劳动第二阶段直立姿势实践计划实施的障碍和促进因素:混合方法研究
Jing Huang1, Bei Wang2, Kejuan Sun3
1Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Journal of advanced nursing
|November 3, 2023
概括
在中国,在第二阶段劳动 (UPSSL) 中实施直立姿势面临安全问题和资源不足等障碍. 通过教育,培训和政策变革来解决这些问题,可以改善母亲和新生儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健 实施 科学 科学
- 孕产妇健康 孕产妇健康
背景情况:
- 在分娩的第二阶段,直立姿势可以增强母亲和新生儿的结果和分娩经验.
- 然而,它们在中国医疗保健机构的采用情况并不理想.
- 实施直立姿势的障碍和促进因素尚未得到充分理解.
研究的目的:
- 探索在中国医疗保健机构实施"劳动第二阶段直立姿势" (UPSSL) 计划的障碍和促进因素.
- 确定影响在分娩期间采取直立姿势的因素.
主要方法:
- 由实施研究综合框架 (CFIR) 指导的混合方法融合设计.
- 在线调查和半结构面试分别对中国石家庄的131名和23名医疗保健专业人员进行.
- 使用描述性统计数据分析了定量数据,对定性数据进行了定向内容分析.
主要成果:
- 医疗保健专业人员认识到UPSSL计划的证据基础和好处.
- 主要障碍包括安全问题,不熟悉协助直立分娩,协议适应性差,设施/人员不足以及对变化的抵抗.
- 促进者包括该计划的系统内容和感知到的好处.
结论:
- 针对性产前教育解决安全问题对于孕妇及其家人至关重要.
- 医疗保健专业人员需要适当的培训和设施来支持直立分娩.
- 可能需要改变国家政策,以解决助产士短缺问题,并促进UPSSL计划的采用.
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