土著出生支持工作者 (IBSW) 计划评估:对计划工作者和客户观点的定性分析
Mamata Pandey1, Leanne Smith2, Nicole MacZek2
1Research Department, Saskatchewan Health Authority, Regina, SK, S4S 0A5, Canada.
BMC pregnancy and childbirth
|May 31, 2023
概括
土著出生支持工作者 (IBSW) 计划为土著妇女提供文化安全的护理,客户重视这种富有同情心的支持. 然而,医疗保健提供者的持续不敏感性需要加强合作,以实现公平的孕产妇医疗保健.
科学领域:
- 孕产妇健康 孕产妇健康
- 土著健康土著健康
- 医疗保健计划评估 医疗保健计划评估
背景情况:
- 土著出生支持工作者 (IBSW) 计划为土著妇女在劳动和分娩期间提供文化安全,创伤知情的护理.
- 该计划位于吉姆帕蒂森儿童医院,在2019年12月至2021年1月期间为1023名客户提供服务.
研究的目的:
- 在计划实施一年后,探索土著出生支持工作者 (IBSW) 和计划客户的观点.
- 评估IBSW计划的有效性和客户满意度.
主要方法:
- 使用焦点小组和个人访谈进行定性研究设计.
- 与四名IBSW进行了焦点小组,十名客户参加了个人采访.
- 该研究计划是与项目工作人员和卫生部门合作伙伴合作开发的.
主要成果:
- 客户高度重视IBSW的文化支持,同情和不评判的照顾.
- IBSW强调需要加强与老年人和社区医疗保健提供者的关系,以改善产前和产后护理.
- IBSW表示希望加强与社区医疗保健专业人员和农村团队的合作.
结论:
- IBSW计划提供安全的,以客户为中心的护理,与产前最佳实践保持一致,积极影响土著妇女的心理健康.
- 卫生保健提供者对土著客户的持续不敏感性被确定,这表明需要提高角色清晰度和协作.
- 解决系统性问题和促进真正的合作对于在土著母亲医疗保健中实现脱殖和和解至关重要,与国家和国际对正义的呼吁保持一致.
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