产后出院:分娩父母对支持性做法和改进领域的看法。

IF 1.5 4区 医学 Q3 NURSING Journal of Perinatal & Neonatal Nursing Pub Date : 2024-01-10 DOI:10.1097/JPN.0000000000000762
Jihye Kim Scroggins, Amelia N Gibson, Alison M Stuebe, Karen M Sheffield-Abdullah, Kristin P Tully
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引用次数: 0

摘要

背景:产后住院护理和个性化出院准备应成为以人为本的医疗服务的一部分。然而,对分娩父母经验的描述有限,无法确定临床实践的优势和改善护理系统的机会:目的:探讨分娩父母对支持性医疗保健实践的看法,以及围绕产后出院需要改进的方面:在这项混合方法研究中,参与者在产后 2 到 3 周完成了一份在线问卷和一次半结构化电话访谈。研究人员总结了对两个定量问题的回答,并对访谈数据进行了主题内容分析:40 位分娩父母参加了访谈(90% 为非白人)。根据定量回答,大多数分娩父母都为出院做好了准备(82.5%)。对访谈的回答产生了与产后出院准备相关的 6 个广泛因素:产后住院支持、身体和情绪健康、患者优先权和代理权、清晰和相关的信息、整体护理以及护理的时间安排和连续性。研究人员还进一步确定了参与者认为具有支持作用的具体医疗保健实践的主题以及改进的机会:分娩父母在产后出院准备过程中阐明了多种因素。这些观点为加强围产期保健系统提供了见解,并为衡量产后保健质量提供了依据。
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Postpartum Hospital Discharge: Birthing Parent Perspectives on Supportive Practices and Areas for Improvement.

Background: Postpartum hospital care and individualized discharge preparedness should be part of person-focused health services. Yet, there are limited descriptions of birthing parents' experiences to identify clinical practice strengths and opportunities to improve systems of care.

Objective: To explore birthing parents' perspectives on supportive healthcare practices and areas for improvement around postpartum hospital discharge.

Methods: In this mixed-methods study, participants completed an online questionnaire and a semistructured, telephone interview at 2 to 3 weeks postpartum. Researchers summarized responses to 2 quantitative questions and conducted a thematic content analysis of interview data.

Results: Forty birthing parents participated (90% non-White). According to quantitative responses, most birthing parents were prepared to be discharged (82.5%). Responses to the interview generated 6 broad factors related to postpartum hospital discharge preparedness: inpatient postpartum support, physical and emotional health, patient priorities and agency, clear and relevant information, holistic care, and scheduling and continuity of care. Researchers further identified themes around specific healthcare practices participants described to be supportive and opportunities for improvement.

Conclusion: Birthing parents articulated multiple contributors to their preparation for postpartum hospital discharge. These perspectives offer insights for strengthening systems of perinatal care and inform measures of quality postpartum care.

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来源期刊
CiteScore
1.60
自引率
7.70%
发文量
147
审稿时长
>12 weeks
期刊介绍: The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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