瑞典儿童卫生服务护士对母乳养咨询的挑战:一项定性研究
Pernilla Ny1, Johanna Andersson2, Elin Bergholtz3
1Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
瑞典的儿童健康服务护士面临的沟通,文化和组织挑战阻碍了基于证据的母乳养支持. 这些障碍往往导致护士退出向母亲提供最佳指导.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健通讯 医疗保健通讯
背景情况:
- 瑞典国家母乳养战略旨在提供基于证据的支持.
- 瑞典的纯母乳养率显著下降,尽管母乳养的意图很高.
- 儿童卫生服务护士为家庭提供关键的母乳养指导.
研究的目的:
- 探索儿童卫生服务护士在提供母乳养支持方面所面临的挑战.
- 了解影响瑞典提供基于证据的母乳养建议的障碍.
主要方法:
- 使用半结构面试的定性方法.
- 瑞典南部有12名故意选择的儿童卫生服务护士 (CHSN) 参与了这项研究.
- 使用定性内容分析分析了字面转录.
主要成果:
- 一个核心主题出现了:"在多样化的护理链中平衡母乳养沟通时退一步".
- 确定的挑战包括语言障碍,害怕破坏信任,对母乳养看法的文化差异以及时间和访问等组织约束.
- 护士往往会适度以证据为基础的建议,以应对复杂的护理情况,并尊重个人的选择.
结论:
- 儿童卫生服务护士在提供一致,基于证据的母乳养支持方面遇到重大挑战.
- 解决沟通,文化和组织障碍对于改善母乳养支持至关重要.
- 需要加强教育和指导,以赋予护士权力,改善母亲和儿童健康结果.
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