Midwives' experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training.
Midwives' experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training.
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DOI：
10.1186/s12912-021-00559-6
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发表时间：
2021-03-10
期刊：
影响因子：
3.2
通讯作者：
Donkor P
中科院分区：
文献类型：
--
作者：
Dzomeku VM;Boamah Mensah AB;Nakua EK;Agbadi P;Lori JR;Donkor P
在加纳，记录循证专业培训计划的有效性，以促进尊重产妇护理（RMC）的做法在医疗机构的研究很少。因此，我们设计了一个为期四天的RMC培训研讨会，并与加纳库马西的三级医疗机构的选定助产士进行了试点。本论文通过探讨助产士在培训工作坊后4个月在日常产科护理实践中实施RMC知识的经验，评估培训的影响。通过描述性的定性研究设计，我们跟进并进行了14次深入访谈的参与者的RMC培训，探讨他们的经验，应用所获得的RMC知识在他们的日常产妇护理实践。使用NVivo 12管理和分析数据。代码被分解成子主题，并分配给三个主要的预定主题。研究结果被大致分为三个主题：实践RMC在日常产妇护理的经验，卫生设施的障碍，实践RMC，并为改善RMC的做法的建议。助产士提到，应用新获得的风险管理和监测知识积极改善了她们与育龄妇女的关系，帮助她们与妇女有效沟通，并使她们认识到育龄妇女的自主权。尽管培训对临床实践产生了积极影响，但助产士们说，医院的政策和建筑环境不支持探索替代分娩体位。此外，医院缺乏必要的后勤保障，无法确保开放式产房中多名育龄妇女的隐私。助产士建议，应提供替代分娩体位和病房隐私的后勤保障。此外，所有助产士和医院工作人员都应参加RMC培训方案，以鼓励良好做法。尽管有报告称，实施RMC存在一些挑战，但助产士指出，为期4天的RMC培训对她们在医院的产妇护理实践产生了积极影响。旨在解决产妇护理期间的不尊重和虐待行为问题的政策和方案应倡导并包括建设支持替代分娩姿势和生育妇女在分娩期间隐私的设施。在线版本包含补充材料，可通过10.1186/s12912-021-00559-6获得。
In Ghana, studies documenting the effectiveness of evidence-based specialized training programs to promote respectful maternity care (RMC) practices in healthcare facilities are few. Thus, we designed a four-day RMC training workshop and piloted it with selected midwives of a tertiary healthcare facility in Kumasi, Ghana. The present paper evaluated the impact of the training by exploring midwives’ experiences of implementing RMC knowledge in their daily maternity care practices 4 months after the training workshop. Through a descriptive qualitative research design, we followed-up and conducted 14 in-depth interviews with participants of the RMC training, exploring their experiences of applying the acquired RMC knowledge in their daily maternity care practices. Data were managed and analysed using NVivo 12. Codes were collapsed into subthemes and assigned to three major predetermined themes. The findings have been broadly categorized into three themes: experiences of practising RMC in daily maternity care, health facility barriers to practising RMC, and recommendations for improving RMC practices. The midwives mentioned that applying the newly acquired RMC knowledge has positively improved their relationship with childbearing women, assisted them to effectively communicate with the women, and position them to recognize the autonomy of childbearing women. Despite the positive influence of the training on clinical practice, the midwives said the policy and the built environment in the hospital does not support the exploration of alternative birthing positions. Also, the hospital lacked the required logistics to ensure privacy for multiple childbearing women in the open labour ward. The midwives recommended that logistics for alternative birthing positions and privacy in the ward should be provided. Also, all midwives and staff of the hospital should be taken through the RMC training program to encourage good practice. Despite the report of some RMC implementation challenges, the midwives noted that the 4-day RMC training has had a positive impact on their maternity caregiving practice in the hospital. Policies and programs aimed at addressing the issue of disrespect and abusive practices during maternity care should advocate and include the building of facilities that support alternative birthing positions and privacy of childbearing women during childbirth. The online version contains supplementary material available at 10.1186/s12912-021-00559-6.
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影响因子：
3.4
作者：
Ratcliffe, Hannah L.;Sando, David;McDonald, Kathleen P.
通讯作者：
McDonald, Kathleen P.
影响因子：
3.2
作者：
Montagu, Dominic;Sudhinaraset, May;Donnay, France
通讯作者：
Donnay, France
DOI：
10.3390/ijerph16091616
发表时间：
2019-05-01
影响因子：
--
作者：
Swahnberg, Katarina;Zbikowski, Anke;Infanti, Jennifer J.
通讯作者：
Infanti, Jennifer J.
影响因子：
2
作者：
Kim H;Sefcik JS;Bradway C
通讯作者：
Bradway C
影响因子：
168.9
作者：
Campbell, Oona M. R.;Graham, Wendy J.
通讯作者：
Graham, Wendy J.