Centre for Health Technology and Services Research (CINTESIS@RISE), University of Porto, Porto, Portugal
Universidade Católica Portuguesa, Faculty of Education and Psychology, Research Centre for Human Development, Porto, Portugal.
BMJ Open. 2023 Jun 19;13(6):e066627. doi: 10.1136/bmjopen-2022-066627.
To explore the experiences, needs and preferences of a group of parents regarding the parenting support received during prenatal and well-child care in the Portuguese National Health Service.
We undertook descriptive-interpretive qualitative research running multiple focus groups in Porto, Northern Portugal.
PARTICIPANTS, DATA COLLECTION AND ANALYSIS: Purposive sampling was used between April and November 2018. Focus groups were conducted with 11 parents of a 0-3 years old with well-child visits done in primary care units. Thematic analysis was performed in a broadly inductive coding strategy and findings are reported in accordance with Consolidated Criteria for Reporting Qualitative Research guidelines.
Three main themes were identified to describe parents' experience when participating in their children's healthcare: (1) logistics/delivery matter, including accessibility, organisation and provision of healthcare activities, unit setting and available equipment; (2) prenatal and well-child care: a relational place to communicate, with parents valuing a tripartite space for the baby, the family and the parent himself, where an available and caring health provider plays a major role and (3) parenting is challenging and looks for support, based on key points for providers to watch for and ask about, carefully explained and consensual among health providers.
This study provides insight into parents' needs and healthcare practices that affect the parenting experience. To meet parents' preferences, sensitive health providers should guarantee a relational place to communicate and person-centredness, accounting for the whole family system to support healthy parenting collaboratively. Future studies are warranted to further strengthen the knowledge in the field of a population-based approach for parenting support.
探索一群葡萄牙父母在葡萄牙国家卫生服务体系中接受产前和儿童保健育儿支持的经历、需求和偏好。
我们在葡萄牙北部的波尔图进行了描述性解释性定性研究,并进行了多次焦点小组讨论。
参与者、数据收集和分析:2018 年 4 月至 11 月期间采用了目的抽样法。在初级保健单位进行了儿童保健访问的 0-3 岁儿童的 11 位父母参加了焦点小组。采用广泛的归纳式编码策略进行主题分析,并根据定性研究报告的综合标准报告研究结果。
为了描述父母参与子女保健时的体验,确定了三个主题:(1)后勤/分娩事项,包括医疗活动的可及性、组织和提供、单位设置和可用设备;(2)产前和儿童保健:一个交流的关系场所,父母重视为婴儿、家庭和父母本人提供三方空间,一个可用和关心的医疗服务提供者在其中发挥主要作用;(3)育儿具有挑战性,寻求支持,基于提供者需要关注和询问的要点,在医疗服务提供者之间仔细解释并达成共识。
本研究深入了解了影响育儿体验的父母需求和医疗实践。为了满足父母的偏好,敏感的医疗服务提供者应确保提供一个交流的关系场所和以患者为中心,考虑整个家庭系统,以协作方式支持健康育儿。需要进一步研究来进一步加强基于人口的育儿支持领域的知识。