“我们一直在剥夺他们”:检查临床工作人员在实施皮肤接触时的一致性。

IF 2.4 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-07-25 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1595266
Kajsa Brimdyr, Scovia N Mbalinda, Anna Blair, Karin Cadwell
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引用次数: 0

摘要

背景:出生后立即的皮肤接触(SSC),即新生儿和母亲在出生后的第一个小时内保持在一起,对二人组的身心健康有积极的健康影响;然而,在许多情况下,医院产房工作人员的职责范围的执行一直是一个挑战。目的:探讨乌干达某地区转诊医院分娩工作人员在实施产后即刻皮肤接触前后的关联感(SOC)。方法:本定性研究探讨并分析了临床工作人员在出生后至少一小时内立即、连续、不间断皮肤接触的实践改变前后的经验。半结构化访谈在乌干达西部的一家区域转诊医院进行。使用主题分析,访谈分析了SOC的三个核心组成部分:实践中提出的变化(ssc干预前)和实践中变化的经验(干预后)是否可理解、可管理和有意义。结果:一项分析表明,干预前的高SOC水平与SSC的意义和可理解性有关,并关注可管理性。对干预后访谈的分析表明,这三个方面的SOC水平都很高。结论:我们假设,在干预前后,医院工作人员的高度连贯感可能在出生后第一个小时成功实现即时、不间断的皮肤接触中发挥作用。出生后立即的肌肤接触对母亲和新生儿的情感健康都有终生的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

"We have been depriving them": examining the sense of coherence of clinical staff as they implement skin-to-skin contact.

"We have been depriving them": examining the sense of coherence of clinical staff as they implement skin-to-skin contact.

Background: Skin-to-skin contact (SSC) immediately after birth, when the newborn baby and mother remain together during the first hour after birth, has positive health effects on the dyad's physical and emotional wellbeing; however, implementation, the purview of the hospital's labor and birthing unit staff, has been a challenge in many settings.

Objective: To investigate Antonovsky's salutogenic theory's sense of coherence (SOC) of birthing staff members before and after implementing skin-to-skin contact immediately after birth in a regional referral hospital in Uganda.

Method: This qualitative study explored and analyzed before-and-after interviews of clinical staff regarding their experience of practice change to immediate, continuous, and uninterrupted skin-to-skin contact for at least the first hour after birth. The semistructured interviews took place at a regional referral hospital in Western Uganda. Using thematic analysis, the interviews were analyzed for the three components central to SOC: whether the proposed change in practice (pre-SSC intervention) and experience of the change in practice (postintervention) was comprehensible, manageable, and meaningful.

Results: An analysis indicated a high level of SOC before the intervention in relation to the meaningfulness and comprehensibility of SSC, with concerns about manageability. An analysis of postintervention interviews indicated a high level of SOC for all three aspects.

Conclusion: We postulate that a high level of sense of coherence for hospital staff both before and after an intervention may play a role in successfully implementing immediate, uninterrupted skin-to-skin contact in the first hour after birth. Skin-to-skin contact immediately after birth has life-long consequences for the emotional wellbeing of both the mother and the newborn.

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来源期刊
CiteScore
3.70
自引率
0.00%
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审稿时长
13 weeks
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