Tinkler A, Quinney D
Wirral Health Authority, Merseyside, England.
J Adv Nurs. 1998 Jul;28(1):30-5. doi: 10.1046/j.1365-2648.1998.00769.x.
The need to provide woman-centred maternity services which take account of womens' views and specifically address their need for choice, control and continuity has been advocated and team midwifery has been suggested as one of the ways to achieve these objectives. This paper explores women's descriptions of their maternity care experiences in England, specifically focusing on: their experiences of communication; being informed and making choices; being involved in the process of care; and their own perceptions of care. It is suggested that the midwife-woman relationship is an important aspect of satisfaction which needs greater recognition. Analysis of the data highlighted the importance of the quality of women's relationships with caregivers. Findings revealed how positive relationships facilitated conditions which influenced satisfaction with care and suggest that, for the development of genuine woman-centred services where women exercise informed choice, and are involved in, and have some control over, the process of care, the nature and quality of the midwife-woman relationship must be accepted as an integral and crucial aspect of the service.
提供以女性为中心的孕产妇服务的必要性已得到倡导，这种服务要考虑女性的观点，并特别满足她们对选择、掌控和连续性的需求，团队助产被认为是实现这些目标的途径之一。本文探讨了英国女性对其孕产妇护理经历的描述，特别关注：她们的沟通经历；获取信息与做出选择；参与护理过程；以及她们对护理的自身认知。研究表明，助产士与女性的关系是满意度的一个重要方面，需要得到更多认可。对数据的分析突出了女性与护理人员关系质量的重要性。研究结果揭示了积极的关系如何促成影响护理满意度的条件，并表明，为了发展真正以女性为中心的服务，让女性能够做出明智的选择，参与并对护理过程有一定掌控，助产士与女性关系的性质和质量必须被视为服务中不可或缺且至关重要的一个方面。
