西班牙裔分娩父母在医院接受的哺乳支持的经验:质量改善需要评估
Cati G Brown-Johnson1, Samantha M R Kling1, Erika A Saliba-Gustafsson1
1Department of Medicine, Stanford University School of Medicine, Stanford University, Palo Alto, CA, USA.
改善西班牙裔父母的哺乳支持需要更好的沟通和资源. 这项研究强调需要加强临床医师培训,口译服务和支持性医院实践,以促进母乳养.
科学领域:
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 对于六个月以下的婴儿,建议使用纯母乳 (EHM) 养,但许多美国婴儿没有达到这一目标.
- 在EHM养方面存在差异,特别影响西班牙裔/拉丁裔父母.
- 了解父母的经验对于改善哺乳支持和解决健康不平等至关重要.
研究的目的:
- 探索西班牙裔分娩父母在母乳养和哺乳支持方面的经验.
- 在产后医院康复过程中识别障碍物和促进者.
- 为加强围产期护理提供质量改进倡议的信息.
主要方法:
- 来自37次采访和在医院观察的三角数据.
- 包括喜欢英语和西班牙语的西班牙裔分娩父母和儿科临床医生.
- 利用快速的主题分析,将其映射到社会生态模型中.
主要成果:
- 确定了改善人际关系的需求,包括建立信任和临床医生沟通.
- 突出了医院层面的需求,如支持性产妇护理,哺乳人员的可用性和增强的教育资源.
- 喜欢西班牙语的家长特别要求提供更好的口译服务.
结论:
- 质量改善工作的重点应该是加强患者与临床医生的关系和沟通.
- 投资于临床医生的培训和可获得的物质资源是必不可少的.
- 解决语言障碍和改善医院支持系统可以促进成功的母乳养.
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