熟练助产士的经验与传播策略和使用产妇临床指南：定性综合

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100895

Eunice Nyasiri Atsali , Doreen Kaura , Mark Tomlinson

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引用次数: 0

摘要

尽管一些循证临床指南旨在提高孕产妇保健质量并避免孕产妇死亡，但这些指南往往未能达到预期的用户。这一定性综合研究探讨了初级卫生保健机构中熟练助产士（SBAs）传播策略和使用孕产妇临床指南（mcg）的经验。纳入标准纳入了关注SBAs传播和使用循证mcg经验的研究。此外，它还包括以英语发表的研究以及2010-2023年间进行的研究。方法使用“产妇临床指南”“传播”“使用”“实施”“熟练助产士”“经验或感知或态度或观点或感受或定性或观点”进行搜索。搜索是通过Hinari和EBSCOhost在；Medline, PubMed， CINAHL。此外，使用选定论文的参考文献列表进行检索。灰色文献从图书馆资源库和谷歌学者检索进一步信息。搜索文章被上传到Mendeley，重复的被删除。结果我们纳入了定性研究（10项）、混合方法研究（5项）和两项定性系统综合研究（2项），因为只有定性研究的文章较少。采用Johanna Briggs Institute （JBI）的Sumari评估工具进行评估。本研究纳入的所有文章均导入ATLAS ti进行数据管理。文章是代码，分组和主题发展。出现了三个主题：mcg的传播策略，mcg的使用（SBAs卫生系统因素），改善孕产妇临床指南的利用。本研究的结果显示了指南传播和使用的促进因素和障碍方面的经验。研究发现，指南因素、卫生系统因素、熟练助产士因素和社区因素是传播和使用指南的主要促进因素和障碍。未来的初步研究可能集中在传播方法、实际使用和使用效果等方面。此外，需要在助产能力教育早期强调适当使用产妇临床指南的重要性，并在在职教育中更加重视。

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Experiences of skilled birth attendants with dissemination strategies and use of maternal clinical guidelines: A qualitative synthesis

Introduction

Despite several evidence-based clinical guidelines aimed at improving the quality of maternal care as well as avert maternal mortality, guidelines frequently fail to reach the intended users. This qualitative synthesis explored experiences of Skilled Birth Attendants (SBAs) dissemination strategies and use of Maternal Clinical Guidelines (MCGs) by SBAs within the primary health care settings.

Inclusion criteria

Studies focusing on experiences of dissemination and use of evidence-based MCGs by SBAs were included. Further, it included studies published in English and those conducted between 2010–2023.

Methods

A search was conducted using search terms “Maternal clinical guidelines “Dissemination” “Use” “Implementation” “Skilled birth attendants” “experiences or perceptions or attitudes or views or feelings or qualitative or perspective”. The search was done via Hinari and EBSCOhost in; Medline, PubMed, CINAHL. Additionally, searches were conducted using reference lists of the selected papers. Grey literature was searched from library repository and google scholar for further information. Search articles were uploaded in Mendeley, and duplicates removed.

Results

We included qualitative studies (10), mixed methods studies (5) and two (2) qualitative systematic syntheses because of paucity in qualitative only articles. Johanna Briggs Institute (JBI) Sumari appraisal tool was used to conduct the appraisal. All the articles included in this study were all imported to ATLAS ti for data management. The articles were code, grouped and themes developed. Three themes emerged: Dissemination strategies of MCGs, Use of MCGs (SBAs health systems factors), Improved utilization of maternal clinical guidelines.

Conclusions

The findings of this study show experience in terms of facilitators and barriers to dissemination and use of guidelines. The study found Guidelines factors, Health systems factors, Skilled birth attendants’ factors and Community factors as the main facilitators and barriers for dissemination and use of guidelines. Future primary research may focus on, dissemination methods, actual use, and the outcomes of use. Additionally, the importance of appropriate use of maternal clinical guidelines needs to be emphasized early in midwifery competency education and more emphasis during in-service education.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.