位置如何影响助产士和产科医生的产科实践?
Christine Mellor1, Marion Hunter1, Elizabeth Smythe1
1Faculty of Health and Environmental Sciences, Auckland University of Technology (AUT University, AUT University South Campus, 640 Great South Road, Manukau City Centre, Auckland 2025, New Zealand.
出生地点对医疗保健提供者如何实践和支持生理分娩产生重大影响. 了解这些影响对于改善产妇护理和分娩结果至关重要.
科学领域:
- 产妇护理实践中的产妇护理实践.
- 产科和妇科 产科和妇科
- 健康和疾病的社会学
背景情况:
- 劳动和分娩干预率的上升引起了人们对潜在危害的担忧.
- 国际证据表明,地点会影响出生结果,但机制尚不清楚.
- 新西兰的数据显示,自发性阴道分娩率因出生地而异.
研究的目的:
- 了解物理和组织环境如何影响助产士和产科医生的实践.
- 探索地点如何塑造生理劳动和分娩的支持.
- 在不同的产妇环境中识别生理分娩的障碍和促进因素.
主要方法:
- 赫敏学现象学研究涉及9名助产士和3名产科医生.
- 参与者在助产士主导的单位或医院产科设施中进行实践.
- 通过半结构面试收集的数据,并使用解释性见解进行分析.
主要成果:
- 地方影响从业人员的意识,实现目标的轻松性,以及提供以女性为中心的护理的能力.
- 环境中的竞争压力可以改变对正常与风险的看法.
- 环境塑造了被认为是安全分娩的做法.
结论:
- 物理和组织环境不是中立的;它积极塑造产妇护理实践.
- 位置显著影响医疗保健提供者如何支持生理劳动和分娩.
- 研究结果为影响生理分娩的因素提供了更深入的见解.
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