scholarly journals Designing architecture of soothing labor–delivery–recovery–postpartum unit: a study protocol

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Behnam Kazemi Esfeh ◽  
Ashraf Kazemi ◽  
Aida Shamsaie
Keyword(s):  
Qualitative Study ◽  
Cultural Context ◽  
Well Being ◽  
Iranian Women ◽  
Psychological Conditions ◽  
Childbirth Experience ◽  
Centered Care ◽  
Architectural Knowledge ◽  
Physiological Childbirth ◽  
Family Centered

Abstract Background The physical environment profoundly affects women's well-being during childbirth in family-centered unit. A LDRP, which is an acronym for labor, delivery, recovery, and postpartum that describes a maternity unit designed for family-centered care. This study aimed to design soothing LDRP healing architecture based on recognizing the emotional elements of Iranian women. Methods This study will be conducted in four consecutive phases; including review of literature to provide documentation based on architectural knowledge and the effects of each architectural component on the parturient psychological conditions, qualitative study to extract women's needs and suggestions for physiological childbirth, architectural designing of the soothing LDRP based on the results of the first and second phases and qualitative study for evaluation of the designed program. Discussion Designing soothing LDRP architecture based on safe child birth unit standards and favorable psychological environment will provide a positive childbirth experience for Iranian women and their family. But, the preferences and demands of families will be based on Iranian socio-cultural context, therefore the using of this design will be limited in other societies with different cultures.

scholarly journals "We felt like part of a production system": a qualitative study on women's experience of mistreatment during childbirth in Switzerland

2021 ◽  
Author(s):  
Stephanie Meyer ◽  
Eva Cignacco ◽  
Settimio Monteverde ◽  
Manuel Trachsel ◽  
Luigi Raio ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Maternity Care ◽  
Online Survey ◽  
Well Being ◽  
Childbirth Experience ◽  
System A ◽  
Wide Range ◽  
Informal Coercion ◽  
The Individual ◽  
Experiences Of Women

Introduction Mistreatment during childbirth is an issue of global magnitude that not only violates fundamental human rights but also seriously impacts women's well-being. The purpose of this study was to gain a better understanding of the phenomenon by exploring the individual experiences of women who reported mistreatment during childbirth in Switzerland. Materials and Methods This project used a mixed methods approach to investigate women's experiences of mistreatment during childbirth in general and informal coercion specifically: the present qualitative study expands on the findings from a nationwide online survey on childbirth experience. It combines inductive with theory-guided thematic analysis to study the 7753 comments women wrote in the survey and the subsequent interviews with 11 women who reported being mistreated during childbirth. Results The women described a wide range of experiences of mistreatment during childbirth in both the survey comments and the interviews. Out of all survey participants who wrote at least one comment (n = 3547), 28% described one or more experiences of mistreatment. Six of the seven types of mistreatment listed in Bohren and colleagues' typology of mistreatment during childbirth were found, the most frequent of which were ineffective communication and lack of informed consent. Five further themes were identified in the interviews: informal coercion, risk factors for mistreatment, consequences of mistreatment, examples of good care, and what's needed to improve maternity care. Conclusion The findings from this study show that experiences of mistreatment are a reality in Swiss maternity care and give insight into women's individual experiences as well as how these affect them during and after childbirth. This study emphasises the need to respect women's autonomy in order to prevent mistreatment and empower women to actively participate in decisions. Both individual and systemic efforts are required to prevent mistreatment and guarantee respectful, dignified, and high-quality maternity care for all.

scholarly journals Evaluation of Patient- and Family-Centered Care in a Paediatric Clinic in Turkey: a Qualitative Study

2021 ◽  
Vol 21 (3) ◽  
pp. 231-236
Author(s):  
Lubna Qutranji ◽  
Burçin Yorgancı Kale ◽  
Hatice Barış ◽  
Kübra Tezel Gökçe ◽  
Okan Çetin ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Family Centered Care ◽  
Centered Care ◽  
Family Centered

Experiences and Needs of Patients and Relatives During Hospitalization in an Intensive Care Unit in China: A Qualitative Study

2021 ◽  
pp. 104365962110432
Author(s):  
Yang Yahui ◽  
Wu Juan ◽  
Xu Huifen ◽  
Liu Xiaoqin ◽  
Wang Yinan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study ◽  
Management System ◽  
Information Needs ◽  
Quality Care ◽  
Family Needs ◽  
Cultural Perspective ◽  
Centered Care ◽  
Family Centered

Introduction: In comparison with Western cultures, the closed management system makes it difficult to implement family-centered nursing in many intensive care unit (ICU) in China. There are differences in cultural cognition and social environment between China and the West. The purpose of this study was to explore the experience and needs of critically ill patients and their relatives from a Chinese cultural perspective. Method: This was a qualitative study using semistructured interviews conducted in a 26-bed integrated ICU at a Tertiary Grade A comprehensive hospital in Nantong, China. The participants included patients admitted in the ICU and their relatives. We used Colaizzi’s seven-step procedure to analyze interview data. Findings: A total of 15 participants were recruited. Main categories within the patient perspective were variety of feelings, staff assistance required, and expectations for relatives. Patient opinions differed about the feelings of hospitalization and whether they needed the help of staff and relatives. The main categories from the relatives’ perspective were life is disrupted, information needs, and emotional needs. Relatives of patients in the ICU experienced a lot of physical and mental pressure. The lack of timely understanding of the patient’s condition and needs made them feel anxious. Conclusion: The closed management system currently used in China limits contact between ICU patients and their relatives, increasing their physical and emotional discomfort. Hospitals in China should consider updating to a more open visiting policy based on current guidelines for family-centered care. Such policies enable staff to continue providing quality care for their patients while addressing patient and family needs.

Parent Coping With Adolescent Trichotillomania

2016 ◽  
Vol 32 (6) ◽  
pp. 423-435 ◽  
Author(s):  
Marcia S. Stevens ◽  
Susan O’Conner-Von
Keyword(s):  
Data Analysis ◽  
Qualitative Study ◽  
Emotional Support ◽  
School Setting ◽  
School Nurses ◽  
Information Gathering ◽  
Anticipatory Guidance ◽  
Goal Revision ◽  
Centered Care ◽  
Family Centered

Adolescents who struggle with trichotillomania (TTM; hairpulling disorder) are not alone, their parents also struggle. The focus of this qualitative study was to identify what parents ( N = 30) perceive as stressful about parenting an adolescent with TTM and how they cope with these stressors. Parents described uncertainty about the course of the disorder and powerlessness in the ability to protect their adolescent from the reactions of others or assist them in curtailing the hairpulling as very distressing. Data analysis revealed eight coping strategies used to manage these stressors and the accompanying grief: (a) information gathering, (b) anticipatory guidance, (c) crying, (d) hypervigilance, (e) gaining emotional support from others, (f) acceptance, (g) goal revision, and (h) guiding rather than protecting their adolescent. The study findings can be used by school nurses to gain a deeper understanding of this disorder and to provide family-centered care in the school setting.

scholarly journals Family-Centered Care at Pediatric Cardiac Intensive Care Units in Germany and the Relationship With Parent and Infant Well-Being: A Study Protocol

2021 ◽  
Vol 9 ◽  
Author(s):  
Hannah Ferentzi ◽  
Ralph C. A. Rippe ◽  
Jos M. Latour ◽  
Stephan Schubert ◽  
Alona Girch ◽  
...  
Keyword(s):  
Intensive Care ◽  
Study Protocol ◽  
Pediatric Cardiology ◽  
Well Being ◽  
Infant Outcomes ◽  
Centered Care ◽  
Cardiac Intensive Care ◽  
Mental Well Being ◽  
The Relationship ◽  
Family Centered

Rationale and Aim: Infants with Congenital Heart Disease (CHD) are at risk for neurodevelopmental delays, emotional, social and behavioral difficulties. Hospitalization early in life and associated stressors may contribute to these challenges. Family-centered Care (FCC) is a health care approach that is respectful of and responsive to the needs and values of a family and has shown to be effective in improving health outcomes of premature infants, as well as the mental well-being of their parents. However, there is limited empirical data available on FCC practices in pediatric cardiology and associations with parent and infant outcomes.Methods and Analysis: In this cross-sectional study, we will explore FCC practices at two pediatric cardiac intensive care units in Germany, assess parent satisfaction with FCC, and investigate associations with parental mental well-being and parenting stress, as well as infant physical and mental well-being. We will collect data of 280 infants with CHD and their families. Data will be analyzed using multivariate statistics and multilevel modeling.Implications and Dissemination: The study protocol was approved by the medical ethics committees of both partner sites and registered with the German registry for clinical trials (NR DRKS00023964). This study serves as a first step to investigate FCC practices in a pediatric cardiology setting, providing insight into the relationship between FCC and parent and infant outcomes in a population of infants with CHD. Results will be disseminated in peer-reviewed journals.

scholarly journals Meta-Analytic Structural Equation Modeling of the Influences of Family-Centered Care on Parent and Child Psychological Health

2009 ◽  
Vol 2009 ◽  
pp. 1-9 ◽  
Author(s):  
Carl J. Dunst ◽  
Carol M. Trivette
Keyword(s):  
Structural Equation Modeling ◽  
Psychological Health ◽  
Self Efficacy ◽  
Structural Equation ◽  
Well Being ◽  
Efficacy Beliefs ◽  
Equation Modeling ◽  
Family Centered Care ◽  
Centered Care ◽  
Family Centered

Background. Family-centered care is now practiced throughout the world by physicians, nurses, and allied health care professionals. The call for adoption of family-centered care is based on the contention that the physical and psychological health of a child is influenced by parents' psychological health where family-centered care enhances parent well-being which in turn influences child well-being. We empirically assessed whether these relationships are supported by available evidence.Method. Meta-analytic structural equation modeling was used to test the direct and indirect influences of family-centered care and self-efficacy beliefs on parent and child psychological health. Data from more than 2900 parents and other caregivers in 15 studies were used for the analyses.Results. Family-centered care had indirect effects on parent and child psychological health mediated by self-efficacy beliefs.Conclusion. The relationships posited in the literature about family-centered care were supported by the study results.

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