农村产妇护理"事情需要改变":一个横截面调查
Kath Brundell1,2, Vidanka Vasilevski1,3, Tanya Farrell3,4
1School of Nursing and Midwifery, Deakin University, Burwood, Australia.
农村产妇服务的可持续性取决于劳动力的可用性,资金和领导力. 解决这些关键因素对于在澳大利亚地区保持可访问,安全的产妇护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 澳大利亚20多年来,产妇服务关闭对澳大利亚农村医疗保健的可访问性产生了重大影响.
- 农村卫生服务领导人对有关产妇服务提供的决策过程的理解有限.
研究的目的:
- 调查维多利亚农村卫生委员会和高管如何处理持续的产妇服务提供.
- 确定影响农村产妇服务继续或关闭的关键因素.
主要方法:
- 分发给维多利亚农村地区的董事会成员和卫生管理人员的跨部门在线调查.
- 数据分析包括描述性统计,相关性分析和主题分析.
主要成果:
- 劳动力可用性,资金,助产士领导力,社区支持和区域卫生服务支持是农村产妇服务延续的关键决定因素.
- 确定了关于护理连续性的声明优先事项和实施灵活模型 (如助产士团体实践) 之间的断裂.
- 可持续性面临的重大挑战包括劳动力赤字,领导力缺口以及 24/7 手术室人员不足.
结论:
- 通过区域伙伴关系促进的有针对性的资金对于维持农村产妇服务至关重要.
- 强大的助产士领导力对于确保可访问和安全的农村产妇护理至关重要.
- 解决关键的劳动力和运营赤字对于农村产妇服务的未来至关重要.
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