助产士和营养师对增强孕妇饮食质量的赋权计划的看法：一项混合方法研究

IF 2.5 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-10-09 DOI:10.1016/j.midw.2025.104627

Renske M. van Lonkhuijzen , Jeanne H.M. de Vries , Susanne Cremers , Annemarie Wagemakers

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引用次数: 0

摘要

怀孕期间的健康营养对母亲和孩子都至关重要。助产士作为可信赖的信息来源，在支持孕产妇保健方面发挥着关键作用，但目前的营养交流仍然有限。健康怀孕的力量（P4HP）旨在通过另外四次关于营养的赋权咨询（三次与助产士，一次与营养师）来改善孕妇的饮食质量。本研究的目的是从医疗保健专业人员（HCPs）的角度评估P4HP计划的实施情况，重点关注专业间合作、促进因素和障碍。方法在荷兰进行了一项混合方法的过程评估，包括使用创新决定因素测量仪器进行的在线调查（n = 29； 18名助产士，11名营养师）的定量数据，以及深度访谈（n = 36名HCPs）。调查数据采用描述性统计分析，访谈数据采用专题分析分析。结果shcps报告增进了对彼此在营养保健中的作用的理解，并加强了专业间的合作。虽然营养师咨询提供了宝贵的个性化建议，使妇女能够做出更健康的饮食选择，但助产士在支持维持这些变化方面发挥了至关重要的作用。主要的促进因素包括该计划的明确程序、实施的灵活性以及卫生保健提供者对促进健康饮食的承诺。确定的主要障碍是时间限制和助产士人员有限，以及与咨询营养师相关的经济负担。结论P4HP项目成功地加强了助产士和营养师之间的跨专业合作，为孕妇提供了重要的营养支持。然而，解决自付费用的财务障碍对于促进更广泛地纳入常规产前保健至关重要。

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Midwives and dietitians’ perspectives on an empowerment programme to enhance diet quality in pregnant women: A mixed-method study

Background

Healthy nutrition during pregnancy is essential for mother and child. Midwives, as trusted sources of information, play a key role in supporting maternal health but current nutrition communication remains limited. The Power 4 a Healthy Pregnancy (P4HP) aims to improve the diet quality of pregnant women through four additional empowerment consultations on nutrition (three with midwives, one with a dietitian). The objective of this study was to evaluate the implementation of the P4HP programme from the perspective of healthcare professionals (HCPs), with a focus on interprofessional collaboration, facilitators, and barriers.

Methods

A mixed-method process evaluation was conducted in the Netherlands, incorporating quantitative data from online surveys (n = 29; 18 midwives, 11 dietitians) using the Measurement Instrument for Determinants of Innovations, along with in-depth interviews (n = 36 HCPs). Survey data were analysed using descriptive statistics, while interview data were analysed through thematic analysis.

Results

HCPs reported improved understanding of each other's roles in nutritional care and enhanced interprofessional collaboration. While dietitian consultations provided valuable personalized advice that empowered women to make healthier dietary choices, midwives played a crucial role in supporting the maintenance of these changes. Key facilitators included the program's clear procedures, implementation flexibility, and the HCPs' commitment to promoting healthy eating. The main barriers identified were time constraints and limited staff availability among midwives, as well as the financial burden associated with consulting a dietitian.

Conclusion

The P4HP programme successfully enhanced interprofessional collaboration between midwives and dietitians, offering significant nutritional support to pregnant women. However, addressing the financial barrier of out-of-pocket costs is crucial for facilitating broader integration into routine antenatal care.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.