在劳动的第二阶段直立的管理框架:一个定性研究
Li Fu1, Yu Zang2, Xiaodan Li3
1School of Nursing, Peking University, Beijing, China.
Midwifery
|October 11, 2023
概括
在分娩过程中,直立姿势有助于改善分娩结果. 这项研究开发了一个框架,通过解决医疗保健提供者的观点和策略来实施"劳动第二阶段直立位置计划" (UPSSL计划).
科学领域:
- 产科和妇科 产科和妇科
- 助产士的实践 助产士的实践
- 孕产妇健康 孕产妇健康
背景情况:
- 在分娩期间直立的姿势是基于证据的,促进正常分娩,有利的分娩结果和积极的分娩经历.
- 尽管有好处,但劳动中直立姿势的应用目前在全球和中国是有限的.
- 为了解决这一差距,制定了劳动第二阶段直立姿势计划 (UPSSL计划).
研究的目的:
- 探索医疗保健提供者的观点,以改善在分娩的第二阶段使用直立姿势.
- 确定在临床实践中成功实施直立姿势的战略.
- 开发一个管理框架,将直立姿势整合到助产护理中.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 参与者包括来自北京三家医院的13名助产士,6名产科医生和6名部门经理.
- 主题分析指导着使用ATLAS.TI 8软件进行数据分析.
主要成果:
- 开发了劳动第二阶段直立位置的管理框架.
- 主要改进领域包括:更新助产概念和培训,加强孕产妇健康教育,改善多学科合作,优化人力资源和激励措施,鼓励合作伙伴参与和改善分娩环境.
结论:
- 这些发现支持UPSSL计划的实际实施.
- 这项研究为医疗保健提供者提供了合作以获得高质量的产妇护理的策略.
- 护理经理可以利用这些策略,包括培训和资源重新分配,以促进UPSSL计划.
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