Factors Associated With a Trusting Relationship Between Pregnant and Postpartum Women With Substance Use Disorders and Maternity Nurses
Factors Associated With a Trusting Relationship Between Pregnant and Postpartum Women With Substance Use Disorders and Maternity Nurses
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DOI：
10.1891/ijcbirth-d-20-00018
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发表时间：
2020-01-01
影响因子：
0.7
通讯作者：
Draucker, Claire
中科院分区：
文献类型：
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作者：
Renbarger, Kalyn M.;Moorman, Margaret;Draucker, Claire
孕妇和产后妇女与物质使用障碍（SUD）和产科护士之间的信任关系可以改善妇女及其婴儿的健康状况。本研究旨在探讨护患关系中信任形成的相关因素。使用定性描述的方法，半结构化的访谈进行了10名妇女在怀孕期间使用的物质和15名产科护士。采用标准内容分析技术对叙述进行分析。结果发现，护士的六个特征和女性的五个特征促进或阻碍了信任关系的形成。产科护士的特征是（a）人际关系，（B）对妇女的态度，（c）提供护理的方式，（d）提供信息的方法，（e）对物质使用的态度，和（f）成瘾的专业知识。这些妇女的特征是（a）与护士的接触，（B）对护士的态度，（c）对护理的态度，（d）对康复的投资，（e）与婴儿互动的方式。这些特征提供了一个框架，产科护士可以检查他们的态度和行为对妇女SUDs和通知战略的发展，以提高他们的做法与这一人口。
Trusting relationships between pregnant and postpartum women with substance use disorders (SUDs) and maternity nurses can improve health outcomes for women and their infants. This study was conducted to identify factors associated with the formation of trust in these nurse-patient relationships. Using a qualitative description approach, semi-structured interviews were conducted with 10 women who used substances during pregnancy and 15 maternity nurses. The narratives were analyzed with standard content analytic techniques. Findings revealed that six characteristics of nurses and five characteristics of women fostered or hindered the formation of trusting relationships. The characteristics of the maternity nurses were (a) interpersonal connections, (b) demeanor toward women, (c) ways of providing care, (d) approaches to providing information, (e) attitudes toward substance use, and (f) addiction expertise. The characteristics of the women were (a) engagement with nurses, (b) demeanor toward nurses, (c) attitudes toward care, (d) investment in recovery, and (e) ways of interacting with infant. The characteristics provide a framework by which maternity nurses can examine their attitudes and behaviors toward women with SUDs and inform the development of strategies to enhance their practice with this population.