打开通往优质产妇护理的道路:对马拉维中部地区工作环境动态,提供者的响应能力和专业性的定性研究,马拉维
Bianca Kandeya1,2, Wanangwa Chimwaza-Manda3, Princess Kaira3
1Center for Reproductive Health, Kamuzu University of Health Sciences, Blantyre, Malawi. bianca.kandeya@ki.se.
工作场所面临的挑战,如资源短缺和严格的管理,阻碍了马拉维产妇护理的响应和专业性. 改善这些需要更好的资源,领导力和提供者支持,以改善孕产妇健康结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 响应能力和专业精神对于高质量的产妇护理至关重要.
- 工作场所因素显著影响医疗保健提供者维护这些原则的能力.
- 了解这些影响是改善孕产妇医疗保健的关键.
研究的目的:
- 探索组织文化,管理风格和资源可用性如何影响马拉维产妇护理的响应能力和专业性.
- 确定提高提供者动机和改善孕产妇医疗保健的策略.
主要方法:
- 使用半结构面试,焦点小组讨论和观察的定性研究.
- 在马拉维的两个不同的孕产妇护理单位 (基于信仰和政府) 进行.
- 数据使用NVIVO 14软件进行反射主题分析进行分析.
主要成果:
- 有限的资源,空间和繁重的工作负载阻碍了响应性护理的提供.
- 严格的管理,缺乏认可和低自主性降低了提供者的士气和主动性.
- 团队合作和支持性环境至关重要,但工作与生活平衡不佳会对参与度产生负面影响.
结论:
- 系统性,管理性和人际关系因素复杂地影响产妇护理质量.
- 干预措施应侧重于资源分配,支持性领导力和提供者福祉.
- 提高提供者动机对于改善母亲和新生儿的结果至关重要.
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