کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2635860 1137362 2016 8 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Facilitators of prenatal care in an exemplar urban clinic
ترجمه فارسی عنوان
تسهیل کننده مراقبت‌های قبل از زایمان در یک کلینیک شهری نمونه
کلمات کلیدی
مامایی؛ دسترسی به سیستم های بهداشتی؛ دسترسی؛ مراقبتهای قبل از زایمان؛ مراقبت از بیمار محور
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

BackgroundPerinatal outcomes have complex causes that include biologic, maternal, structural, and societal components. We studied one urban nurse-led clinic serving women at risk for poor perinatal outcomes with superior pre-term birth rates (4%) when compared with the surrounding county (11.2%).AimTo explore women's perspectives of their interface with the clinic, staff, and providers to understand this exemplary model.MethodsA qualitative descriptive approach with semi-structured interviews as the primary data source. Participants (n = 50) were recruited from an urban clinic in the Southeast United States designed to serve women of low socio-economic status or who are recent immigrants.FindingsWomen greatly valued a personal connection with the nurse-midwives and staff, and felt this resulted in high-quality care. Convenient appointment times and the lack of wait for initial or subsequent appointments made care accessible. Participants reported the relaxed and helpful approach and attitudes of the office staff were essential components of their positive experience. Women valued unrushed visits to ask questions and receive information. In addition, participants felt that clinic staff were easy to reach.ConclusionWhile qualitative data cannot demonstrate causation, this study provides support that a compassionate and personalized approach to care motivates women to access needed services in pregnancy. Clinic staff are an essential component of the access process. Women overcame barriers to obtain personalized, culturally appropriate care provided by kind, competent practitioners. Clinic staff and practitioners should develop a connection with each woman by providing care that meets her physical, cultural, and personal needs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Women and Birth - Volume 29, Issue 2, April 2016, Pages 160–167
نویسندگان
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