实施OptiBreech协作护理的障碍和促进者:作为实施过程评估的一部分的定性研究
Honor Vincent1, Shawn Walker2, Alice Hodder1
1Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom.
概括
缺少后分娩训练会影响自信. OptiBreech护理提高了安全性和培训,但实施需要解决资源,社会因素和个人责任,以获得成功的阴道产支持.
科学领域:
- 孕产妇健康 孕产妇健康
- 产科 产科 产科 产科 产科
- 医疗保健管理的管理
背景情况:
- 在阴道腹分娩方面的有限培训和经验会对专业的信心和专业知识产生负面影响.
- 通过加强培训和以人为中心的护理,OptiBreech协作护理提供了一条改善部呈现安全性的途径.
- 可行性研究确定了实施OptiBreech护理途径的障碍和促进者.
研究的目的:
- 确定影响OptiBreech护理途径未来最佳实施和安全性的因素.
- 了解产妇专业人员关于实施产护理的观点.
- 为制定战略提供信息,以便更广泛地采用有效的产管理.
主要方法:
- 在13个OptiBreech试验地点,与21名产科专业人员 (17名助产士,4名产科医生) 进行了半结构化采访.
- 使用理论领域框架 (TDF) 系统地识别影响团队实施护理途径的因素.
- 采访数据使用精细的TDF框架进行编码,分析和解释,将发现分类为促进因素,障碍因素和动态因素.
主要成果:
- 关键的促进者包括技能发展,对能力的信心和多学科团队支持.
- 重要障碍包括资源限制,社会障碍以及对潜在负面影响的担忧.
- 影响实施的动态因素包括个人责任,培训质量和参加分娩的机会.
结论:
- 实施因素因个人和机构文化而异,但对服务实施和未来试验提出了更广泛的建议.
- 解决已识别的障碍和利用促进者对于成功整合OptiBreech护理途径至关重要.
- 这些发现提供了可操作的见解,以提高阴道后分娩支持的安全性和可访问性.
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