Dixon Lesley, Daellenbach Shanti, Anderson Jacqui, Neely Eva, Nisa-Waller Arianna, Lockwood Sarah
New Zealand College of Midwives, Christchurch Office, PO Box 21 -106, Christchurch 8140, New Zealand; New Zealand College of Midwives| Te Kāreti o ngā Kaiwhakawhānau ki Aotearoa, New Zealand.
New Zealand College of Midwives| Te Kāreti o ngā Kaiwhakawhānau ki Aotearoa, New Zealand.
Women Birth. 2023 Nov;36(6):e669-e675. doi: 10.1016/j.wombi.2023.06.008. Epub 2023 Jul 6.
PROBLEM/BACKGROUND: Respectful woman-centred care is an expectation of the Midwifery Standards of Practice within Aotearoa New Zealand. With both the national and international expectations identifying human rights as a priority in maternity care. Mistreatment can be experienced by women in all socio-political contexts. Identifying women's experiences of their maternity service is vital when assessing the quality of these services.
To explore women's experiences of continuity of midwifery care in Aotearoa NZ, whether they support the expectations within the Standards of Midwifery Practice and identify the characteristics of care that may contribute to positive or negative experiences of care.
A retrospective analysis of women's formal online feedback to their midwife using a mixed method design. Feedback forms received from the 1st January 2019 to the 31st December 2019 were analysed using descriptive statistics with free text thematically analysed.
A total of 7749 feedback forms were received demonstrating high levels of satisfaction overall. Three overlapping themes were identified as being central to both positive and negative feedback. Building a positive relationship involved three steps. These were the establishment and maintenance of trust, honouring decisions and empowerment. Overall, the existence of these relationship characteristics contributed to a valued woman-midwife relationship. Women who gave negative feedback identified a lack of trust and a failure to honour decisions which led to women feeling disempowered contributing to a lack of being valued in the relationship.
Continuity of care in Aotearoa NZ supports the development of a respectful partnership through trust, honouring decisions and empowerment.
问题/背景：以尊重女性为中心的护理是新西兰助产士执业标准的一项要求。无论是国内还是国际，都期望将人权作为孕产妇护理的优先事项。在所有社会政治背景下，女性都可能遭受虐待。在评估这些服务的质量时，了解女性对其孕产妇服务的体验至关重要。
探讨新西兰女性对助产士连续性护理的体验，她们是否支持助产士执业标准中的期望，并确定可能导致护理积极或消极体验的护理特征。
采用混合方法设计，对女性向其助产士提供的正式在线反馈进行回顾性分析。对2019年1月1日至2019年12月31日收到的反馈表进行描述性统计分析，并对自由文本进行主题分析。
共收到7749份反馈表，总体满意度较高。确定了三个重叠的主题，它们是积极和消极反馈的核心。建立积极的关系包括三个步骤。即建立和维持信任、尊重决定和赋予权力。总体而言，这些关系特征的存在有助于建立有价值的女性与助产士关系。给出负面反馈的女性指出缺乏信任和未能尊重决定，这导致女性感到无权，从而在关系中缺乏被重视的感觉。
新西兰的连续性护理通过信任、尊重决定和赋予权力，支持建立相互尊重的伙伴关系。
