PDF(Pubmed)
Abstract：
BACKGROUND: Childbirth reserves respect, as emphasized by the World Health Organization in 2018, and the focus towards the need for positive, dignified delivery experiences has become an integral aspect of Respectful Maternity Care (RMC). It is a known fact that RMC is pivotal for favourable birth outcomes and contributes to the satisfaction of maternity care. The absence of RMC negatively affects women\'s and newborns\' rights. The study aimed to explore healthcare providers\' perspectives on sustaining RMC actions that mothers previously reported.
METHODS: This study was conducted in five hospitals in the Eastern province of Rwanda, involving 5 Focus Group Discussions (FGDs) with midwives and nurses. For interviews, we purposively selected 5-unit managers and five physicians. Additionally, 40 midwives and nurses were recruited for the FGDs. The research utilized the Dream phase of Appreciative Inquiry (AI) for interviews and Focus Groups. Data collection aimed to gain insights into Healthcare Providers\' perceptions of how RMC is provided and how to establish and sustain RMC in Rwandan health facilities. Nvivo 12 was employed for organizing codes and creating a codebook, and thematic analysis was applied.
RESULTS: Four themes with sub-themes emerged. Namely, 1) Women-centered care, with Compassionate care, Privacy and confidentiality maintenance, Information provision and Liberty in decision making, Effective communication, Family involvement, Cleanliness, and Equality care. 2) Professionalism compliance with Motivated staff, Teamwork, Continuous development, Quality work provision, and Community trust. 3) RMC encounters 4) RMC sustenance.
CONCLUSIONS: The continuous pursuit of high RMC standards in Rwanda involves improving childbirth experiences through utilizing existing resources, ongoing improvement, and sustaining achievements. Key recommended actions in this study for sustaining RMC encompass promoting women-centred care, enhancing healthcare provider attitudes, ensuring professionalism, building community trust, maintaining conducive health facility environments, and involving leadership.
METHODS: This study was conducted in five hospitals in the Eastern province of Rwanda, involving 5 Focus Group Discussions (FGDs) with midwives and nurses. For interviews, we purposively selected 5-unit managers and five physicians. Additionally, 40 midwives and nurses were recruited for the FGDs. The research utilized the Dream phase of Appreciative Inquiry (AI) for interviews and Focus Groups. Data collection aimed to gain insights into Healthcare Providers\' perceptions of how RMC is provided and how to establish and sustain RMC in Rwandan health facilities. Nvivo 12 was employed for organizing codes and creating a codebook, and thematic analysis was applied.
RESULTS: Four themes with sub-themes emerged. Namely, 1) Women-centered care, with Compassionate care, Privacy and confidentiality maintenance, Information provision and Liberty in decision making, Effective communication, Family involvement, Cleanliness, and Equality care. 2) Professionalism compliance with Motivated staff, Teamwork, Continuous development, Quality work provision, and Community trust. 3) RMC encounters 4) RMC sustenance.
CONCLUSIONS: The continuous pursuit of high RMC standards in Rwanda involves improving childbirth experiences through utilizing existing resources, ongoing improvement, and sustaining achievements. Key recommended actions in this study for sustaining RMC encompass promoting women-centred care, enhancing healthcare provider attitudes, ensuring professionalism, building community trust, maintaining conducive health facility environments, and involving leadership.
摘要：
背景：尊重生育储备，正如世界卫生组织在2018年所强调的那样，以及对积极需求的关注，有尊严的分娩体验已成为尊重产妇护理（RMC）的一个组成部分。众所周知，RMC对于良好的分娩结果至关重要，并有助于提高产妇护理的满意度。缺乏RMC会对妇女和新生儿的权利产生负面影响。该研究旨在探索医疗保健提供者对母亲先前报道的维持RMC行动的看法。
方法：这项研究是在东部卢旺达省的五家医院进行的，涉及与助产士和护士的5次焦点小组讨论(FGD)。对于采访，我们有目的地选择了5个部门的经理和5名医生.此外,FGD招募了40名助产士和护士。这项研究利用了欣赏调查（AI）的梦想阶段进行访谈和焦点小组。数据收集旨在深入了解医疗保健提供者对如何提供RMC以及如何在卢旺达医疗机构中建立和维持RMC的看法。Nvivo12用于组织代码并创建码本，并应用了专题分析。
结果：出现了四个带有子主题的主题。即,1）以妇女为中心的护理，在同情的关怀下，隐私和保密维护，决策中的信息提供和自由，有效沟通,家庭参与,清洁度,平等关怀。2)对激励员工的专业遵守，团队合作,持续发展,质量工作规定,社区信任。3）RMC遇到4）RMC寄托。
结论：卢旺达不断追求高RMC标准涉及通过利用现有资源改善分娩体验，持续改进,和持续的成就。本研究中关于维持RMC的主要建议行动包括促进以妇女为中心的护理，加强医疗保健提供者的态度，确保专业性，建立社区信任，维持有利的卫生设施环境，涉及领导。
方法：这项研究是在东部卢旺达省的五家医院进行的，涉及与助产士和护士的5次焦点小组讨论(FGD)。对于采访，我们有目的地选择了5个部门的经理和5名医生.此外,FGD招募了40名助产士和护士。这项研究利用了欣赏调查（AI）的梦想阶段进行访谈和焦点小组。数据收集旨在深入了解医疗保健提供者对如何提供RMC以及如何在卢旺达医疗机构中建立和维持RMC的看法。Nvivo12用于组织代码并创建码本，并应用了专题分析。
结果：出现了四个带有子主题的主题。即,1）以妇女为中心的护理，在同情的关怀下，隐私和保密维护，决策中的信息提供和自由，有效沟通,家庭参与,清洁度,平等关怀。2)对激励员工的专业遵守，团队合作,持续发展,质量工作规定,社区信任。3）RMC遇到4）RMC寄托。
结论：卢旺达不断追求高RMC标准涉及通过利用现有资源改善分娩体验，持续改进,和持续的成就。本研究中关于维持RMC的主要建议行动包括促进以妇女为中心的护理，加强医疗保健提供者的态度，确保专业性，建立社区信任，维持有利的卫生设施环境，涉及领导。
