Dzomeku Veronica Millicent, Dassah Ebenezer, Gyimah Ebenezer Mensah, Emikpe Abigael Omowumi, Owusu Lydia Boampong, Dwumfour Catherine Kroamah, Ogunyewo Oluwatoyin Abayomi, Agyekum Thomas Peprah, Boadu Eric Adjei, Nakua Emmanuel Kweku
School of Nursing and Midwifery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
PLOS Glob Public Health. 2025 Jun 4;5(6):e0004246. doi: 10.1371/journal.pgph.0004246. eCollection 2025.
Interprofessional team-based care is crucial in ensuring respectful and dignified maternal services. However, there is limited research that explores this issue from the perspectives of health care providers in Ghana. The study sought to explore the perspectives and experiences of health care providers working in a collaborative team-based setting at a health in Ghana, with the aim to improve respectful and dignified maternal care. We used a descriptive qualitative study and conducted semi-structured interviews with 35 participants from diverse cadre of health care providers, including Midwives, Nurses, Nutritionists, Pharmacists, Physicians, Radiographers and Sonographers. The data were subsequently transcribed and analysed thematically. The findings revealed four overarching themes namely roles, facilitators, barriers and strategies to overcome barriers experienced by healthcare professionals within an interprofessional team-based setting providing respectful and dignified maternal services. Providers' primary roles in enhancing respectful and dignified maternal services within interprofessional team-based setting included enhancing patients' outcome, improving healthcare professionals' outcomes and optimizing facility outcomes. The facilitators to respectful and dignified maternal care were clear role definitions, transparent communication, personal empathy and professional competence. Conversely, barriers to the delivery of respectful and dignified maternal services within a team-based setting noted in participants' responses included infrastructural deficiencies, inadequate staffing, discrimination and negative professional attitudes. Participants' proposed strategies to overcome these barriers included investments in infrastructure, enhanced professional competence among staff and improved interprofessional communication within and between teams. Addressing these barriers could inform the development of policies and clinical practices aimed at advancing respectful and dignified maternal care. The study can also contribute to the design and formulation of an operational manual required to shape interprofessional team-based respectful and dignified maternal care in Ghana and other similar contexts.
跨专业团队协作护理对于确保提供尊重产妇且有尊严的服务至关重要。然而，从加纳医疗服务提供者的角度探讨这一问题的研究有限。该研究旨在探索在加纳一家医疗机构中，在基于团队协作环境下工作的医疗服务提供者的观点和经历，以改善对产妇的尊重和有尊严的护理。我们采用了描述性定性研究方法，对35名来自不同医疗服务提供者队伍的参与者进行了半结构化访谈，这些参与者包括助产士、护士、营养师、药剂师、医生、放射技师和超声医师。随后对数据进行了转录并进行了主题分析。研究结果揭示了四个总体主题，即角色、促进因素、障碍以及在基于跨专业团队的环境中为提供尊重产妇且有尊严的服务而克服障碍的策略。在基于跨专业团队的环境中，提供者在增强对产妇的尊重和有尊严的服务方面的主要作用包括改善患者结局、提高医疗服务提供者的工作成效以及优化机构成效。对产妇的尊重和有尊严的护理的促进因素包括明确的角色定义、透明的沟通、个人同理心和专业能力。相反，参与者的回答中指出，在基于团队的环境中提供尊重产妇且有尊严的服务的障碍包括基础设施不足、人员配备不足、歧视和消极的职业态度。参与者提出的克服这些障碍的策略包括对基础设施的投资、提高工作人员的专业能力以及改善团队内部和团队之间的跨专业沟通。解决这些障碍可以为旨在推进对产妇的尊重和有尊严的护理的政策和临床实践的制定提供参考。该研究还可以为设计和制定一份操作手册做出贡献，该手册是在加纳和其他类似背景下塑造基于跨专业团队的尊重产妇且有尊严的护理所必需的。
