探索从产前护理到产后护理的需求服务框架:与母亲,卫生工作者和心理学家进行深入对话
Chancy Mauluka1, William Stones2, Isabel Kazanga Chiumia2
1Kamuzu University of Health Sciences, P.O. Box 360, Blantyre, Malawi. m201980015215@stud.medcol.mw.
有信息的母亲可以在整个怀孕和产后期间要求许多母亲和儿童健康服务. 然而,赋予母亲权力要求护理需要的不仅仅是信息;它需要对医疗保健提供者的系统支持.
科学领域:
- 孕产妇和儿童的健康
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 客户对护理实践的需求是影响产前,产后和产后期间护理质量的关键因素.
- 客户对基本服务的需求有限可能会损害母婴医疗保健的质量.
- 确定需要的护理实践对于增强母婴保健连续性的关键.
研究的目的:
- 确定特定的母亲和儿童医疗保健实践,母亲可以在整个护理连续过程中积极要求.
- 探索影响母亲要求基本医疗保健服务能力的因素.
- 通过增强客户参与,为改善医疗保健质量的战略提供信息.
主要方法:
- 使用解释性现象学分析 (IPA) 的定性研究.
- 数据收集包括9次关键信息人采访,8次与母亲的焦点小组讨论和26个小题.
- 受访者包括122名母亲,31名卫生工作者和4名心理学家.
主要成果:
- 母亲们对所有推的产前和产后服务都表现出需求.
- 在劳动和分娩期间需要的特定服务包括生命体征评估,膀护理,催产素给药和分娩后检查.
- 母亲们认为出生登记是一项需要的服务,并建议通过知识,信心和自信培训来赋权.
- 解决卫生工作者的态度,客户和提供者的心理健康,工作量和供应可用性对于改善需求至关重要.
结论:
- 了解情况的母亲可以在产前,产后和产后连续期要求广泛的服务.
- 母亲对服务的需求是一个有价值的组成部分,但不是改善医疗保健质量的唯一解决方案.
- 对服务的有效需求需要赋予母亲知识和自信的能力,同时加强卫生系统和支持医疗保健提供者.
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