苏格兰农村和偏远地区妇女对产前护理的看法:定性研究。

IF 3.4 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Verity Watson, Helen Bryers, Nicolas Krucien, Seda Erdem, Mary Burnside, Hugo C van Woerden
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引用次数: 0

摘要

背景:母亲的意见对于制定产前护理政策和实践方案非常重要。农村和偏远地区的母亲在获得服务方面面临着独特的挑战,需要对这些挑战有充分的了解。因此,我们的目标是了解居住在偏远农村地区、距离产科医院超过 1 小时路程的产妇在产前护理方面所面临的困难:方法:我们在苏格兰农村地区对 13 名有年幼子女的妇女和一名孕妇进行了半结构化定性电话访谈(n = 14)。两名研究人员对访谈内容进行了转录和主题分析:结果:确定的关键主题包括:妇女对风险的看法、不同产科护理途径和分娩地点的安全性、家庭与分娩地点之间的实际距离和感知距离,以及分娩地点可提供的产科护理类型。农村和偏远地区的母亲在选择分娩地点时面临着特殊的挑战。除了与医护人员就 "分娩地点 "达成一致的临床决定外,她们还必须在远离家庭支持和熟悉环境的情况下,在心理上权衡分娩的影响。很明显,许多来自农村社区的妇女都有强烈的 "地方 "意识,在熟悉的地理位置、社区和文化中分娩对她们中的许多人来说都很重要:医护人员需要理解非临床因素的影响,这些因素对偏远地区和农村地区的母亲很重要,即使无法满足她们的需求,也要承认这些因素的影响。地方和国家政策也需要反映和应对农村地区面临的实际挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Perception of Women in Rural and Remote Scotland About Intrapartum Care: A Qualitative Study.

The Perception of Women in Rural and Remote Scotland About Intrapartum Care: A Qualitative Study.

Background: The views of mothers are important in shaping policy and practice regarding options for intrapartum care. Mothers in rural and remote areas face unique challenges accessing services, and these need to be well understood. Therefore, our aim was to understand the compromises that women who live in remote and rural settings, more than 1 h from a maternity unit, face regarding intrapartum care.

Methods: Qualitative semi-structured telephone interviews (n = 14) were undertaken in rural Scotland with 13 women who had young children and one who was pregnant. Interviews were transcribed and thematically analysed by two researchers.

Results: Key themes identified were women's perceptions about risk and the safety of different pathways of maternity care and birth locations; the actual and perceived distance between home and the place of birth, and the type of maternity care available at a place of birth. Mothers in rural and remote areas face particular challenges in choosing where to have their babies. In addition to clinical decisions about 'place of birth' agreed with healthcare professionals, they have to mentally juggle the implications of giving birth when at a distance from family support and away from familiar surroundings. It was clear that many women from rural communities have a strong sense of 'place' and that giving birth in a geographical location, community and culture that feels familiar is important to many of them.

Conclusions: Health care staff need to appreciate the impact of non-clinical factors that are important to mothers in remote and rural areas and acknowledge these, even when they cannot be accommodated. Local and national policy also needs to reflect and respond to the practical challenges faced by rurality.

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来源期刊
Patient-Patient Centered Outcomes Research
Patient-Patient Centered Outcomes Research HEALTH CARE SCIENCES & SERVICES-
CiteScore
6.60
自引率
8.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: The Patient provides a venue for scientifically rigorous, timely, and relevant research to promote the development, evaluation and implementation of therapies, technologies, and innovations that will enhance the patient experience. It is an international forum for research that advances and/or applies qualitative or quantitative methods to promote the generation, synthesis, or interpretation of evidence. The journal has specific interest in receiving original research, reviews and commentaries related to qualitative and mixed methods research, stated-preference methods, patient reported outcomes, and shared decision making. Advances in regulatory science, patient-focused drug development, patient-centered benefit-risk and health technology assessment will also be considered. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in The Patient may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances. All manuscripts are subject to peer review by international experts.
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