Region Västra Götaland, Sahlgrenska University Hospital, Department of Obstetrics and Gynecology, Gothenburg, Sweden; Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Region Västra Götaland, Sahlgrenska University Hospital, Department of Obstetrics and Gynecology, Gothenburg, Sweden; Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Sex Reprod Healthc. 2024 Jun;40:100958. doi: 10.1016/j.srhc.2024.100958. Epub 2024 Mar 11.
Obstetric emergency triage is a relatively new form of emergency triage and is not yet implemented in Sweden. Adaptations enables safe assessment of the childbearing woman, fetus and labor status. Failure to identify severely ill childbearing women and women post childbirth has repeatedly led to adverse outcomes. Introducing obstetric emergency triage constitutes a profound alteration in management that may challenge preconceived notions on how to provide best care. This study aimed at exploring and describing obstetric staff's experiences of working with obstetric emergency triage.
Thirteen obstetricians, midwives and auxiliary nurses at an obstetric emergency department in eastern Sweden were recruited by purposeful sampling. Individual qualitative interviews underwent inductive qualitative content analysis according to Graneheim and Lundman.
An overarching theme - A new mindset - emerged from the analysis, comprising the four categories: Implications for the individual caregiver's own work, An improved organization, Improved patient care. Initial skepticism to triage changed towards a positive attitude during implementation, identifying barriers and facilitators for successful implementation.
This first study exploring Swedish obstetric staff's perception of obstetric emergency triage as a working method suggests that, given time for implementation, a new mindset in obstetric emergency care might develop. Triage provides structure and a sense of control through a clear and quick overview of childbearing women seeking emergency care and enhances teamwork by improving communication. Triage directs attention toward aberrations and promotes reflection and action, improving patient safety.
产科急诊分诊是一种相对较新的急诊分诊形式，尚未在瑞典实施。适应能力可以安全地评估产妇、胎儿和分娩状况。未能识别出患有严重疾病的产妇和产后妇女，一再导致不良后果。引入产科急诊分诊构成了管理上的深刻改变，可能会挑战如何提供最佳护理的既定观念。本研究旨在探讨和描述产科工作人员在产科急诊分诊方面的工作经验。
通过目的性抽样，在瑞典东部的一家产科急诊室招募了 13 名产科医生、助产士和辅助护士。个体定性访谈根据 Graneheim 和 Lundman 进行了归纳定性内容分析。
分析产生了一个总体主题-新思维模式，包括四个类别：对个体护理人员自身工作的影响、组织的改善、患者护理的改善。分诊的初步怀疑态度在实施过程中转变为积极态度，确定了成功实施的障碍和促进因素。
这项首次探索瑞典产科工作人员对产科急诊分诊作为一种工作方法的看法的研究表明，在实施过程中有足够的时间，产科急诊护理可能会形成一种新的思维模式。分诊通过对寻求紧急护理的产妇进行清晰、快速的概述提供了结构和控制感，并通过改善沟通提高了团队合作。分诊将注意力引向异常情况，并促进反思和行动，提高患者安全性。
