We conducted nine interviews with charge midwives. All audio data were transcribed verbatim and exported to NVivo-12 for data management and analyses.

RESULTS

The study revealed that charge midwives are aware of RMC. Specifically, ward-in-charges perceived RMC as consisting of showing dignity, respect, and privacy, as well as providing women-centred care. Our findings showed that the roles of ward-in-charges included training midwives on RMC and leading by example, showing empathy and establishing friendly relationships with clients, receiving and addressing clients' concerns, and monitoring and supervising midwives.

CONCLUSION

We conclude that charge midwives have an important role to play in promoting RMC, which transcends simply providing maternity care. Policymakers and healthcare managers should ensure that charge midwives receive adequate and regular training on RMC. This training should be comprehensive, covering aspects such as effective communication, privacy and confidentiality, informed consent, and women-centred care. The study also underscores a need for policymakers and health facility managers to prioritise the provision of resources and support for the implementation of RMC policies and guidelines in all healthcare facilities. This will ensure that healthcare providers have the necessary tools and resources to provide RMC to clients.

摘要

背景

有证据表明，实施尊重产妇护理（RMC）干预措施是减少分娩期间服务中虐待行为的最可靠和最有效的方法之一。然而，为了确保成功实施 RMC 干预措施，产妇护理提供者必须了解 RMC、其相关性以及他们在促进 RMC 方面的作用。我们在加纳的一家三级保健机构探索了护士长在促进 RMC 方面的意识和作用。

方法

本研究采用探索性描述性定性研究设计。我们对护士长进行了九次访谈。所有音频数据均逐字转录并导出到 NVivo-12 进行数据管理和分析。

结果

研究表明，护士长意识到 RMC。具体来说，病房负责人认为 RMC 包括表现出尊严、尊重和隐私，以及提供以妇女为中心的护理。我们的研究结果表明，病房负责人的角色包括对 RMC 进行培训和以身作则，表现出同理心并与客户建立友好关系，接收和解决客户的问题，并监督和监督助产士。

结论

我们的结论是，护士长在促进 RMC 方面发挥着重要作用，这超越了简单地提供产妇护理。政策制定者和医疗保健管理人员应确保护士长接受关于 RMC 的充分和定期培训。培训应全面，涵盖有效沟通、隐私和保密、知情同意和以妇女为中心的护理等方面。该研究还强调了政策制定者和卫生机构管理人员需要优先为所有医疗保健机构实施 RMC 政策和准则提供资源和支持。这将确保医疗保健提供者拥有提供 RMC 给客户所需的必要工具和资源。