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成为关爱新家庭的“勇士”:护士对市政产后保健看法的元民族志研究

Being a "Warrior" to Care for the New Family: A Meta-ethnography of Nurses' Perspectives on Municipal Postnatal Healthcare.

作者信息

Høgmo Bente Kristin, Alstveit Marit, Bondas Terese

机构信息

University of Stavanger, Norway.

出版信息

Glob Qual Nurs Res. 2023 Dec 25;10:23333936231218843. doi: 10.1177/23333936231218843. eCollection 2023 Jan-Dec.

DOI:10.1177/23333936231218843
PMID:38149124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10750548/
Abstract

Care in the postnatal period is a goal for all families with a newborn baby, and support from nurses might prevent long-term health problems and contribute to a positive postnatal experience. This meta-ethnography aims to integrate and synthesize qualitative studies that illuminate and describe nurses' perspectives on municipal postnatal health care in high-income countries. Systematic literature searches for qualitative studies were conducted and 13 articles were included. The analysis followed the seven phases of Noblit and Hare. was identified as an overarching metaphor accompanied by three main themes: , and The overarching metaphor offers a deeper understanding of the nurses as "warriors" who despite tight timeframes and heavy workloads are stretching toward a caring relationship with the families. Being a warrior continuously pushing system boundaries puts the nurses in risk of being overstretched, balancing between their ideals and the reality. As more knowledge and clearer policies and procedures regarding the inclusion of fathers and LGBTQ parents in municipal postnatal healthcare are needed, more focus placed on the father or non-birthing parent, different cultural traditions and family constellations in practice and education is suggested.

摘要

产后护理是所有有新生儿家庭的目标,护士的支持可能会预防长期健康问题,并有助于带来积极的产后体验。这项元民族志旨在整合和综合定性研究,以阐明和描述护士对高收入国家市政产后保健的看法。对定性研究进行了系统的文献检索,纳入了13篇文章。分析遵循了诺布利特和黑尔的七个阶段。被确定为一个总体隐喻,伴随着三个主要主题: 、 和 。这个总体隐喻让人们更深入地理解护士是“战士”,他们尽管时间紧迫、工作量大,仍努力与家庭建立关爱关系。作为一名不断突破系统界限的战士,护士面临过度劳累的风险,在理想与现实之间保持平衡。由于在市政产后保健中纳入父亲和LGBTQ父母需要更多知识以及更清晰的政策和程序,建议在实践和教育中更多地关注父亲或非生育父母、不同的文化传统和家庭结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e28b/10750548/1fee68040d9f/10.1177_23333936231218843-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e28b/10750548/1fee68040d9f/10.1177_23333936231218843-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e28b/10750548/1fee68040d9f/10.1177_23333936231218843-fig1.jpg

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2
Factors that influence the uptake of postnatal care from the perspective of fathers, partners and other family members: a qualitative evidence synthesis.从父亲、伴侣和其他家庭成员的角度来看影响产后护理利用的因素:定性证据综合评价。
BMJ Glob Health. 2023 May;8(Suppl 2). doi: 10.1136/bmjgh-2022-011086.
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"Opening up a well of emotions": A qualitative study of men's emotional experiences in the transition to fatherhood.
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Nurs Open. 2023 Apr;10(4):2282-2294. doi: 10.1002/nop2.1482. Epub 2022 Nov 20.
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Parents' experiences with public health nursing during the postnatal period: A reflective lifeworld research study.父母在产后期间的公共卫生护理体验:反思性生活世界研究。
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