在马拉维,通过以人为中心的设计方法,适应分娩后期的小组护理
Ashley Gresh1, Anne Batchelder2, Nancy Glass2
1Johns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21231, USA. Ashley.gresh@jhu.edu.
BMC health services research
|October 14, 2023
概括
马拉维的利益相关者共同设计了一种产后小组护理模式,以改善母亲和婴儿的健康. 这种以人为中心的方法是可行的,可接受的,以减少低收入和中等收入国家的死亡率.
科学领域:
- 全球健康 全球健康
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 低收入和中等收入国家 (LMICs) 面临高的母婴死亡率.
- 群体医疗保健模型有望改善产后结果,但在产后仍未得到充分利用.
- 马拉维的母婴死亡率特别高,需要创新的解决方案.
研究的目的:
- 为马拉维的产后期适应和共同设计基于证据的小组护理模式.
- 利用以人为中心的设计方法,涉及关键利益相关者.
- 为了解决产后小组护理干预的未满足需求.
主要方法:
- 采用以人为中心的设计框架,包括问题定义,证据收集,合成和干预设计.
- 定性方法包括与利益相关者进行深入访谈 (n=24) 和化器会议 (n=6).
- 内容和框架分析被用来开发综合组产后和健康儿童护理模型原型.
主要成果:
- 利益相关者对参与和提供产后小组护理表达了强烈兴趣.
- 共同创建了一个原型课程和服务提供结构,优先考虑卫生,母乳养,计划生育,营养和心理健康等主题.
- 建议6个会议的推时间表与12个月的儿童疫苗接种计划保持一致.
结论:
- 使用以人为中心的设计来适应基于证据的小组护理在马拉维等LMIC中是可行的和可以接受的.
- 共同设计的原型为改善产后和健康儿童护理提供了实用模型.
- 这种方法有可能在资源有限的环境中降低孕产妇和婴儿死亡率.
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