产科工作人员对实施国家围产死亡率审查工具的看法:了解障碍和促进者的看法
Emily O'Connor1,2,3, Aenne Helps2,3, Richard Greene3
1INFANT Research Centre, 8795 University College Cork , Cork, Ireland.
Journal of perinatal medicine
|March 18, 2025
概括
在爱尔兰产科单位实施标准化围产死亡审查工具被医疗保健专业人士积极看待. 解决时间和制度文化等障碍是加强审查和潜在减少未来围产死亡的关键.
科学领域:
- 围产儿医学 围产儿医学
- 改善医疗保健质量 改善医疗保健质量
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 围产死亡评估对于了解死亡原因和识别可预防因素至关重要.
- 爱尔兰产妇单位现有的围产死亡率审查流程各不相同,影响其有效性.
- 建议对审查工具和流程进行标准化,以提高质量和一致性.
研究的目的:
- 确定在爱尔兰产科单位实施标准化围产死亡率审查工具的障碍和促进因素.
- 收集医疗保健专业人员关于当前审查系统和拟议变更的观点.
- 为制定和实施更有效,标准化的审查流程提供信息.
主要方法:
- 半结构面试对32名爱尔兰三个产科单位的医疗和助产人员进行了半结构面试.
- 用有目的和雪球采样策略来招募参与者.
- 专题分析用于分析面试数据,涵盖审查流程,员工经验和系统变化.
主要成果:
- 出现了四个主要主题:审查过程,时间限制,机构文化和员工需求.
- 在不同产科单位的审查过程和员工参与方面存在显著差异.
- 机构文化,领导力和透明度对于有效的审查至关重要,这也会影响员工的福祉.
结论:
- 医疗保健专业人员积极看待标准化围产死亡率审查系统的实施.
- 解决已识别的障碍,包括时间挑战和文化因素,对于成功实施至关重要.
- 一个标准化的工具和过程可以加强围产死亡审查,改善父母的参与,并可能减少未来的死亡率.
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