北卡罗来纳州监狱中产周和物质使用护理:定性组织背景 理想类型分析
Paige M Anderson1, Jamie Jackson2, Zakiya Stewart2
1Division of General Obstetrics, Gynecology, and Midwifery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Implementation research and practice
|February 26, 2026
概括
监狱有不同的能力来实施对有物质使用障碍 (SUD) 的孕妇的产周护理. 了解这些组织背景是改善这种脆弱人群的护理和结果的关键.
科学领域:
- 公共卫生 公共卫生
- 刑事司法系统 刑事司法系统
- 围产期护理 围产期护理
背景情况:
- 每年有5.5万名孕妇进入美国监狱,其中超过三分之一患有物质使用障碍 (SUD).
- 在孕妇中,物质使用障碍 (SUD) 会增加围产期发病率和死亡率的风险.
- 监狱中围产/SUD护理最佳实践的实施受到组织因素的阻碍.
研究的目的:
- 探索影响北卡罗来纳 (NC) 监狱中围产期/SUD护理决策和政策制定的组织背景.
- 确定监狱结构如何影响对SUD孕妇采取基于证据的做法.
- 制定一个框架,以改善监狱内的围产/SUD护理.
主要方法:
- 在2023年,与26个北国监狱的员工进行了半结构面试.
- 采访成绩单被取消识别并使用理想类型分析方法进行分析.
- 监狱根据其政策实施能力,社区联系和员工间协作,被分为理想类型.
主要成果:
- 确定了三个监狱理想类型:主动和协作 (n=6),响应和协调 (n=15) 和传统 (n=5).
- 积极的监狱证明了计划的成功实施,促进了转诊,并促进了合作.
- 传统的监狱缺乏新的项目实施,社区联系和协作决策.
结论:
- 类型学为理解监狱环境中的领导力和护理创新提供了一个框架.
- 这一框架可以指导合作倡议,以制定具体的背景策略,以整合产周/SUD最佳实践.
- 量身定制的方法对于通过加强基于监狱的护理提供来改善围产期结果至关重要.
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