{"title":"护理提供者对高危妊娠优质产前护理的看法：一项定性研究。","authors":"Solmaz Mohammadi, Kobra Shojaei, Elham Maraghi, Zahra Motaghi","doi":"10.30476/IJCBNM.2023.97603.2192","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A high-risk pregnancy (HRP) is adversely affects the health of the mother, baby, or both. Most prenatal care research, rather than quality concepts, focuses on the adequacy of prenatal care and describes the emotional-psychological experiences of women with HRP. The main purpose of this study was to explore the perspectives of healthcare professionals regarding the quality of prenatal care for women with HRP.</p><p><strong>Methods: </strong>This qualitative study was conducted in three university hospitals and 12 comprehensive health centers in Ahvaz (Iran) from December 2020 to May 2021. In the present study, 10 midwives, 2 executive directors, and 7 specialists were purposefully selected with maximum diversity. In-depth semi-structured individual interviews were used to collect the data. Data were analyzed concurrently using Elo and Kinga's content analysis. The MAXQDA software version 10 was used for data analysis.</p><p><strong>Results: </strong>During data analysis, the 6 main categories \"infrastructure for care provision\", \"optimal clinical care\", \"organizing referrals\", \"preconception care\", \"risk assessment\", and \"family-centered care\" and 14 subcategories were identified.</p><p><strong>Conclusion: </strong>Our findings showed that professional groups focused on the technical aspects of caring. The findings from this study highlight several conditions that can affect the quality of prenatal care for women with HRP. Healthcare providers can use these factors to effectively manage HRPs, thereby improving pregnancy outcomes among women with HRPs.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"122-134"},"PeriodicalIF":0.0000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/d2/IJCBNM-11-122.PMC10126442.pdf","citationCount":"0","resultStr":"{\"title\":\"Care Providers' Perspectives on Quality Prenatal Care in High-risk Pregnancies: A Qualitative Study.\",\"authors\":\"Solmaz Mohammadi, Kobra Shojaei, Elham Maraghi, Zahra Motaghi\",\"doi\":\"10.30476/IJCBNM.2023.97603.2192\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A high-risk pregnancy (HRP) is adversely affects the health of the mother, baby, or both. Most prenatal care research, rather than quality concepts, focuses on the adequacy of prenatal care and describes the emotional-psychological experiences of women with HRP. The main purpose of this study was to explore the perspectives of healthcare professionals regarding the quality of prenatal care for women with HRP.</p><p><strong>Methods: </strong>This qualitative study was conducted in three university hospitals and 12 comprehensive health centers in Ahvaz (Iran) from December 2020 to May 2021. In the present study, 10 midwives, 2 executive directors, and 7 specialists were purposefully selected with maximum diversity. In-depth semi-structured individual interviews were used to collect the data. Data were analyzed concurrently using Elo and Kinga's content analysis. The MAXQDA software version 10 was used for data analysis.</p><p><strong>Results: </strong>During data analysis, the 6 main categories \\\"infrastructure for care provision\\\", \\\"optimal clinical care\\\", \\\"organizing referrals\\\", \\\"preconception care\\\", \\\"risk assessment\\\", and \\\"family-centered care\\\" and 14 subcategories were identified.</p><p><strong>Conclusion: </strong>Our findings showed that professional groups focused on the technical aspects of caring. The findings from this study highlight several conditions that can affect the quality of prenatal care for women with HRP. Healthcare providers can use these factors to effectively manage HRPs, thereby improving pregnancy outcomes among women with HRPs.</p>\",\"PeriodicalId\":52139,\"journal\":{\"name\":\"International Journal of Community Based Nursing and Midwifery\",\"volume\":\"11 2\",\"pages\":\"122-134\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/d2/IJCBNM-11-122.PMC10126442.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Community Based Nursing and Midwifery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30476/IJCBNM.2023.97603.2192\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Community Based Nursing and Midwifery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30476/IJCBNM.2023.97603.2192","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Nursing","Score":null,"Total":0}
Care Providers' Perspectives on Quality Prenatal Care in High-risk Pregnancies: A Qualitative Study.
Background: A high-risk pregnancy (HRP) is adversely affects the health of the mother, baby, or both. Most prenatal care research, rather than quality concepts, focuses on the adequacy of prenatal care and describes the emotional-psychological experiences of women with HRP. The main purpose of this study was to explore the perspectives of healthcare professionals regarding the quality of prenatal care for women with HRP.
Methods: This qualitative study was conducted in three university hospitals and 12 comprehensive health centers in Ahvaz (Iran) from December 2020 to May 2021. In the present study, 10 midwives, 2 executive directors, and 7 specialists were purposefully selected with maximum diversity. In-depth semi-structured individual interviews were used to collect the data. Data were analyzed concurrently using Elo and Kinga's content analysis. The MAXQDA software version 10 was used for data analysis.
Results: During data analysis, the 6 main categories "infrastructure for care provision", "optimal clinical care", "organizing referrals", "preconception care", "risk assessment", and "family-centered care" and 14 subcategories were identified.
Conclusion: Our findings showed that professional groups focused on the technical aspects of caring. The findings from this study highlight several conditions that can affect the quality of prenatal care for women with HRP. Healthcare providers can use these factors to effectively manage HRPs, thereby improving pregnancy outcomes among women with HRPs.
期刊介绍：
Aim and Scope: International Journal of Community Based Nursing and Midwifery (IJCBNM) is an international innovating peer-reviewed quarterly publication for Nurses, Midwives, related fields educators and researchers. The Journal accepts original contributions of interest to those involved in all aspects of community practice, quantitative and qualitative research and management. Manuscripts are publishable in the form of original article, review article, case report, letter to the editor, short communications, etc. The Journal invites health care specialist concerned with any of these areas to submit material on topics including, but not limited to: Health promotion & disease prevention in all stages of human life Home - health care Patient & client education Individual care in the context of family and community Health care delivery and health out come Continuity of care.
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