背景:这篇综述旨在为医疗保健专业人员提供有关影响尊重围产期护理的最佳可用研究证据的科学总结。审查问题是:“助产士和医生对影响尊重围产期护理的因素有什么看法?”
方法:在电子数据库上进行了详细搜索:EBSCOhost:Medline,奥尔斯特,Scopus,SciELO,科学直接,PubMed,心理信息,和Socindex。使用预定的搜索策略在数据库中搜索可用文献。分析纳入研究的参考列表,以确定数据库中缺失的研究。根据助产士和医生的说法,兴趣现象是影响产妇护理实践的因素。在潜在研究的选择过程中使用预先确定的纳入和排除标准。总的来说,13项研究包括在数据分析和综合中。确定了三个主题,总共九个次主题。
结果:在各种环境中进行的研究被纳入研究。确定了影响尊重围产期护理的各种因素。在数据综合过程中出现了三个主题,即医疗机构,医疗保健专业人员和妇女相关因素。除了这些主题之外,还有人力资源、医疗用品,规范和实践,物理基础设施,医疗保健专业能力和属性,妇女的知识,和偏好。这三个因素会影响提供尊重的围产期护理;解决这些问题可能会改善这种护理的提供。
结论:解决影响围产期护理的因素对于预防围产期患者护理受损至关重要,因为这些因素有可能加速或阻碍提供尊重护理。
BACKGROUND: This review aimed to provide healthcare professionals with a scientific summary of best available research evidence on factors influencing respectful perinatal care. The review question was \'What were the perceptions of midwives and
doctors on factors that influence respectful perinatal care?\'
METHODS: A detailed search was done on electronic databases: EBSCOhost: Medline, OAlster, Scopus, SciELO, Science Direct, PubMed, Psych INFO, and SocINDEX. The databases were searched for available literature using a predetermined search strategy. Reference lists of included studies were analysed to identify studies missing from databases. The phenomenon of interest was factors influencing maternity care practices according to midwives and
doctors. Pre-determined inclusion and exclusion criteria were used during selection of potential studies. In total, 13 studies were included in the data analysis and synthesis. Three themes were identified and a total of nine sub-themes.
RESULTS: Studies conducted in various settings were included in the study. Various factors influencing respectful perinatal care were identified. During data synthesis three themes emerged namely healthcare institution, healthcare professional and women-related factors. Alongside the themes were sub-themes human resources, medical supplies, norms and practices, physical infrastructure, healthcare professional competencies and attributes, women\'s knowledge, and preferences. The three factors influence the provision of respectful perinatal care; addressing them might improve the provision of this care.
CONCLUSIONS: Addressing factors that influence respectful perinatal care is vital towards the prevention of compromised patient care during the perinatal period as these factors have the potential to accelerate or hinder provision of respectful care.