Charge midwives' awareness of and their role in promoting respectful maternity care at a tertiary health facility in Ghana: A qualitative study.
Charge midwives' awareness of and their role in promoting respectful maternity care at a tertiary health facility in Ghana: A qualitative study.
复制标题
DOI：
10.1371/journal.pone.0284326
复制
发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
有证据表明，实施尊重产妇护理（RMC）干预措施是最大限度地减少分娩期间虐待的最可靠和最有效的手段之一。然而，为了确保RMC干预措施的成功实施，孕产妇保健提供者必须了解RMC，其相关性，以及他们在促进RMC中的作用。我们探讨了意识和责任助产士在促进RMC在加纳的三级卫生设施的作用。本研究采用探索性描述性质性研究设计。我们对助产士进行了九次采访。所有音频数据均逐字转录并导出至NVivo-12进行数据管理和分析。该研究表明，收费助产士知道RMC。具体而言，病房负责人认为RMC包括显示尊严，尊重和隐私，以及提供以妇女为中心的护理。我们的研究结果表明，病房负责人的角色包括培训助产士在RMC和以身作则，表现出同情心和建立与客户的友好关系，接收和解决客户的关注，并监测和监督助产士。我们的结论是，助产士在促进RMC方面发挥着重要作用，这超越了简单地提供产妇护理。政策制定者和医疗保健管理人员应确保助产士接受充分和定期的RMC培训。这种培训应是全面的，涵盖有效沟通、隐私和保密、知情同意和以妇女为中心的护理等方面。该研究还强调，政策制定者和卫生设施管理者需要优先提供资源和支持，以便在所有医疗设施中实施RMC政策和指南。这将确保医疗保健提供者拥有必要的工具和资源来为客户提供RMC。
Evidence suggests that the implementation of respectful maternity care (RMC) interventions is one of the surest and most effective means of minimising mistreatment during intrapartum care services. However, to ensure the successful implementation of RMC interventions, maternity care providers would have to be aware of RMC, its relevance, and their role in promoting RMC. We explored the awareness and role of charge midwives in promoting RMC at a tertiary health facility in Ghana. The study adopted an exploratory descriptive qualitative study design. We conducted nine interviews with charge midwives. All audio data were transcribed verbatim and exported to NVivo-12 for data management and analyses. The study revealed that charge midwives are aware of RMC. Specifically, ward-in-charges perceived RMC as consisting of showing dignity, respect, and privacy, as well as providing women-centred care. Our findings showed that the roles of ward-in-charges included training midwives on RMC and leading by example, showing empathy and establishing friendly relationships with clients, receiving and addressing clients’ concerns, and monitoring and supervising midwives. We conclude that charge midwives have an important role to play in promoting RMC, which transcends simply providing maternity care. Policymakers and healthcare managers should ensure that charge midwives receive adequate and regular training on RMC. This training should be comprehensive, covering aspects such as effective communication, privacy and confidentiality, informed consent, and women-centred care. The study also underscores a need for policymakers and health facility managers to prioritise the provision of resources and support for the implementation of RMC policies and guidelines in all healthcare facilities. This will ensure that healthcare providers have the necessary tools and resources to provide RMC to clients.
登录
查看更多内容
影响因子：
2.8
作者：
Webber G;Chirangi B;Magatti N
通讯作者：
Magatti N
孕产妇卫生保健计划：加纳上西部地区两个农村地区的病态和死亡的原因。
影响因子：
3.7
作者：
Sumankuuro J;Crockett J;Wang S
通讯作者：
Wang S
影响因子：
3.1
作者：
Afaya, Agani;Dzomeku, Veronica Millicent;Mwini Nyaledzigbor, Prudence P.
通讯作者：
Mwini Nyaledzigbor, Prudence P.
影响因子：
3.4
作者：
Shimoda K;Horiuchi S;Leshabari S;Shimpuku Y
通讯作者：
Shimpuku Y
影响因子：
4.5
作者：
Doctor, Henry V.;Nkhana-Salimu, Sangwani;Abdulsalam-Anibilowo, Maryam
通讯作者：
Abdulsalam-Anibilowo, Maryam