Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka
Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka
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DOI：
10.3390/ijerph16091616
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发表时间：
2019-05-01
影响因子：
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通讯作者：
Infanti, Jennifer J.
中科院分区：
文献类型：
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作者：
Swahnberg, Katarina;Zbikowski, Anke;Infanti, Jennifer J.
产科暴力是指医疗服务提供者在怀孕和分娩过程中对妇女的虐待。它与护理质量差、对卫生系统缺乏信任以及孕产妇和新生儿不良结局有关。减少和预防产科暴力的干预措施的证据有限。我们利用一种名为“论坛戏剧”的参与式戏剧技术开发了一种培训干预措施，其灵感来自斯里兰卡的被压迫者剧院。本文评估了培训方法在提高工作人员对产科暴力的认识并促进采取行动减少或预防产科暴力方面的潜力。我们为斯里兰卡科伦坡三家医院的 20 名医生和 30 名护士举办了四次研讨会。参与者在干预前和干预后三到四个月完成了一份调查问卷。在后续行动中，参与者更频繁地报告说，他们曾遭遇过产科暴力，这表明他们对这一现象有了新的认识和/或对其概念化的能力有所提高。该干预措施似乎有望提高医疗保健提供者识别产科暴力的能力，这是抵制产科暴力的第一步。该研究证明了开展进一步研究以评估基于剧院的培训干预措施的纵向影响的价值，以减少产科暴力并最终改善患者护理。
Obstetric violence refers to the mistreatment of women in pregnancy and childbirth care by their health providers. It is linked to poor quality of care, lack of trust in health systems, and adverse maternal and neonatal outcomes. Evidence of interventions to reduce and prevent obstetric violence is limited. We developed a training intervention using a participatory theatre technique called Forum Play inspired by the Theatre of the Oppressed for health providers in Sri Lanka. This paper assesses the potential of the training method to increase staff awareness of obstetric violence and promote taking action to reduce or prevent it. We conducted four workshops with 20 physicians and 30 nurses working in three hospitals in Colombo, Sri Lanka. Participants completed a questionnaire before and three-to-four months after the intervention. At follow-up, participants more often reported that they had been involved in situations of obstetric violence, indicating new knowledge of the phenomenon and/or an increase in their ability to conceptualise it. The intervention appears promising for improving the abilities of health care providers to recognise obstetric violence, the first step in counteracting it. The study demonstrates the value of developing further studies to assess the longitudinal impacts of theatre-based training interventions to reduce obstetric violence and, ultimately, improve patient care.