Kuipers Yvonne J, Van de Craen Natacha, Van den Branden Laura, Mestdagh Eveline
School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK.
Department of Health and Life Science, School of Midwifery, AP University of Applied Sciences, Antwerp, Belgium.
Scand J Caring Sci. 2024 Jun;38(2):461-475. doi: 10.1111/scs.13250. Epub 2024 Mar 7.
To reach consensus between care providers and childbearing women about the midwife's relevant and appropriate domains and elements to support transition to motherhood.
A modified web-based Delphi study was conducted in Flanders (Belgium). After performing a systematic literature review, searching the grey literature and an online poll, a set of 79 items was generated. In two rounds, the items were presented to an expert panel of (1) care providers from various disciplines providing services to childbearing women and (2) to pregnant women and postpartum women up to 1-year postpartum. Consensus was defined when 70% or more of the experts scored ≥6, 5% or less scored ≤3, and a standard deviation of ≤1.1.
In the first Delphi round, 91 experts reached consensus on 24 items. Seventeen round one items that met one or two consensus objectives were included in round two and were scored by 64 panel experts, reaching consensus on three additional items. The final 27 items covered seven domains: attributes, liaison, management of care from a woman-centred perspective, management of care from the midwife's focus, informational support, relational support, and the midwife's competencies.
The shared understanding between childbearing women and care providers shows that the midwife's transitional support is multifaceted. Our findings offer midwives a standard of care, criteria, guidance, and advice on how they can support childbearing women during transition to motherhood, beyond the existing recommendations and current provision of transitional care.
就助产士支持产妇角色转变的相关且适当的领域及要素，在医疗服务提供者与育龄妇女之间达成共识。
在比利时弗拉芒地区开展了一项基于网络的改良德尔菲研究。在进行系统的文献综述、检索灰色文献及在线民意调查后，生成了一组79项内容。两轮中，这些内容被呈现给一个专家小组，该小组包括：（1）为育龄妇女提供服务的各学科医疗服务提供者；（2）孕妇及产后1年内的产妇。当70%或更多专家评分≥6，5%或更少专家评分≤3，且标准差≤1.1时，即达成共识。
在第一轮德尔菲研究中，91位专家就24项内容达成共识。第一轮中符合一个或两个共识目标的17项内容被纳入第二轮，由64位专家小组进行评分，又有3项达成共识。最终的27项内容涵盖七个领域：特质、联络、以女性为中心的护理管理、助产士关注的护理管理、信息支持、关系支持及助产士的能力。
育龄妇女与医疗服务提供者之间的共同理解表明，助产士的过渡性支持是多方面的。我们的研究结果为助产士提供了护理标准、标准、指导及建议，说明她们如何在产妇角色转变期间支持育龄妇女，这超出了现有建议及当前过渡性护理的提供范围。
