助产士对尊重产妇护理的观点。

Perspectives of midwives on respectful maternity care.

机构信息

North-West University, Potchefstroom, South Africa.

University of the Western Cape, Bellville, South Africa.

出版信息

BMC Pregnancy Childbirth. 2024 Nov 6;24(1):721. doi: 10.1186/s12884-024-06894-1.

Abstract

BACKGROUND

Respectful maternity care forms the foundation of maternity services; however, delivery of dignified, efficient, and effective care in these settings remains inconsistent. Research has identified several factors that influence respectful maternity care. To understand the South African context, these factors were explored and described from the perspectives of midwives.  METHODS: A qualitative descriptive inquiry was conducted, with participants recruited through snowball sampling on the social networking site Facebook. Semi-structured questions were used to collect data, to which participants responded in writing, detailing factors that influenced respectful care, including words and practices they associated with respectful maternity care. The data was analyzed using content analysis to identify common categories.

RESULTS

Twenty-five responses from participants were analyzed; four categories and six sub-categories emerged as representations of respectful maternity care. The categories and sub-categories were as follows: healthcare professional behavior (ethical conduct and professional attributes related to education and training), managerial support (conducive work environment), interpersonal facet of care (characteristics of healthcare providers), and the birth environment (caring within the birth environment and client-centered care).

CONCLUSION

Midwives emphasized the importance of understanding respectful maternity care to ensure optimal outcomes for women, families, and communities. However, given the complexity of maternity care, it is crucial for policymakers, administrators, and midwives to comprehend and appreciate the various elements that define respectful care, as this understanding can significantly enhance its successful implementation.

摘要

背景

尊重产妇护理是产妇服务的基础;然而,在这些环境中提供有尊严、高效和有效的护理仍然不一致。研究已经确定了影响尊重产妇护理的几个因素。为了了解南非的情况,从助产士的角度探讨和描述了这些因素。

方法

采用定性描述性研究方法,通过在 Facebook 社交网站上进行滚雪球抽样招募参与者。使用半结构化问题收集数据,参与者以书面形式回复,详细说明影响尊重护理的因素,包括他们与尊重产妇护理相关的词语和做法。使用内容分析法对数据进行分析,以确定常见类别。

结果

对 25 名参与者的回复进行了分析;出现了四个类别和六个子类别,作为尊重产妇护理的代表。类别和子类别如下:医疗保健专业人员的行为(道德行为和与教育和培训相关的专业属性)、管理支持(有利的工作环境)、护理的人际方面(医疗保健提供者的特征)和分娩环境(分娩环境中的关怀和以客户为中心的护理)。

结论

助产士强调理解尊重产妇护理的重要性,以确保妇女、家庭和社区的最佳结果。然而,鉴于产妇护理的复杂性,政策制定者、管理人员和助产士必须理解并欣赏定义尊重护理的各个要素,因为这种理解可以显著增强其成功实施。

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