Mothers' experience seeking healthcare advice for their unsettled infants in Victoria, Australia.

IF 1.3 4区 医学 Q3 NURSING Journal of Child Health Care Pub Date : 2024-08-08 DOI:10.1177/13674935241271954
Bridget Kenny, Sarah McTaggart, Rachel O'Loughlin, Branavie Ranjithakumaran, Rachel Pelly, Harriet Hiscock
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Abstract

Unsettled infant behaviours are highly prevalent in the postnatal period and constitute a significant proportion of visits to healthcare services. Unsettled infant behaviours can be highly distressing for parents and are identified as a significant risk factor for postnatal depression. Understanding parents' experiences is paramount to reducing the gap between consumer expectations and service delivery. This study employed a qualitative descriptive approach to explore parents' experiences seeking healthcare advice for their infant with unsettled behaviours. Semi-structured interviews were conducted with 20 mothers. Inductive thematic analysis yielded two overarching themes: (1) 'the journey for answers', consisting of five sub-themes, and (2) 'parents' knowledge and behaviours', consisting of six sub-themes. Despite some positive interactions with healthcare services, mothers generally spoke negatively of their overall experience seeking answers and receiving care for their infant, and they felt the healthcare services they attended were not equipped to meet their needs. To address the gap between service delivery and consumer expectations, mothers relied on online communities for advice and emotional support. The findings of this study highlight several discrepancies between mothers' expectations and service delivery in the context of unsettled infant behaviours, and this paper makes recommendations to address identified shortcomings in approaches to care.

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澳大利亚维多利亚州母亲为躁动不安的婴儿寻求医疗建议的经历。
婴儿的不安行为在产后非常普遍,在医疗保健服务中占很大比例。婴儿的不安行为会给父母带来极大的痛苦,并被认为是产后抑郁症的一个重要风险因素。要缩小消费者期望与服务提供之间的差距,了解父母的经历至关重要。本研究采用定性描述的方法来探讨父母为行为不稳定的婴儿寻求医疗建议的经历。研究人员对 20 位母亲进行了半结构化访谈。归纳式主题分析产生了两大主题:(1)"寻找答案的旅程",包括五个子主题;(2)"父母的知识和行为",包括六个子主题。尽管与医疗保健服务机构有一些积极的互动,但母亲们普遍对她们为婴儿寻求答案和接受护理的总体经历持否定态度,她们认为所接受的医疗保健服务机构没有能力满足她们的需求。为了解决服务提供与消费者期望之间的差距,母亲们依靠网络社区寻求建议和情感支持。本研究的结果凸显了在婴儿行为不安的情况下,母亲的期望与服务提供之间存在的一些差异,本文针对已发现的护理方法中的不足之处提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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