建立方法来评估婴儿友好型医院倡议的合规性,使用全球标准和女性自我报告的经验
Laavanya Lokeesan1,2, Elizabeth Martin3,4, Yvette D Miller1
1Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.
概括
评估婴儿友好医院倡议 (BFHI) 合规性,使用女性报告,而不仅仅是工作人员,提供了更好的见解. 在BFHI步骤 (3-9) 中评估所有实践,为改善全球母乳养支持提供了可靠的数据.
科学领域:
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 世界卫生组织 (WHO) 倡导使用分娩妇女的自我报告来评估符合婴儿友好医院倡议 (BFHI) 关键临床实践,特别是步骤3-9的遵守.
- 当前的全球实践主要依赖于卫生工作人员的报告,在某些国家使用妇女的自我报告时,与世卫组织BFHI全球标准的偏差有所不同.
研究的目的:
- 提供有关将女性自我报告纳入评估BFHI符合步骤3-9的适当方法的见解.
- 通过利用妇女的经验数据,加强对BFHI合规性及其对母乳养结果的影响的全球评估.
主要方法:
- 开发特定问题和编码算法,以评估符合全球标准的BFHI步骤3-9的合规性.
- 通过对最近在斯里兰卡医院分娩的302名妇女进行横截面调查来实施这些工具.
主要成果:
- 在BFHI第3至9步的具体实践中,合规率在15.9%至100%之间.
- 总体而言,对每个BFHI步骤的遵守程度差异很大,从7.0%到100%.
- 该研究强调了在BFHI步骤中评估所有特定实践的价值,而不是专注于单一实践,以便进行更全面的评估.
结论:
- 评估BFHI关键临床步骤中的所有具体实践,使用妇女的自我报告,为全球卫生服务指导提供了更好的实用性和稳定性.
- 这种经过验证的方法可以在不同的环境中进行翻译,以确定改善母乳养支持效率所需的具体护理进展.
- 这些发现强调了利用妇女的经验数据来评估和指导医疗服务改进的重要性,解决目前的不足使用问题.
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