106: A Qualitative Study of Factors to Consider in the Integration of Caregiver-Reported Outcomes Into Patient-Centred Models of Care

Abstract Background Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. Methods This research is a qualitative study conducted in Iran to explore women’s perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. Fifteen semi-structured interviews were conducted with women individually in private midwifery clinic through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim in Persian and analyzed using conventional content analysis. Results From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood. Conclusion Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.

Download Full-text

Using the Quality Maternal and Newborn Care Framework to evaluate women's experiences of different models of care: A qualitative study

Midwifery ◽

10.1016/j.midw.2019.03.002 ◽

2019 ◽

Vol 73 ◽

pp. 26-34 ◽

Cited By ~ 4

Author(s):

Andrew Symon ◽

Alison McFadden ◽

Marianne White ◽

Katrina Fraser ◽

Allison Cummins

Keyword(s):

Qualitative Study ◽

Newborn Care ◽

Models Of Care ◽

Women’S Experiences ◽

Women's Experiences ◽

Maternal And Newborn Care ◽

Maternal And Newborn

Download Full-text

Women’s Perception of Continuity of Team Midwifery Care in Iran: A Qualitative Study

10.21203/rs.3.rs-141069/v1 ◽

2021 ◽

Author(s):

sholeh shahinfar ◽

parvin abedi ◽

mahin najafian ◽

zahra abbaspoor ◽

Eesa Mohammadi ◽

...

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Qualitative Study ◽

Sampling Method ◽

Models Of Care ◽

Model Of Care ◽

Structured Interviews ◽

Midwifery Care ◽

Conventional Content Analysis ◽

Antenatal Education Classes

Abstract Background: Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. Methods: This research is a qualitative study conducted in Iran to explore women's perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. 15 semi-structured interviews were conducted with women individually through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim and analyzed using conventional content analysis. Results: From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood.Conclusion: Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.

Download Full-text

Common care practices among effective community-based specialist palliative care teams: a qualitative study

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2016-001221 ◽

2017 ◽

Vol 10 (1) ◽

pp. e3-e3 ◽

Cited By ~ 7

Author(s):

Hsien Seow ◽

Daryl Bainbridge ◽

Melissa Brouwers ◽

Deanna Bryant ◽

Sue Tan Toyofuku ◽

...

Keyword(s):

Palliative Care ◽

Qualitative Study ◽

Team Building ◽

Physical Symptom ◽

Models Of Care ◽

Specialist Palliative Care ◽

Community Based ◽

Care Community ◽

Palliative Care Teams ◽

Care Practices

ObjectiveEvidence has shown that, despite wide variation in models of care, community-based specialist palliative care teams can improve outcomes and reduce acute care use at end of life. The goal of this study was to explore similarities in care practices among effective and diverse specialist teams to inform the development of other community-based teams.MethodsInterviews with 78 providers and administrators from 11 distinct community-based specialist palliative care teams from Ontario, Canada were conducted. Interviews were audio-recorded, transcribed and analysed using an inductive approach to identify common themes.Results3 key themes across all teams emerged. First, the distinct models of care were generally summarised into 3 models: primary care and specialist providers either collaborated by transferring, sharing or consulting in care. Second, teams explicitly or implicitly followed 7 common care practices related to: specialised expertise 24/7; intrateam communication; timeliness; physical symptom and psychosocial–spiritual management; education; peace and fulfilment; and advocacy for patient preferences. Third, all teams emphasised the importance of team building, even more than using clinical tools and processes.ConclusionsDespite wide variation in models of care among community-based specialist palliative care teams, this large qualitative study identified several common themes in care practices that can guide the development of other teams.

Download Full-text

Patient and health worker experiences of differentiated models of care for stable HIV patients in Malawi: A qualitative study

PLoS ONE ◽

10.1371/journal.pone.0196498 ◽

2018 ◽

Vol 13 (7) ◽

pp. e0196498 ◽

Cited By ~ 8

Author(s):

Margaret L. Prust ◽

Clement K. Banda ◽

Katie Callahan ◽

Rose Nyirenda ◽

Frank Chimbwandira ◽

...

Keyword(s):

Qualitative Study ◽

Health Worker ◽

Models Of Care ◽

Hiv Patients

Download Full-text

G313(P) A qualitative study using a patient questionnaire to establish whether parents of paediatric patients will use proposed out of hospital models of care (OOHMS) instead of the paediatric emergency department and if not why not?

10.1136/archdischild-2019-rcpch.304 ◽

2019 ◽

Author(s):

SJ Gregg ◽

M McDougall ◽

T Sajjanhar

Keyword(s):

Emergency Department ◽

Qualitative Study ◽

Models Of Care ◽

Patient Questionnaire ◽

Paediatric Emergency Department ◽

Paediatric Emergency ◽

Paediatric Patients

Download Full-text

Qualitative study on “hydropic degeneration” of The hepatocytes in viral hepatitis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s042482010016039x ◽

1990 ◽

Vol 48 (3) ◽

pp. 568-569

Author(s):

Le Meizhao ◽

Ye Ming ◽

Song Xiaoming ◽

Xu Jiazhang

Keyword(s):

Qualitative Study ◽

Viral Hepatitis ◽

Chronic Active Hepatitis ◽

Microscopic Observation ◽

Hydropic Degeneration ◽

Light Microscopic Observation ◽

Biopsy Specimens ◽

Endoplasm Reticulum ◽

Mixed Fluid ◽

Peripheral Cytoplasm

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.

Download Full-text