Olde Loohuis Klaartje M, de Kok Bregje C, Bruner Winter, Jonker Annemoon, Salia Emmanuella, Tunçalp Özge, Portela Anayda, Mehrtash Hedieh, Grobbee Diederick E, Srofeneyoh Emmanuel, Adu-Bonsaffoh Kwame, Brown Amoakoh Hannah, Amoakoh-Coleman Mary, Browne Joyce L
Julius Global Health, Julius Centre for Health Sciences and Primary Care, UMC Utrecht, Utrecht University, Utrecht, The Netherlands.
Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands.
PLOS Glob Public Health. 2023 Oct 11;3(10):e0002449. doi: 10.1371/journal.pgph.0002449. eCollection 2023.
Effective interpersonal communication is essential to provide respectful and quality maternal and newborn care (MNC). This scoping review mapped, categorized, and analysed strategies implemented to improve interpersonal communication within MNC up to 42 days after birth. Twelve bibliographic databases were searched for quantitative and qualitative studies that evaluated interventions to improve interpersonal communication between health workers and women, their partners or newborns' families. Eligible studies were published in English between January 1st 2000 and July 1st 2020. In addition, communication studies in reproduction related domains in sexual and reproductive health and rights were included. Data extracted included study design, study population, and details of the communication intervention. Communication strategies were analysed and categorized based on existing conceptualizations of communication goals and interpersonal communication processes. A total of 138 articles were included. These reported on 128 strategies to improve interpersonal communication and were conducted in Europe and North America (n = 85), Sub-Saharan Africa (n = 12), Australia and New Zealand (n = 10), Central and Southern Asia (n = 9), Latin America and the Caribbean (n = 6), Northern Africa and Western Asia (n = 4) and Eastern and South-Eastern Asia (n = 2). Strategies addressed three communication goals: facilitating exchange of information (n = 97), creating a good interpersonal relationship (n = 57), and/or enabling the inclusion of women and partners in the decision making (n = 41). Two main approaches to strengthen interpersonal communication were identified: training health workers (n = 74) and using tools (n = 63). Narrative analysis of these interventions led to an update of an existing communication framework. The categorization of different forms of interpersonal communication strategy can inform the design, implementation and evaluation of communication improvement strategies. While most interventions focused on information provision, incorporating other communication goals (building a relationship, inclusion of women and partners in decision making) could further improve the experience of care for women, their partners and the families of newborns.
有效的人际沟通对于提供尊重且高质量的孕产妇和新生儿护理（MNC）至关重要。本范围综述梳理、分类并分析了为改善产后42天内孕产妇和新生儿护理中的人际沟通而实施的策略。检索了12个文献数据库，查找评估改善卫生工作者与妇女、其伴侣或新生儿家庭之间人际沟通干预措施的定量和定性研究。符合条件的研究于2000年1月1日至2020年7月1日期间以英文发表。此外，还纳入了性与生殖健康及权利领域中与生殖相关领域的沟通研究。提取的数据包括研究设计、研究人群以及沟通干预的详细信息。根据现有的沟通目标和人际沟通过程概念化对沟通策略进行分析和分类。共纳入138篇文章。这些文章报告了128项改善人际沟通的策略，研究在欧洲和北美（n = 85）、撒哈拉以南非洲（n = 12）、澳大利亚和新西兰（n = 10）、中亚和南亚（n = 9）、拉丁美洲和加勒比地区（n = 6）、北非和西亚（n = 4）以及东亚和东南亚（n = 2）开展。策略涉及三个沟通目标：促进信息交流（n = 97）、建立良好的人际关系（n = 57）和/或使妇女及其伴侣能够参与决策（n = 41）。确定了加强人际沟通的两种主要方法：培训卫生工作者（n = 74）和使用工具（n = 63）。对这些干预措施的叙事分析导致对现有沟通框架进行了更新。不同形式的人际沟通策略分类可为沟通改善策略的设计、实施和评估提供参考。虽然大多数干预措施侧重于信息提供，但纳入其他沟通目标（建立关系、让妇女及其伴侣参与决策）可以进一步改善妇女、其伴侣和新生儿家庭的护理体验。
