实施新的分娩室设计:从护理提供者的角度进行定性研究
Lisa Goldkuhl1,2, Malin Tistad3,4, Hanna Gyllensten5,6
1Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. lisa.goldkuhl@gu.se.
新的分娩室设计可以支持生理分娩,但需要符合护理提供者的标准化环境.
科学领域:
- 环境心理学 环境心理学
- 医疗保健设计 医疗保健设计
- 围产期结局的结果
背景情况:
- 改善分娩室设计可能会对围产期结果产生积极影响.
- 了解此类干预的机制和上下文元素至关重要.
- 这项研究探讨了护理人员对新医院分娩室的经验,该分娩室旨在支持分娩生理学.
研究的目的:
- 探索护理人员实施新医院分娩室的经验.
- 了解新设计如何影响出生生理和环境之间的相互作用.
- 确定影响新分娩室融入日常实践的因素.
主要方法:
- 在 Room4Birth 随机对照试验中评估的新分娩室实施情况的定性研究报告.
- 与21名护理人员 (助理护士,助产士,产科医生,经理) 进行的个人采访.
- 采访数据的内容分析使用规范化过程理论编码手册 (实施背景,机制和结果).
主要成果:
- 新的房间挑战了当前的生物医学范式,提高了对环境对出生生理学影响的认识.
- 护理提供者变得更加情绪化,从监控实践转移了重点.
- 不熟悉的设计造成了不安全感,成为将房间融入日常护理中的障碍.
结论:
- 护理人员对妇女分娩经验的感知价值与她们的环境需求之间存在差异.
- 医院的分娩室应该支持女性的情绪和分娩生理.
- 需要标准化分娩室,以满足护理人员对功能性工作环境的要求.
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