产妇护理途径和参与决策:对爱尔兰妇女经历的混合方法研究
Ella Tuohy1, Lorna Sweeney1, Daniela Rohde1
1National Care Experience Programme, Health Information and Quality Authority, Dublin, Ireland.
在爱尔兰,接受私人/半私人或助产士主导的产妇护理的妇女报告说,与公共护理相比,她们在决策中参与度更高. 护理的连续性是为在产妇服务中做出明智选择的关键.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗保健服务研究
- 患者体验 患者体验
背景情况:
- 爱尔兰的产妇护理是公共和私人服务的混合体.
- 护理途径因可用性,需求和位置而异.
研究的目的:
- 探索女性在决策中的感知参与.
- 为了比较不同产妇护理途径的参与.
主要方法:
- 2020年爱尔兰国家产妇经验调查的二次分析.
- 将护理分类为公共,私人/半私人和助产士领导的途径.
- 使用回归和专题分析用于定量和定性数据.
主要成果:
- 私人/半私人和助产士领导的护理与怀孕期间更高的决策参与有关.
- 私人/半私人护理与劳动,分娩和产后更大的参与有关.
- 有效的沟通,连续性,选择和支持偏好加强了参与.
结论:
- 护理的连续性可能解释了人们对决策参与感知的差异.
- 所有产妇护理模式都应该优先考虑连续性,以支持知情选择.
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