在孕产妇医院实施世卫组织安全分娩清单的障碍,巴西
Ewerton William Gomes Brito1, Tatyana Maria Silva de Souza Rosendo1,2, Fernanda Pereira Marinho Amaro2
1Universidade Federal do Rio Grande do Norte. Departamento de Saúde Coletiva. Natal, RN, Brasil.
Revista de saude publica
|December 10, 2025
概括
实施世界卫生组织安全分娩清单的障碍包括清单设计,安全文化薄弱和培训不足. 解决这些问题需要全面的战略,以便更好地遵守母亲和新生儿的护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 实施科学 实施科学
背景情况:
- 世界卫生组织的安全分娩检查清单 (SCC) 旨在改善母亲和新生儿的结果.
- 成功实施SCC至关重要,但面临着特定环境的挑战.
研究的目的:
- 在高风险和常规风险分娩医院中识别SCC实施的障碍.
- 开发SCC实施障碍的因果模型.
主要方法:
- 使用焦点小组和头脑风暴会议进行定性,探索性研究.
- 从两个公共产妇医院的医疗保健专业人员和患者安全人员收集的数据.
- 基于实施研究综合框架 (CFIR) 的内容分析和使用鱼骨图的因果模型开发.
主要成果:
- 在CFIR领域中发现的障碍:创新 (检查清单设计/复杂性),内部设置 (安全文化,基础设施) 和实施过程 (规划,利益相关方参与,反).
- 常规风险设施还面临与继续教育政策相关的排斥障碍.
- 高风险设施没有报告外设屏障.
结论:
- 由于结构,文化和适应方面的挑战,SCC的实施受到阻碍.
- 在培训方面的投资不足,高员工流动和缺乏特定协议,阻碍了SCC的一致使用.
- 需要全面的战略来改善SCC的遵守和整合在母亲和新生儿的护理.
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