Women's Experience of Group Prenatal Care

Women's Experience of Group Prenatal Care
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DOI:
10.1177/1049732310378655
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发表时间:
2011-01-01
影响因子:
3.2
通讯作者:
Knafl, Kathleen A.
Knafl, Kathleen A.
中科院分区:
医学2区
文献类型:
--
作者:
Novick, Gina;Sadler, Lois S.;Knafl, Kathleen A.

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团体产前护理(GPNC)是一个创新的替代个人产前护理。在这项纵向研究中,我们使用人种学方法探讨非裔美国人和西班牙裔妇女在两个城市诊所接受GPNC的经历。方法包括对参与GPNC的妇女和组长进行个人、深度、半结构化访谈、GPNC会议的参与者观察和病历回顾。GPNC提供了积极的经验,并满足了许多妇女对产前护理的偏好。研究确定了六个主题,分别代表了女性经历的不同方面:投资、合作创业、社交聚会、与边界的关系、在群体中学习和改变自我。总的来说,这些主题传达了GPNC的总体经验。女性尤其热衷于小组学习、与小组领导的关系以及将怀孕相关的变化和恐惧正常化;然而,参与者之间的关系也有重要的界限,一些妇女希望在体检期间有更多的隐私。
Group prenatal care (GPNC) is an innovative alternative to individual prenatal care. In this longitudinal study we used ethnographic methods to explore African American and Hispanic women's experiences of receiving GPNC in two urban clinics. Methods included individual, in-depth, semistructured interviews of women and group leaders in GPNC, participant observation of GPNC sessions, and medical record review. GPNC offered positive experiences and met many of women's expressed preferences regarding prenatal care. Six themes were identified, which represented separate aspects of women's experiences: investment, collaborative venture, a social gathering, relationships with boundaries, learning in the group, and changing self. Taken together, the themes conveyed the overall experience of GPNC. Women were especially enthusiastic about learning in groups, about their relationships with group leaders, and about having their pregnancy-related changes and fears normalized; however, there were also important boundaries on relationships between participants, and some women wished for greater privacy during physical examinations.