Nurs Womens Health. 2024 Apr;28(2):117-127. doi: 10.1016/j.nwh.2023.09.010. Epub 2024 Mar 6.
To explore health care providers' perspectives on the successes, challenges, and suggestions for future directions regarding the implementation of CenteringPregnancy for Marshallese women in Arkansas.
A descriptive qualitative design was used as an exploratory method.
SETTING/LOCAL PROBLEM: This study took place in northwest Arkansas. Arkansas is home to the largest Marshallese Pacific Islander population in the United States. Marshallese Pacific Islanders residing in the United States have disproportionally high rates of poor maternal and infant health outcomes, even compared to other Pacific Islanders.
Seven CenteringPregnancy providers from the University of Arkansas for Medical Sciences Northwest.
INTERVENTION/MEASUREMENTS: Individual interviews were conducted from February to March of 2023. Data were managed using MAXQDA12 software. Content analysis was used to analyze the data. Initial coding was completed to identify each data segment with short summations of emergent themes. The focused thematic codes that emerged were used to identify and develop the most salient thematic categories of the data, which became the thematic codes.
Three overarching themes emerged: Implementation Successes, Challenges to Implementation, and Future Suggestions to Improve Implementation and Sustainability. Each theme had representative subthemes.
Findings provide insight for future implementation of CenteringPregnancy for Marshallese and other Pacific Islander individuals.
探讨医疗保健提供者对在阿肯色州实施 CenteringPregnancy 为马绍尔群岛妇女提供服务的成功经验、挑战和未来方向建议的看法。
采用描述性定性设计作为探索性方法。
地点/当地问题：本研究在阿肯色州西北部进行。阿肯色州是美国最大的马绍尔群岛太平洋岛民聚居地。居住在美国的马绍尔群岛太平洋岛民的母婴健康结果不佳的比例过高，甚至比其他太平洋岛民还要高。
来自阿肯色大学医学科学西北分校的 7 名 CenteringPregnancy 提供者。
干预/措施：2023 年 2 月至 3 月进行了个人访谈。使用 MAXQDA12 软件管理数据。采用内容分析法对数据进行分析。首先完成初始编码，以识别每个数据段中出现的主题，并对其进行简短总结。出现的重点主题代码用于识别和开发数据中最突出的主题类别，即主题代码。
出现了三个总体主题：实施成功、实施挑战和未来改进实施和可持续性的建议。每个主题都有代表性的子主题。
研究结果为未来在马绍尔群岛和其他太平洋岛民中实施 CenteringPregnancy 提供了参考。
