PDF(Pubmed)
Abstract：
OBJECTIVE: Patients in Nova Scotia do not have access to public prenatal education programming. This study aimed to explore whether care providers find patients are uninformed or misinformed, and the impact of that on patients and their care providers with a focus on clinical outcomes, time, resources and informed decision-making.
METHODS: Semistructured interviews were conducted with 13 care providers around Halifax and Cape Breton. An interview guide (supplemental) of open-ended questions was used for consistency. A descriptive qualitative approach was employed to describe the contents of the interviews. Each interview was audio-taped and transcribed verbatim by an interdependent transcriber. Transcripts were analysed using established techniques in qualitative descriptive research including coding, grouping, detailing and comparing the data using NVivo V.12 software. A co-coder (SS) independently coded two interviews for inter-rater reliability.
RESULTS: The study revealed six themes: (1) concern for a significant population of Nova Scotians experiencing pregnancy, birth and postpartum uninformed and misinformed, (2) consequences for patients who are uninformed and misinformed, (3) more time and resources spent on care for patients who are uninformed or misinformed, (4) patients and their care providers need a publicly available education programme, particularly vulnerable populations, (5) emphasis on programme quality and disappointment with the programme previously been in place and (6) recommendations for an effective prenatal education programme for Nova Scotians.
CONCLUSIONS: This study shows care providers believe a public prenatal education programme could improve health literacy in Nova Scotia. Patients are seeking health education, but it is not accessible to all and being uninformed or misinformed negatively impacts patients\' experiences and outcomes. This study revealed excess time and resources are being spent on individualised prenatal education by care providers with high individual and system-wide cost and explored the complicated process of providing patient-centred care for people who are uninformed or misinformed.
METHODS: Semistructured interviews were conducted with 13 care providers around Halifax and Cape Breton. An interview guide (supplemental) of open-ended questions was used for consistency. A descriptive qualitative approach was employed to describe the contents of the interviews. Each interview was audio-taped and transcribed verbatim by an interdependent transcriber. Transcripts were analysed using established techniques in qualitative descriptive research including coding, grouping, detailing and comparing the data using NVivo V.12 software. A co-coder (SS) independently coded two interviews for inter-rater reliability.
RESULTS: The study revealed six themes: (1) concern for a significant population of Nova Scotians experiencing pregnancy, birth and postpartum uninformed and misinformed, (2) consequences for patients who are uninformed and misinformed, (3) more time and resources spent on care for patients who are uninformed or misinformed, (4) patients and their care providers need a publicly available education programme, particularly vulnerable populations, (5) emphasis on programme quality and disappointment with the programme previously been in place and (6) recommendations for an effective prenatal education programme for Nova Scotians.
CONCLUSIONS: This study shows care providers believe a public prenatal education programme could improve health literacy in Nova Scotia. Patients are seeking health education, but it is not accessible to all and being uninformed or misinformed negatively impacts patients\' experiences and outcomes. This study revealed excess time and resources are being spent on individualised prenatal education by care providers with high individual and system-wide cost and explored the complicated process of providing patient-centred care for people who are uninformed or misinformed.
摘要：
目标：新斯科舍省的患者无法获得公共产前教育计划。这项研究旨在探讨护理提供者是否发现患者不知情或误导，以及这对患者及其护理提供者的影响，重点是临床结果，时间,资源和明智的决策。
方法：对哈利法克斯和布雷顿角附近的13名护理提供者进行了半结构化访谈。为了保持一致，使用了开放式问题的面试指南（补充）。采用描述性定性方法描述访谈内容。每次采访都由相互依赖的抄写员录音和逐字转录。转录本使用定性描述性研究中的既定技术进行分析，包括编码，分组,使用NVivoV.12软件详细说明和比较数据。共同编码器(SS)独立地对两个访谈进行了评分者间可靠性编码。
结果：该研究揭示了六个主题：（1）关注大量新斯科舍人怀孕，出生和产后不知情和错误信息，(2)对不知情和误导的患者的后果，（3）更多的时间和资源花费在对不知情或误导的患者的护理上，（4）患者及其护理提供者需要公开的教育计划，特别是弱势群体，（5）强调计划质量和对以前实施的计划的失望；（6）为新斯科舍人制定有效的产前教育计划的建议。
结论：这项研究表明，护理提供者认为公共产前教育计划可以提高新斯科舍省的健康素养。患者正在寻求健康教育，但并非所有人都能接触到，不知情或误导会对患者的体验和结果产生负面影响。这项研究表明，由于个人和全系统成本较高，护理提供者将多余的时间和资源花在个性化的产前教育上，并探索了为不知情或误导的人提供以患者为中心的护理的复杂过程。
方法：对哈利法克斯和布雷顿角附近的13名护理提供者进行了半结构化访谈。为了保持一致，使用了开放式问题的面试指南（补充）。采用描述性定性方法描述访谈内容。每次采访都由相互依赖的抄写员录音和逐字转录。转录本使用定性描述性研究中的既定技术进行分析，包括编码，分组,使用NVivoV.12软件详细说明和比较数据。共同编码器(SS)独立地对两个访谈进行了评分者间可靠性编码。
结果：该研究揭示了六个主题：（1）关注大量新斯科舍人怀孕，出生和产后不知情和错误信息，(2)对不知情和误导的患者的后果，（3）更多的时间和资源花费在对不知情或误导的患者的护理上，（4）患者及其护理提供者需要公开的教育计划，特别是弱势群体，（5）强调计划质量和对以前实施的计划的失望；（6）为新斯科舍人制定有效的产前教育计划的建议。
结论：这项研究表明，护理提供者认为公共产前教育计划可以提高新斯科舍省的健康素养。患者正在寻求健康教育，但并非所有人都能接触到，不知情或误导会对患者的体验和结果产生负面影响。这项研究表明，由于个人和全系统成本较高，护理提供者将多余的时间和资源花在个性化的产前教育上，并探索了为不知情或误导的人提供以患者为中心的护理的复杂过程。
