圣雷蒙多:聚焦小组关于Comadronas对城市危地马拉的产科紧急情况的反应
1Planned Parenthood Associate of Utah, Salt Lake City, UT, USA.
概括
危地马拉的城市comadronas面临着设备短缺和医院提供者的不尊重等挑战,尽管接受了培训并感到自信. 城市和农村的comadronas需要文化一致的支持来解决高产妇死亡率的问题.
科学领域:
- 全球健康 全球健康
- 产科 产科 产科 产科 产科
- 社会学 社会学 社会学
背景情况:
- 危地马拉在拉丁美洲拥有最高的孕产妇死亡率 (MMR).
- 在农村和城市地区,comadronas (传统的助产士) 参与了大多数分娩.
- 现有的研究重点是农村comadronas的应急响应,留下城市comadronas的经验研究不足.
研究的目的:
- 了解城市护士对产科紧急情况的知识,实践和态度.
- 确定城市comadronas在应急管理中面临的挑战和促进者.
- 为城市comadronas提供文化一致的支持策略,以帮助减少危地马拉的MMR.
主要方法:
- 一个单独的34分钟焦点小组与17个城市comadronas.as.进行了.
- 使用长表方法进行定性内容分析,以开发主题矩阵.
主要成果:
- 从焦点组中出现了五个关键主题.
- 城市护理人员报告说,他们接受了持续的培训,并获得了医院的交通工具,这使得他们对自己的知识充满信心.
- 然而,他们经历了基本设备的缺乏,并感觉到医院提供者的不尊重. 参与分娩的内在奖励往往掩盖了这些挑战.
结论:
- 城市女护士应对产科紧急情况的经验与农村同行有很大差异.
- 对于城市和农村的comadronas,需要明确的,文化敏感的支持策略.
- 解决城市comadronas面临的独特挑战对于改善危地马拉的孕产妇健康结果至关重要.
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