The midwife's support during transition to motherhood: A modified Delphi study among care providers and childbearing women.

IF 1.9 4区 医学 Q2 NURSING
Scandinavian Journal of Caring Sciences Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI:10.1111/scs.13250
Yvonne J Kuipers, Natacha Van de Craen, Laura Van den Branden, Eveline Mestdagh
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引用次数: 0

Abstract

Objective: To reach consensus between care providers and childbearing women about the midwife's relevant and appropriate domains and elements to support transition to motherhood.

Methods: A modified web-based Delphi study was conducted in Flanders (Belgium). After performing a systematic literature review, searching the grey literature and an online poll, a set of 79 items was generated. In two rounds, the items were presented to an expert panel of (1) care providers from various disciplines providing services to childbearing women and (2) to pregnant women and postpartum women up to 1-year postpartum. Consensus was defined when 70% or more of the experts scored ≥6, 5% or less scored ≤3, and a standard deviation of ≤1.1.

Findings: In the first Delphi round, 91 experts reached consensus on 24 items. Seventeen round one items that met one or two consensus objectives were included in round two and were scored by 64 panel experts, reaching consensus on three additional items. The final 27 items covered seven domains: attributes, liaison, management of care from a woman-centred perspective, management of care from the midwife's focus, informational support, relational support, and the midwife's competencies.

Conclusion: The shared understanding between childbearing women and care providers shows that the midwife's transitional support is multifaceted. Our findings offer midwives a standard of care, criteria, guidance, and advice on how they can support childbearing women during transition to motherhood, beyond the existing recommendations and current provision of transitional care.

助产士在向母亲过渡期间的支持:在护理人员和育龄妇女中开展的改良德尔菲研究。
目的就助产士支持向母亲过渡的相关和适当领域及要素,在护理提供者和育龄妇女之间达成共识:方法: 在佛兰德斯(比利时)开展了一项经过修改的基于网络的德尔菲研究。在进行了系统的文献回顾、灰色文献搜索和在线投票后,产生了一套 79 个项目。这些项目分两轮提交给由以下人员组成的专家小组:(1) 为育龄妇女提供服务的各学科护理人员;(2) 孕妇和产后 1 年以内的产后妇女。当 70% 或更多的专家评分≥6 分,5% 或更少的专家评分≤3 分,且标准偏差≤1.1 时,即为达成共识:在第一轮德尔菲讨论中,91 位专家就 24 个项目达成了共识。在第一轮中,有 17 个项目达到了一个或两个共识目标,这些项目被纳入第二轮,并由 64 位专家小组专家进行打分,就另外 3 个项目达成了共识。最终的 27 个项目涵盖了七个领域:属性、联络、以妇女为中心的护理管理、助产士关注的护理管理、信息支持、关系支持和助产士的能力:结论:育龄妇女和护理提供者之间的共识表明,助产士的过渡支持是多方面的。我们的研究结果为助产士提供了一个护理标准、准则、指导和建议,使她们能够在现有建议和当前提供的过渡护理之外,为育龄妇女在向母亲过渡期间提供支持。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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