Promoting respectful maternity care: challenges and prospects from the perspectives of midwives at a tertiary health facility in Ghana.
Promoting respectful maternity care: challenges and prospects from the perspectives of midwives at a tertiary health facility in Ghana.
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DOI：
10.1186/s12884-022-04786-w
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发表时间：
2022-05-31
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
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作者：
有证据表明，加纳的妇女在分娩过程中会受到助产士的不尊重（掌掴、捏捏、大喊大叫等）。因此，有必要进行基于证据的研究，以促进助产士对尊重产妇护理（RMC）的采用。因此，我们试图探索和记录助产士关于在三级医疗机构中推广RMC所面临的挑战和前景的观点。我们采用探索性描述性定性研究设计。我们总共对接受过RMC教育的助产士进行了12次访谈。所有音频数据逐字转录并导出到NVivo-12进行数据管理和分析。在报告本研究时，我们依赖于报告定性研究的统一标准指南。调查结果大致分为三个主题：情感支持、有尊严的护理和尊重的沟通，这与世卫组织的护理质量框架相一致。对于每个主题，目前为促进RMC所采取的行动、挑战和改进RMC促进的建议都被捕获。总的来说，目前促进RMC的行动包括提供骶骨按摩和安慰，确保保密和同意的护理，以及将无法支付社会福利单位的客户转介。提供RMC的挑战是确保隐私、客户自由流动和替代分娩位置的后勤限制。一些助产士的不良态度、工作量和语言障碍是出现的其他挑战。助产士建议任命更多的助产士，并提供后勤支持替代分娩姿势和隐私。此外，他们还建议实施持续的培训和能力建设。我们的结论是，为了让助产士提供包括情感支持、有尊严的护理和尊重的沟通在内的RMC服务，政府和医院管理部门必须做出必要的调整，以解决现有的挑战，同时改善当前的支持活动。在线版本包含补充材料，可在10.1186/s12884-022-04786-w获得。
Evidence shows that women in Ghana experience disrespectful care (slapping, pinching, being shouted at, etc.) from midwives during childbirth. Hence, evidence-based research is needed to advance the adoption of respectful maternity care (RMC) by midwives. We therefore sought to explore and document midwives’ perspectives concerning challenges faced and prospects available for promoting RMC in a tertiary health facility. We employed an exploratory descriptive qualitative study design. In total, we conducted 12 interviews with midwives educated on RMC. All audio data were transcribed verbatim and exported to NVivo-12 for data management and analyses. We relied on the Consolidated Criteria for Reporting Qualitative Research guideline in reporting this study. The findings were broadly categorised into three themes: emotional support, dignified care and respectful communication which is consistent with the WHO’s quality of care framework. For each theme, the current actions that were undertaken to promote RMC, the challenges and recommendations to improve RMC promotion were captured. Overall, the current actions that promoted RMC included provision of sacral massages and reassurance, ensuring confidentiality and consented care, and referring clients who cannot pay to the social welfare unit. The challenges to providing RMC were logistical constraints for ensuring privacy, free movement of clients, and alternative birthing positions. Poor attitudes from some midwives, workload and language barrier were other challenges that emerged. The midwives recommended the appointment of more midwives, as well as the provision of logistics to support alternative birthing positions and privacy. Also, they recommended the implementation of continuous training and capacity building. We conclude that in order for midwives to deliver RMC services that include emotional support, dignified care, and respectful communication, the government and hospital administration must make the required adjustments to resolve existing challenges while improving the current supporting activities. The online version contains supplementary material available at 10.1186/s12884-022-04786-w.
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影响因子：
3.1
作者：
Nuamah, Gladys Buruwaa;Agyei-Baffour, Peter;Addai-Donkor, Kwasi
通讯作者：
Addai-Donkor, Kwasi
影响因子：
3.1
作者：
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通讯作者：
Eustace, Lucia
影响因子：
3.4
作者：
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通讯作者：
Bekele, Delayehu
影响因子：
2.3
作者：
Molina, Rose L.;Patel, Suha J.;Nour, Nawal M.
通讯作者：
Nour, Nawal M.
影响因子：
2.7
作者：
Dzomeku, Veronica Millicent;van Wyk, Brian;Lori, Jody R.
通讯作者：
Lori, Jody R.