从堕胎者的角度看护理质量:四个国家的定性研究
Sarah E Baum1, Laura Jacobson2,3, Ana Maria Ramirez2
1Ibis Reproductive Health, Oakland, California, USA sbaum@ibisreproductivehealth.org.
BMJ open
|September 20, 2023
概括
寻求堕胎的人确定了六个关键领域的高质量护理,强调人际关系的动态,如善良,尊重和情感支持. 这些发现指导了改善堕胎护理定义和干预措施的质量.
科学领域:
- 生殖健康 生殖健康
- 定性研究是指质量研究.
- 以患者为中心的护理
背景情况:
- 定义和衡量堕胎服务的护理质量对于患者的福祉至关重要.
- 现有的框架可能无法充分捕捉患者对堕胎护理质量的看法.
研究的目的:
- 确定以人为中心的领域来定义和衡量堕胎护理质量.
- 了解寻求堕胎的个体的看法,经验和优先事项.
主要方法:
- 质量研究涉及采访15至41岁的阿根廷,孟加拉国,埃塞俄比亚和尼日利亚寻求堕胎的妇女.
- 参与者从不同的医疗保健机构招募,包括医院,诊所,药房和支持组织.
- 主题分析用于从参与者叙述中识别关键质量领域.
主要成果:
- 从客户对高质量的堕胎护理的看法出现了六个核心主题,重点强调人际互动.
- 关键主题包括:善良和尊重,有效的信息交换,情感支持,专注的照顾,隐私和保密,以及疼痛管理准备.
- 参与者对好与坏的护理经历的描述突出了这些人际关系动态的重要性.
结论:
- 人际关怀在堕胎质量方面的重要性在不同的全球环境和服务提供模式中得到证实.
- 这些发现为完善堕胎护理质量的定义和测量提供了指导.
- 确定的优先领域可以为设计干预措施提供信息,以提高堕胎服务的质量.
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