提供创伤信息流产护理的促进者和障碍
Diana Marino Nuñez1, Kristen Chalmers1, Candice Norcott2
1Pritzker School of Medicine, University of Chicago, Chicago, Illinois.
概括
堕胎提供者需要更多的培训和标准化的做法,以提供创伤响应护理. 加强支持系统和资源可以改善创伤病史患者的堕胎服务.
科学领域:
- 生殖健康 生殖健康
- 创伤信息化的护理
- 医疗保健提供者培训培训
背景情况:
- 与一般人群相比,堕胎的个体有更高的先前创伤率.
- 创伤史,包括性侵犯和不良童年事件,在堕胎患者中很普遍.
- 了解提供者的观点对于改善堕胎护理质量至关重要.
研究的目的:
- 确定提供创伤响应性堕胎护理的促进者和障碍.
- 探索堕胎提供者关于创伤信息化的护理的经验和看法.
- 为提高堕胎机构创伤响应服务的策略提供信息.
主要方法:
- 与芝加哥的20家堕胎提供商进行了半结构化采访.
- 用专题内容分析来分析采访数据.
- 评估者之间的可靠性是使用科恩的卡帕分数进行评估的.
主要成果:
- 接受采访的提供者中有一半对提供创伤响应性护理感到有信心.
- 促进者包括提供者培训,临床经验和行为健康服务和镇静等结构性支持.
- 障碍包括不充分的培训,缺乏临床指导方针,以及缺乏创伤查协议.
结论:
- 提供者和诊所层面的因素对创伤响应性堕胎护理的提供有重大影响.
- 增加提供者培训和标准化诊所实践对于改善护理至关重要.
- 需要加强资源和协议,以支持接受堕胎护理的创伤病史患者.
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