在葡萄牙的背景下实施助产单位:障碍和促进者
Sara D C Paz1, Andreia S Goncalves2, Filipa Sampaio3
1Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, R. Jorge de Viterbo Ferreira 228, Porto 4050-313, Portugal.
在葡萄牙实施助产单位面临医生主导的护理障碍,但为人性化,基于证据的分娩提供了机会. 利益相关者的看法揭示了文化和结构性挑战以及变革的促进者.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健政策 医疗保健政策
- 护士和助产士的工作
背景情况:
- 在葡萄牙,分娩主要发生在产科单位,甚至在低风险妊娠中,干预率也很高.
- 助产科提供了一个潜在的可行的替代方案,成功地集成到可比的卫生系统中.
研究的目的:
- 探索利益相关者对葡萄牙实施助产单位的障碍和促进者的看法.
主要方法:
- 定性,描述性和探索性的研究设计.
- 用于数据收集的半结构面试.
主要成果:
- 确定了两个主要主题:实施准备 (文化,组织,专业,政治层面) 和实施战略.
- 关键因素包括助产师的专业定位,专业间的层次结构和卫生系统结构.
结论:
- 根深蒂固的障碍源于医生主导的产妇护理模式;然而,国家卫生系统的挑战为改变提供了机会.
- 促进者包括减少干预,促进人性化的护理,增强妇女的自主权,并与科学证据保持一致.
- 尽管存在持续的障碍,但促进者的融合为整合助产护理的连续性创造了一个窗口,需要定制的战略和政策宣传.
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