OB Nest: Reimagining Low-Risk Prenatal Care
OB Nest: Reimagining Low-Risk Prenatal Care
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DOI：
10.1016/j.mayocp.2018.01.022
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发表时间：
2018-04-01
影响因子：
8.9
通讯作者：
Harms, Roger W.
中科院分区：
文献类型：
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作者：
de Mooij, Mamie J. Meylor;Hodny, Rachael L.;Harms, Roger W.
使用以人为本的设计方法，我们的团队试图为经历低风险妊娠的女性设想一种新的护理模式。这种模式被称为OB Nest，旨在通过提供适合患者日常生活的支持和授权体验来使怀孕体验非医学化。为了探讨这个话题，我们邀请女性使用自我监测工具，一个基于文本的智能手机应用程序与他们的护理团队沟通，并主持在线社区与其他孕妇联系。通过观察工具的使用和患者和护理团队提供的反馈，我们发现自我测量和获得胎儿心脏监测器为女性提供了怀孕过程中的信心和喜悦，同时将她们的位置转变为积极参与护理的角色。智能手机应用程序使妇女能够直接接触到她们的护理团队，提供连续性，并消除了建立沟通的障碍。在线社区平台是一个空间，同一产科诊所的妇女可以相互分享非医疗问题和建议。这创造了一种社区意识，利用妇女的知识，并提供了一个超越诊所访问的信息交流场所。这些发现被整合到马约诊所OB Nest模型的设计中。这种模式通过提供自我测量工具和持续灵活地访问他们的护理团队，根据患者的个人需求重新分配护理。通过使妇女能够有意义地参与其护理，有可能节省成本并提高患者满意度。(C)2017年马约医学教育和研究基金会
Using a human-centered design method, our team sought to envision a new model of care for women experiencing low-risk pregnancy. This model, called OB Nest, aimed to demedicalize the experience of pregnancy by providing a supportive and empowering experience that fits within patients' daily lives. To explore this topic, we invited women to use self-monitoring tools, a text-based smartphone application to communicate with their care team, and moderated online communities to connect with other pregnant women. Through observations of tool use and patient- and care team-provided feedback, we found that self-measurement and access to a fetal heart monitor provided women with confidence and joy in the progress of their pregnancies while shifting their position to being an active participant in their care. The smartphone application gave women direct access to their care team, provided continuity, and removed hurdles in establishing communication. The online community platform was a space where women in the same obstetric clinic could share nonmedical questions and advice with one another. This created a sense of community, leveraged the knowledge of women, and provided a venue beyond the clinic visit for information exchange. These findings were integrated into the design of the Mayo Clinic OB Nest model. This model redistributes care based on the individual needs of patients by providing self-measurement tools and continuous flexible access to their care team. By enabling women to meaningfully participate in their care, there is potential for cost savings and improved patient satisfaction. (C) 2017 Mayo Foundation for Medical Education and Research