当前位置:
X-MOL 学术
›
BMJ Sexual & Reproductive Health
›
论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Perspectives of obstetricians and midwives on the provision of immediate postpartum intrauterine devices: a qualitative service evaluation
BMJ Sexual & Reproductive Health ( IF 3.3 ) Pub Date : 2022-04-01 , DOI: 10.1136/bmjsrh-2021-201170 Nicola Boydell 1 , Michelle Cooper 2 , Sharon T Cameron 2, 3 , Anna Glasier 3 , Shiona Coutts 4 , Frances McGuire 4 , Jeni Harden 5
BMJ Sexual & Reproductive Health ( IF 3.3 ) Pub Date : 2022-04-01 , DOI: 10.1136/bmjsrh-2021-201170 Nicola Boydell 1 , Michelle Cooper 2 , Sharon T Cameron 2, 3 , Anna Glasier 3 , Shiona Coutts 4 , Frances McGuire 4 , Jeni Harden 5
Affiliation
Background Immediate postpartum intrauterine device (PPIUD) insertion is safe and effective but largely unavailable in Europe. Data on maternity staff views on the provision and implementation of PPIUD services are limited. The objective of this qualitative evaluation was to explore the views and experiences of obstetricians and midwives providing PPIUD within a UK maternity setting, in order to identify areas for improvement and inform service provision in other areas. Methods Qualitative health services research within two public maternity hospitals in Lothian (Edinburgh and surrounding region), UK. Interviews with 30 maternity staff (obstetricians n=8; midwives n=22) involved in PPIUD provision. Data were analysed thematically. Results Maternity staff were positive about the benefits of PPIUD for women. Midwives reported initial concerns about PPIUD safety, and the impact on workload; these views shifted following training, and as PPIUD was embedded into practice. Having a large pool of PPIUD-trained staff was identified as an important factor in successful service implementation. Having PPIUD ‘champions’ was important to address staff concerns, encourage training uptake, and advocate for the service to ensure continued resourcing. Conclusions PPIUD in maternity services can help address unmet need for effective contraception in the immediate postpartum period. We emphasise the importance of widespread engagement around PPIUD among all healthcare professionals involved in the care of women, to ensure staff are informed and supported. Clinical champions and leaders play a key role in amplifying the benefits of PPIUD, and advancing organisational learning. The data that support the findings of this study are available from the corresponding author upon reasonable request.
中文翻译:
产科医生和助产士对提供产后即刻宫内节育器的看法:定性服务评估
背景 即刻产后宫内节育器 (PPIUD) 置入是安全有效的,但在欧洲基本上不可用。产科人员对 PPIUD 服务的提供和实施的看法数据有限。这项定性评估的目的是探讨在英国产科环境中提供 PPIUD 的产科医生和助产士的观点和经验,以确定需要改进的领域并为其他领域的服务提供提供信息。方法 在英国洛锡安(爱丁堡及周边地区)的两家公立妇产医院进行定性健康服务研究。采访了参与 PPIUD 提供的 30 名产科工作人员(产科医生 n=8;助产士 n=22)。对数据进行了专题分析。结果 产科工作人员对 PPIUD 对女性的益处持积极态度。助产士报告了对 PPIUD 安全性以及对工作量影响的初步担忧;这些观点在培训后发生了转变,并且随着 PPIUD 被嵌入到实践中。拥有大量受过 PPIUD 培训的员工被认为是成功实施服务的一个重要因素。拥有 PPIUD 的“冠军”对于解决员工关注的问题、鼓励培训吸收和倡导服务以确保持续的资源配置非常重要。结论 产科服务中的 PPIUD 有助于解决产后即刻有效避孕的未满足需求。我们强调所有参与女性护理的医疗保健专业人员围绕 PPIUD 广泛参与的重要性,以确保员工得到知情和支持。临床倡导者和领导者在扩大 PPIUD 的益处方面发挥着关键作用,并推进组织学习。支持本研究结果的数据可根据合理要求从相应作者处获得。
更新日期:2022-04-01
中文翻译:
产科医生和助产士对提供产后即刻宫内节育器的看法:定性服务评估
背景 即刻产后宫内节育器 (PPIUD) 置入是安全有效的,但在欧洲基本上不可用。产科人员对 PPIUD 服务的提供和实施的看法数据有限。这项定性评估的目的是探讨在英国产科环境中提供 PPIUD 的产科医生和助产士的观点和经验,以确定需要改进的领域并为其他领域的服务提供提供信息。方法 在英国洛锡安(爱丁堡及周边地区)的两家公立妇产医院进行定性健康服务研究。采访了参与 PPIUD 提供的 30 名产科工作人员(产科医生 n=8;助产士 n=22)。对数据进行了专题分析。结果 产科工作人员对 PPIUD 对女性的益处持积极态度。助产士报告了对 PPIUD 安全性以及对工作量影响的初步担忧;这些观点在培训后发生了转变,并且随着 PPIUD 被嵌入到实践中。拥有大量受过 PPIUD 培训的员工被认为是成功实施服务的一个重要因素。拥有 PPIUD 的“冠军”对于解决员工关注的问题、鼓励培训吸收和倡导服务以确保持续的资源配置非常重要。结论 产科服务中的 PPIUD 有助于解决产后即刻有效避孕的未满足需求。我们强调所有参与女性护理的医疗保健专业人员围绕 PPIUD 广泛参与的重要性,以确保员工得到知情和支持。临床倡导者和领导者在扩大 PPIUD 的益处方面发挥着关键作用,并推进组织学习。支持本研究结果的数据可根据合理要求从相应作者处获得。