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Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study
OBJECTIVES: The aims of this study were to assess clinicians’ views and experiences of providing immediate neonatal care at birth beside the mother, and of using a mobile trolley designed to facilitate this bedside care. DESIGN: Qualitative interview study with semistructured interviews. RESULTS: Th...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4593146/ https://www.ncbi.nlm.nih.gov/pubmed/26423852 http://dx.doi.org/10.1136/bmjopen-2015-008494 |
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author | Yoxall, Charles W Ayers, Susan Sawyer, Alexandra Bertullies, Sophia Thomas, Margaret D Weeks, Andrew Duley, Lelia |
author_facet | Yoxall, Charles W Ayers, Susan Sawyer, Alexandra Bertullies, Sophia Thomas, Margaret D Weeks, Andrew Duley, Lelia |
author_sort | Yoxall, Charles W |
collection | PubMed |
description | OBJECTIVES: The aims of this study were to assess clinicians’ views and experiences of providing immediate neonatal care at birth beside the mother, and of using a mobile trolley designed to facilitate this bedside care. DESIGN: Qualitative interview study with semistructured interviews. RESULTS: The results were analysed using thematic analysis. SETTING: A large UK maternity unit. PARTICIPANTS: Clinicians (n=20) from a range of disciplines who were present when the trolley was used to provide neonatal care at birth at the bedside. Five clinicians provided/observed advanced resuscitation by the bedside. RESULTS: Five themes were identified: (1) Parents’ involvement, which included ‘Contact and involvement’, ‘Positive emotions for parents’ and ‘Staff communication’; (2) Reservations about neonatal care at birth beside the mother, which included ‘Impact on clinicians’ and ‘Impact on parents’; (3) Practical challenges in providing neonatal care at the bedside, which included ‘Cord length’ and ‘Caesarean section’; (4) Comparison of the trolley with usual resuscitation equipment and (5) Training and integration of bedside care into clinical routine, which included ‘Teething problems’ and ‘Training’. CONCLUSIONS: Overall, most clinicians were positive about providing immediate neonatal care at the maternal bedside, particularly in terms of the clinicians’ perceptions of the parents’ experience. Clinicians also perceived that their close proximity to parents improved communication. However, there was some concern about performing more intensive interventions in front of parents. Providing immediate neonatal care and resuscitation at the bedside requires staff training and support. |
format | Online Article Text |
id | pubmed-4593146 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-45931462015-10-08 Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study Yoxall, Charles W Ayers, Susan Sawyer, Alexandra Bertullies, Sophia Thomas, Margaret D Weeks, Andrew Duley, Lelia BMJ Open Obstetrics and Gynaecology OBJECTIVES: The aims of this study were to assess clinicians’ views and experiences of providing immediate neonatal care at birth beside the mother, and of using a mobile trolley designed to facilitate this bedside care. DESIGN: Qualitative interview study with semistructured interviews. RESULTS: The results were analysed using thematic analysis. SETTING: A large UK maternity unit. PARTICIPANTS: Clinicians (n=20) from a range of disciplines who were present when the trolley was used to provide neonatal care at birth at the bedside. Five clinicians provided/observed advanced resuscitation by the bedside. RESULTS: Five themes were identified: (1) Parents’ involvement, which included ‘Contact and involvement’, ‘Positive emotions for parents’ and ‘Staff communication’; (2) Reservations about neonatal care at birth beside the mother, which included ‘Impact on clinicians’ and ‘Impact on parents’; (3) Practical challenges in providing neonatal care at the bedside, which included ‘Cord length’ and ‘Caesarean section’; (4) Comparison of the trolley with usual resuscitation equipment and (5) Training and integration of bedside care into clinical routine, which included ‘Teething problems’ and ‘Training’. CONCLUSIONS: Overall, most clinicians were positive about providing immediate neonatal care at the maternal bedside, particularly in terms of the clinicians’ perceptions of the parents’ experience. Clinicians also perceived that their close proximity to parents improved communication. However, there was some concern about performing more intensive interventions in front of parents. Providing immediate neonatal care and resuscitation at the bedside requires staff training and support. BMJ Publishing Group 2015-09-30 /pmc/articles/PMC4593146/ /pubmed/26423852 http://dx.doi.org/10.1136/bmjopen-2015-008494 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Obstetrics and Gynaecology Yoxall, Charles W Ayers, Susan Sawyer, Alexandra Bertullies, Sophia Thomas, Margaret D Weeks, Andrew Duley, Lelia Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
title | Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
title_full | Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
title_fullStr | Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
title_full_unstemmed | Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
title_short | Providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
title_sort | providing immediate neonatal care and resuscitation at birth beside the mother: clinicians’ views, a qualitative study |
topic | Obstetrics and Gynaecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4593146/ https://www.ncbi.nlm.nih.gov/pubmed/26423852 http://dx.doi.org/10.1136/bmjopen-2015-008494 |
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