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Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital

Inspired by the six quality-of-care goals developed by the Institute of Medicine, woman-centred care (WCC) as model of care is used in maternity services as it gives an emphasis on the woman as an individual and not her status as a patient. Bringing stronger attention to women’s needs and values, is...

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Autores principales: Floris, Lucia, Michoud-Bertinotti, Benedicte, Martinez de Tejada, Begoña, de Oliveira, Sara, Pfister, Riccardo, Parguey, Stéphanie, Thorn-Cole, Harriet E., de Labrusse, Claire
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321621/
https://www.ncbi.nlm.nih.gov/pubmed/37405995
http://dx.doi.org/10.1371/journal.pone.0286852
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author Floris, Lucia
Michoud-Bertinotti, Benedicte
Martinez de Tejada, Begoña
de Oliveira, Sara
Pfister, Riccardo
Parguey, Stéphanie
Thorn-Cole, Harriet E.
de Labrusse, Claire
author_facet Floris, Lucia
Michoud-Bertinotti, Benedicte
Martinez de Tejada, Begoña
de Oliveira, Sara
Pfister, Riccardo
Parguey, Stéphanie
Thorn-Cole, Harriet E.
de Labrusse, Claire
author_sort Floris, Lucia
collection PubMed
description Inspired by the six quality-of-care goals developed by the Institute of Medicine, woman-centred care (WCC) as model of care is used in maternity services as it gives an emphasis on the woman as an individual and not her status as a patient. Bringing stronger attention to women’s needs and values, is proven to have clear benefits for perinatal outcomes, but fails to be known or recognised by healthcare professionals’ (HCPs) and implemented. Using a mixed-methods approach, this study aimed to explore HCPs definitions of WCC and identify the degree of agreement and knowledge regarding perinatal indicators when a WCC model of care is implemented. The quantitative part was carried using a self-administered questionnaire with perinatal indicators identified from the literature. Semi-structured interviews were realized using a purposive sample of 15 HCPs and an interview grid inspired by Leap’s WCC model. The study was conducted in the maternity of a university hospital in French-speaking part of Switzerland. Out of 318 HCPs working with mothers and their newborns, 51% had already heard of WCC without being familiar with Leap’s model. The HCPs were aware of the positive perinatal care outcomes when WCC was implemented: women’s satisfaction (99.2%), health promotion (97.6%), HCP’s job satisfaction (93.2%) and positive feelings about their work (85.6%), which were strongly emphasised in the interviews. The respondents reported institutional difficulties in implementing the model such as administrative overload and lack of time. The positive outcomes of WCC on spontaneous deliveries and improved neonatal adaptation were known by most HCPs (63.4% and 59.9%, respectively). However, fewer than half of the HCPs highlighted the model’s positive effects on analgesia and episiotomies or its financial benefits. Knowledge of quality-of-care outcomes (i.e women’s satisfaction, positive impact on practice…) was prevalent among most of HCPs. Without adhering to a common definition and without a specific model for consensus, most providers have integrated some aspects of WCC into their practice. However, specific perinatal indicators remain largely unknown, which may hinder the implementation of WCC.
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spelling pubmed-103216212023-07-06 Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital Floris, Lucia Michoud-Bertinotti, Benedicte Martinez de Tejada, Begoña de Oliveira, Sara Pfister, Riccardo Parguey, Stéphanie Thorn-Cole, Harriet E. de Labrusse, Claire PLoS One Research Article Inspired by the six quality-of-care goals developed by the Institute of Medicine, woman-centred care (WCC) as model of care is used in maternity services as it gives an emphasis on the woman as an individual and not her status as a patient. Bringing stronger attention to women’s needs and values, is proven to have clear benefits for perinatal outcomes, but fails to be known or recognised by healthcare professionals’ (HCPs) and implemented. Using a mixed-methods approach, this study aimed to explore HCPs definitions of WCC and identify the degree of agreement and knowledge regarding perinatal indicators when a WCC model of care is implemented. The quantitative part was carried using a self-administered questionnaire with perinatal indicators identified from the literature. Semi-structured interviews were realized using a purposive sample of 15 HCPs and an interview grid inspired by Leap’s WCC model. The study was conducted in the maternity of a university hospital in French-speaking part of Switzerland. Out of 318 HCPs working with mothers and their newborns, 51% had already heard of WCC without being familiar with Leap’s model. The HCPs were aware of the positive perinatal care outcomes when WCC was implemented: women’s satisfaction (99.2%), health promotion (97.6%), HCP’s job satisfaction (93.2%) and positive feelings about their work (85.6%), which were strongly emphasised in the interviews. The respondents reported institutional difficulties in implementing the model such as administrative overload and lack of time. The positive outcomes of WCC on spontaneous deliveries and improved neonatal adaptation were known by most HCPs (63.4% and 59.9%, respectively). However, fewer than half of the HCPs highlighted the model’s positive effects on analgesia and episiotomies or its financial benefits. Knowledge of quality-of-care outcomes (i.e women’s satisfaction, positive impact on practice…) was prevalent among most of HCPs. Without adhering to a common definition and without a specific model for consensus, most providers have integrated some aspects of WCC into their practice. However, specific perinatal indicators remain largely unknown, which may hinder the implementation of WCC. Public Library of Science 2023-07-05 /pmc/articles/PMC10321621/ /pubmed/37405995 http://dx.doi.org/10.1371/journal.pone.0286852 Text en © 2023 Floris et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Floris, Lucia
Michoud-Bertinotti, Benedicte
Martinez de Tejada, Begoña
de Oliveira, Sara
Pfister, Riccardo
Parguey, Stéphanie
Thorn-Cole, Harriet E.
de Labrusse, Claire
Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
title Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
title_full Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
title_fullStr Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
title_full_unstemmed Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
title_short Exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
title_sort exploring health care professionals’ experiences and knowledge of woman-centred care in a university hospital
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10321621/
https://www.ncbi.nlm.nih.gov/pubmed/37405995
http://dx.doi.org/10.1371/journal.pone.0286852
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