基于设施的母亲护理质量框架:系统审查和最佳合适框架分析
Sureka Pavalagantharajah1, Atziri Ramirez Negrin2, Katrina Bouzanis3
1Department of Pediatrics, McMaster University, Hamilton, ON, Canada.
Maternal and child health journal
|July 7, 2023
概括
本研究确定了衡量医疗机构母婴护理质量的关键组成部分. 它提出了一个全面的框架,以解决持续的孕产妇发病率和死亡率,提高医疗保健质量.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 产妇健康服务 产妇健康服务
- 卫生系统研究 卫生系统研究
背景情况:
- 尽管增加了获得熟练分娩护理人员和紧急产科护理的机会,但高的孕产妇发病率和死亡率仍然存在.
- 护理质量是改善孕产妇健康结果的关键因素,但往往没有得到解决.
- 衡量设施级母婴护理质量的现有框架需要综合和改进.
研究的目的:
- 确定和总结现有的框架,以衡量产妇护理的设施水平质量.
- 提出一个全面的框架来评估医疗保健机构内的孕产妇护理质量.
- 为评估和改善孕产妇保健服务提供结构化的方法.
主要方法:
- 在多个数据库中进行了系统的文献搜索,包括PubMed,Embase和Web of Science.
- 与母亲护理质量相关的框架,工具,理论或组件由两个独立审查员选.
- 最适合的框架分析,使用更新的Hulton框架,指导了研究结果的综合.
主要成果:
- 从对3182项研究的初步搜索中,有54项研究被纳入了定性分析.
- 一个拟议的以设施为基础的孕产妇护理质量框架包括11个组成部分.
- 这些组成部分包括提供护理 (人力资源,基础设施,设备,证据,推网络) 和护理经验 (文化能力,临床实践,融资,领导力,认知,尊重,尊严,公平,情感支持).
结论:
- 一个全面的框架对于有效地衡量和改善基于设施的孕产妇护理质量至关重要.
- 拟议的框架整合了护理的提供和经验,提供了一个整体的方法.
- 这一框架可以指导质量改善举措,以减少孕产妇的发病率和死亡率.
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