医疗保健专业人员和分娩者在分娩期间的沟通:一种混合方法研究
Luciana Braz de Oliveira Paes1, Natália Rejane Salim2, Beatriz Rosana Gonçalves de Oliveira Toso3
1Centro Universitário Padre Albino. Catanduva, São Paulo, Brazil.
由于与医疗保健专业人员的权力动态,妇女在分娩期间经历了沟通挑战和有限的自主权. 改进的沟通策略对于有效的孕产妇护理至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健通讯 医疗保健通讯
- 患者体验 患者体验
背景情况:
- 医疗保健提供者和患者之间的有效沟通对于积极的出生体验至关重要.
- 了解分娩者的观点对于改善孕产妇护理质量至关重要.
研究的目的:
- 从妇女的角度分析医疗保健专业人员和分娩者在分娩期间的沟通.
- 识别影响分娩体验的沟通障碍和促进者.
主要方法:
- 连续解释性混合方法研究,涉及产后妇女.
- 定量阶段:对265个母婴友好的分娩设施进行描述性分析.温度计响应.
- 定性阶段:对44次深入访谈进行主题内容分析.
主要成果:
- 在信息传输和理解方面发现了重大局限性.
- 妇女报告说,她们在决策过程中自主权受到限制,信息往往以权威的方式传递.
- 排放指令是一个例外,通常被理解得很好.
结论:
- 出生沟通受到医疗保健专业人员和分娩者之间的权力动态的影响.
- 重新评估沟通作为产妇护理的核心要素至关重要.
- 解决权力不平衡可以提高患者的自主性和满意度.
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