背景:引产和增加分娩程序通常用于有或没有医学适应症的产妇单位。研究表明,医疗保健专业人员在女性分娩决策中发挥着重要作用。
目的:巩固医护专业人员对引产和引产的看法。
方法:从成立日期到2023年1月搜索了七个电子数据库:PubMed,Embase,CINAHL,PsycINFO,WebofScience,Scopus,ProQuest论文,和全球主题。系统评价和荟萃分析的首选报告项目以及Sandelowski和Barroso的指南指导了本综述。纳入的研究质量由关键评估技能计划工具评估。数据是按主题合成的。审查结果使用建议评估分级进行评估,发展,和评价-对定性研究方法评论的证据的信心。
结果:从17项纳入的研究中确定了三个主要主题:1)理解现象,2)硬币的两面,和3)前方的开明之路。
结论:医疗专业人员的引产和增产决定受到个人(知识和道德哲学)的影响,和外部因素(女性,社区成员,同事们,和医疗机构)。一些临床医生不熟悉适当的引产/增加程序,而其他人则担心他们的决定和结果。
结论:改进建议包括对临床医生进行引产/强化培训,有足够的设施资源,并制定适当的引产/强化临床指南。女人和她们的伴侣,社区成员,传统治疗师可以从接受引产/强化教育中受益。为了改善健康结果,医疗保健专业人员可以提供以妇女为中心的护理和合作。
BACKGROUND: Labour induction and augmentation procedures are commonly used in maternity units with or without medical indications. Research shows that healthcare professionals play a significant role in women\'s childbirth decisions.
OBJECTIVE: To consolidate healthcare professionals\' perceptions about labour induction and augmentation.
METHODS: Seven electronic databases were searched from their inception dates till January 2023: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, ProQuest Dissertations, and Theses Global. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis and Sandelowski and Barroso\'s guidelines guided this review. Included studies\' quality was appraised by the Critical Appraisal Skills Program tool. Data were thematically synthesised. Review findings were assessed using the Grading of Recommendations Assessment, Development, and Evaluation-Confidence in the Evidence from Reviews of Qualitative research approach.
RESULTS: Three main themes were identified from the 17 included studies: 1) Making sense of the phenomenon, 2) Two sides of the coin, and 3) The enlightened path ahead.
CONCLUSIONS: Healthcare professionals\' labour induction and augmentation decisions were affected by personal (knowledge and moral philosophies), and external factors (women, community members, colleagues, and healthcare institutions). Some clinicians were unfamiliar with the proper labour induction/augmentation procedures, while others were worried about their decisions and outcomes.
CONCLUSIONS: Suggestions for improvement include conducting labour induction/augmentation training for clinicians, having sufficient resources in facilities, and developing appropriate labour induction/augmentation clinical guidelines. Women and their partners, community members, and traditional healers could benefit from receiving labour induction/augmentation education. To improve health outcomes, healthcare professionals could deliver woman-centred care and collaborate.