应用产妇护理标准审计工具和质量改进程序改善监狱中孕妇的医疗保健。

IF 1.2 4区 社会学 Q3 CRIMINOLOGY & PENOLOGY
Joy Usigbe, Erin Macey, Paige Klemme, Maranda Williams, Jack E Turman
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引用次数: 0

摘要

女性是监狱人口增长最快的群体,但对监狱中孕妇的产妇护理质量知之甚少。我们与印第安纳州矫正部(IDOC)过渡医疗团队(THT)合作,开发了一个产妇护理标准(MSOC)审计工具,以确定现有的优势和劣势,并建议循证改进策略。在创建MSOC审计工具后,我们使用它审计了52张图表,并就孕产妇保健流程对IDOC工作人员进行了采访。已确定的优势包括产前护理、性传播疾病和药物使用障碍的筛查/治疗、避孕和健康教育。心理和营养保健是薄弱环节。员工的积极性和社区伙伴关系促进了积极的变革,但“惩罚性”文化、资源缺乏和沟通挑战是变革的障碍。开发问责工具和程序以提高产妇护理标准,有可能提高母亲及其婴儿的健康和福祉,并改善重新融入社会的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Applying a Maternal Standards of Care Audit Tool and Quality Improvement Process to Improve Healthcare for Pregnant Women in Prison.

Women are the fastest growing prison population, but little is known about the quality of maternal care for pregnant women in prison. In partnership with the Indiana Department of Correction (IDOC) Transitional Healthcare Team (THT), we developed a maternal standard of care (MSOC) audit tool to identify existing strengths and weaknesses and recommend evidence-based strategies for improvement. After creating the MSOC audit tool, we used it to audit 52 charts and conducted interviews of IDOC staff regarding maternal health care processes. Identified strengths include prenatal care, screening/treatment for sexually transmitted diseases and substance use disorders, contraception use, and health education. Mental and nutritional health care are areas of weakness. Staff motivation and community partnerships facilitate positive change, but a "punitive" culture, lack of resources, and communication challenges are barriers to change. Developing accountability tools and processes to promote maternal standards of care holds the potential to increase the health and wellbeing of mothers and their babies and improve re-integration into society.

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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
164
期刊介绍: The International Journal of Press/Politics is an interdisciplinary journal for the analysis and discussion of the role of the press and politics in a globalized world. The Journal is interested in theoretical and empirical research on the linkages between the news media and political processes and actors. Special attention is given to the following subjects: the press and political institutions (e.g. the state, government, political parties, social movements, unions, interest groups, business), the politics of media coverage of social and cultural issues (e.g. race, language, health, environment, gender, nationhood, migration, labor), the dynamics and effects of political communication.
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