助产士作为变革的推动者:对助产士在加拿大的堕胎护理提供经验的定性分析
C A Mattison1, V Perrault2, A Hibbert3
1Research Affiliate, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Director, Insight Research & Policy Inc., Guelph, Canada.
加拿大的助产士可以提供必要的堕胎护理,但面临系统障碍. 消除这些障碍将改善对生殖保健的获得,并为所有加拿大人推进生殖正义.
科学领域:
- 医疗保健政策 医疗保健政策
- 生殖健康 生殖健康
- 助产士研究 助产士研究
背景情况:
- 助产士拥有堕胎护理的技能,但系统限制限制了他们在加拿大的作用.
- 地理和社会不平等造成堕胎获取障碍,影响生殖正义.
研究的目的:
- 探索助产士在加拿大提供堕胎护理的经验.
- 确定助产士参与堕胎护理的促进者和障碍者.
- 了解助产士在实施全面堕胎服务方面的价值观和需求.
主要方法:
- 使用25个深度采访和3个聚焦小组与助产士进行定性研究.
- 在2023年8月至12月期间收集的数据.
- 反思性主题分析用于探索经验和确定主题.
主要成果:
- 助产士在提供堕胎护理时面临监管限制和资金挑战.
- 尽管存在障碍,但助产士利用他们的技能,为贫困人口提供文化安全,以客户为中心的堕胎护理.
- 助产士的价值观和哲学促进了一种独特的堕胎护理模式.
结论:
- 消除监管和资金障碍对于优化助产士在堕胎护理中的作用至关重要.
- 提高助产士的实践范围可以改善获得全面性和生殖健康护理的机会.
- 这项研究支持政策变革,在全球推进生殖权利.
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