Qualitative Study of Experiences with an Interprofessional Perinatal Care Team Among Women Who Used Substances During the Perinatal Period

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2025-03-01 DOI:10.1016/j.jogn.2024.11.010

Kristen Gulbransen, Kellie Thiessen, Grandmother Geraldine Shingoose, Heather Watson, Wanda Phillips-Beck, Patricia Gregory, Javier Mignone

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引用次数: 0

Abstract

Objective

To explore how women who used substances during the perinatal period perceived the care they received from interprofessional perinatal care providers.

Design

Appreciative inquiry.

Setting

Interprofessional perinatal care clinic in a large urban tertiary care hospital in Canada.

Participants

Fourteen women with various backgrounds who used substances during pregnancy, including opioids, marijuana, and/or methamphetamine, and engaged in care with an interprofessional perinatal care team. The participants identified as First Nations (n = 3), Métis (n = 8), and White (n = 3).

Methods

Using appreciative inquiry, we followed the 4-D cycle of discovery, dream, design, and destiny to frame the semistructured interviews and analyze the data.

Results

Four overarching themes with nine subthemes emerged, representing participants' experiences with the interprofessional perinatal care team. The overarching themes were Safe Care, Compassionate Care, Dignified Care, and Connected Care. Participants suggested opportunities to improve care in relation to integration of cultural care, coordination of postpartum services, and increased support in the birth and hospital setting.

Conclusion

The findings highlight the strengths and assets of interprofessional perinatal care from the patients' perspectives. Participants outlined actionable ways for all perinatal providers to deliver safe, compassionate, dignified, and connected care, which can result in life-giving and lifesaving outcomes for patients.

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来源期刊

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing 医学-妇产科学

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

43 days

期刊介绍： JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns. This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.