产科工作人员对围产死亡审查的意见:父母的参与和对系统标准化的变化
Emily O'Connor1,2,3, Aenne Helps2,3, Richard Greene3
1INFANT Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland.
Journal of health services research & policy
|December 1, 2025
概括
爱尔兰的产科工作人员认为,围产死亡审查需要更好的家长参与和沟通. 将这些审查标准化,使用家长倡导者和电子表格,可以改善这一过程.
科学领域:
- 围产儿医学 围产儿医学
- 改善医疗保健质量 改善医疗保健质量
- 定性研究是指质量研究.
背景情况:
- 围产死亡审查计划旨在减少可预防的死亡,并支持丧亲的父母.
- 当前的审查系统往往缺乏足够的家长参与和标准化的沟通.
- 本研究从产科工作人员的角度来看,解决了改善审查流程的需要.
研究的目的:
- 探讨产科工作人员对现有的围产死亡审查系统的意见.
- 评估家长参与和沟通在审查中的当前水平.
- 确定在爱尔兰标准化审查过程的障碍和促进因素.
主要方法:
- 定性研究涉及32名爱尔兰三个单位的孕产妇工作人员的半结构面试.
- 参与者包括医生,助产士,患者倡导者,风险管理人员和牧师护理人员.
- 专题分析被用来确定关于审查过程和家长参与的关键主题.
主要成果:
- 产科工作人员认为,在围产死亡审查中,父母参与度不足,沟通不足.
- 父母倡导者被认为对支持父母通过审查过程至关重要.
- 改进的促进者包括电子审查表格和员工教育;障碍物包括对变化的抵抗和时间限制.
结论:
- 爱尔兰的围产死亡审查没有标准化,强调需要系统性改进.
- 加强沟通和父母参与审查是必不可少的.
- 解决已识别的促进者和障碍对成功实施标准化审查系统至关重要.
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