产妇护理
主流
主题分析
护理部
医学
定性研究
护理的连续性
医疗保健
社会学
政治学
法学
社会科学
作者
Pamela McCalman,Della Forster,Michelle Newton,Fiona McLardie-Hore,Helen McLachlan
标识
DOI:10.1016/j.wombi.2024.01.009
摘要
In Australia, continuity of midwife care is recommended for First Nations women to address the burden of inequitable perinatal outcomes experienced by First Nations women and newborns. This study aimed to explore the experiences of women having a First Nations baby who received care at one of three maternity services in Naarm (Melbourne), Victoria, where culturally tailored midwife continuity models had been implemented. Women having a First Nations baby who were booked for care at one of three study sites were invited to participate in an evaluation of care. Thematic analysis was used to analyse qualitative data from responses to free-text, open ended questions that were included in a follow-up questionnaire at 3–6 months after the birth. In total, 213 women (of whom 186 had continuity of midwife care) participated. The global theme for what women liked about their care was ‘Safe, connected, supported’ including emotional and clinical safety, having a known midwife and being supported ‘my way’. The global theme for what women did not like about their care was ‘A complex, fragmented and unsupportive system’ including not being listened to, things not being explained, and a lack of cultural safety. Culturally tailored caseload midwifery models appear to make maternity care feel safer for women having a First Nations baby, however, the mainstream maternity care system remained challenging for some. These models should be implemented for First Nations women, and evidence-based frameworks, such as the RISE framework, should be used to facilitate change.
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