Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period
Abstract Background Evidence suggests that Aboriginal babies in Western Australia are not receiving adequate primary health care in their first 3 months of life, leading to questions about enablers and constraints to delivering such care. This paper presents findings from a qualitative research proj...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05136-6 |
| _version_ | 1797958402463236096 |
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| author | Jocelyn Jones Angela Durey Natalie Strobel Kimberley McAuley Karen Edmond Juli Coffin Daniel McAullay |
| author_facet | Jocelyn Jones Angela Durey Natalie Strobel Kimberley McAuley Karen Edmond Juli Coffin Daniel McAullay |
| author_sort | Jocelyn Jones |
| collection | DOAJ |
| description | Abstract Background Evidence suggests that Aboriginal babies in Western Australia are not receiving adequate primary health care in their first 3 months of life, leading to questions about enablers and constraints to delivering such care. This paper presents findings from a qualitative research project investigating health providers’ perceptions and experiences of best and current practice in discharge planning, postnatal care and health education for Aboriginal mothers and their newborn babies. Methods Constructivist grounded theory guided this research involving 58 semi-structured interviews conducted with health providers who deliver care to Aboriginal mothers and infants. Participants were recruited from hospital-based and primary health sites in metropolitan Perth, and regional and remote locations in Western Australia. Results Structural factors enabling best practice in discharge planning, postnatal care, and health education for mothers included health providers following best practice guidelines and adequate staffing levels. Organisational enablers included continuity of care throughout pregnancy, birth and postnatally. In particular, good communication between services around discharge planning, birth notifications, and training in culturally respectful care. Structural and organisational constraints to delivering best practice and compromising continuity of care were identified as beyond individual control. These included poor communication between different health and social services, insufficient hospital staffing levels leading to early discharge, inadequate cultural training, delayed receipt of birth notifications and discharge summaries received by Aboriginal primary health services. Conclusion Findings highlight the importance of examining current policies and practices to promote best practice in postnatal care to improve health outcomes for mothers and their Aboriginal babies. |
| first_indexed | 2024-04-11T00:19:31Z |
| format | Article |
| id | doaj.art-491c0f37fe8142de9d07a255ecf8df39 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T00:19:31Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-491c0f37fe8142de9d07a255ecf8df392023-01-08T12:23:08ZengBMCBMC Pregnancy and Childbirth1471-23932023-01-0123111110.1186/s12884-022-05136-6Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal periodJocelyn Jones0Angela Durey1Natalie Strobel2Kimberley McAuley3Karen Edmond4Juli Coffin5Daniel McAullay6National Drug Research Institute, Curtin UniversitySchool of Population and Global Health, The University of Western AustraliaKurongkurl Katitjin, Edith Cowan UniversitySchool of Population and Global Health, The University of Western AustraliaKing’s College LondonTelethon Kids InstituteKurongkurl Katitjin, Edith Cowan UniversityAbstract Background Evidence suggests that Aboriginal babies in Western Australia are not receiving adequate primary health care in their first 3 months of life, leading to questions about enablers and constraints to delivering such care. This paper presents findings from a qualitative research project investigating health providers’ perceptions and experiences of best and current practice in discharge planning, postnatal care and health education for Aboriginal mothers and their newborn babies. Methods Constructivist grounded theory guided this research involving 58 semi-structured interviews conducted with health providers who deliver care to Aboriginal mothers and infants. Participants were recruited from hospital-based and primary health sites in metropolitan Perth, and regional and remote locations in Western Australia. Results Structural factors enabling best practice in discharge planning, postnatal care, and health education for mothers included health providers following best practice guidelines and adequate staffing levels. Organisational enablers included continuity of care throughout pregnancy, birth and postnatally. In particular, good communication between services around discharge planning, birth notifications, and training in culturally respectful care. Structural and organisational constraints to delivering best practice and compromising continuity of care were identified as beyond individual control. These included poor communication between different health and social services, insufficient hospital staffing levels leading to early discharge, inadequate cultural training, delayed receipt of birth notifications and discharge summaries received by Aboriginal primary health services. Conclusion Findings highlight the importance of examining current policies and practices to promote best practice in postnatal care to improve health outcomes for mothers and their Aboriginal babies.https://doi.org/10.1186/s12884-022-05136-6AboriginalMothersPostnatal careBest practice |
| spellingShingle | Jocelyn Jones Angela Durey Natalie Strobel Kimberley McAuley Karen Edmond Juli Coffin Daniel McAullay Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period BMC Pregnancy and Childbirth Aboriginal Mothers Postnatal care Best practice |
| title | Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period |
| title_full | Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period |
| title_fullStr | Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period |
| title_full_unstemmed | Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period |
| title_short | Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period |
| title_sort | perspectives of health service providers in delivering best practice care for aboriginal mothers and their babies during the postnatal period |
| topic | Aboriginal Mothers Postnatal care Best practice |
| url | https://doi.org/10.1186/s12884-022-05136-6 |
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