俄克拉何马州团队分娩对患者信任和自主分娩的影响。

IF 2 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2025-09-01 DOI:10.1016/j.jogn.2025.05.113

Isabel Griffith, Vanessa Neergheen, Lynn El Chaer, Yara Altaher, Trisha Short, Amber Weiseth

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引用次数: 0

摘要

目的：探讨俄克拉何马州分娩过程中团队分娩对患者信任和自主决策的影响。设计：采用两组比较的横断面调查。环境：俄克拉荷马州的医院，患者在2022年3月至2024年6月期间分娩。参与者：15岁及以上的活产患者（N = 6528）。方法：我们调查了在参与医院分娩的参与者的人口统计学和临床特征，团队分娩会议的经验，以及对卫生保健关系信任量表-修订（HCRTS-R）和我的决策自主权（MADM）量表的反应。我们使用描述性分析来比较参与者的特征，通过在分娩期间接受TeamBirth拥挤和稳健的多变量线性回归模型来评估TeamBirth暴露与HCRTS-R和MADM评分之间的关系。我们进行了亚组分析，以探索种族和民族群体之间得分的变化。结果：在分娩过程中接触TeamBirth挤在一起的参与者比没有接触过挤在一起的参与者表现出更高的HCRTS-R （b = 1.81, p < 0.001）和MADM量表（b = 2.59, p < 0.001）得分。在所有的种族和民族群体中，在分娩过程中经历过小组会议的参与者的信任度和自主性得分都有所提高，小组会议的经历减少了小组间得分的差异。结论：在我们的研究中，在分娩过程中经历团队分娩与患者信任和自主得分的增加有关，这表明它有可能改善公平、患者结果和分娩体验。

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Effect of TeamBirth on Patient Trust and Autonomy During Childbirth in Oklahoma

Objective

To examine the effect of experiencing a TeamBirth huddle during labor on patient trust and autonomy in decision-making during childbirth in Oklahoma.

Design

A cross-sectional survey with a two-group comparison.

Setting

Hospitals in Oklahoma at which patients gave birth between March 2022 and June 2024.

Participants

Patients who were 15 years and older and had live births (N = 6,528).

Methods

We surveyed participants who gave birth at participating hospitals on their demographic and clinical characteristics, experience with TeamBirth huddles, and responses to the Health Care Relationship Trust Scale–Revised (HCRTS-R) and the My Autonomy in Decision-Making (MADM) scale. We used descriptive analyses to compare participant characteristics by receipt of a TeamBirth huddle during labor and robust multivariable linear regression models to assess the association between TeamBirth exposure and HCRTS-R and MADM scores. We performed subgroup analyses to explore variations in scores among racial and ethnic groups.

Results

Participants who were exposed to TeamBirth huddles during labor exhibited significantly higher mean HCRTS-R (b = 1.81, p < .001) and MADM scale (b = 2.59, p < .001) scores than those who were not exposed. Across all racial and ethnic groups, participants who experienced TeamBirth huddles during labor had elevated trust and autonomy scores, and exposure to huddles reduced variations in scores across groups.

Conclusion

Experiencing a TeamBirth huddle during labor was associated with increased patient trust and autonomy scores in our study, which suggests its potential to improve equity, patient outcomes, and childbirth experiences.

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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.