Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel
BackgroundAlthough the Chinese promotion of labor analgesia began in 2018 to improve maternal health, high-quality medical care is difficult to provide to pregnant women when medical staff cannot implement standard labor analgesia procedures. This study aims to examine medical personnel's adher...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.899515/full |
| _version_ | 1811342765253984256 |
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| author | Dong Lang Dong Lang Chengxu Long Shuna Lin Shuna Lin Yinghua Xie Yinghua Xie Fangfei Chen Fangfei Chen Rui Zhao Chunping Liu Shangfeng Tang Shangfeng Tang |
| author_facet | Dong Lang Dong Lang Chengxu Long Shuna Lin Shuna Lin Yinghua Xie Yinghua Xie Fangfei Chen Fangfei Chen Rui Zhao Chunping Liu Shangfeng Tang Shangfeng Tang |
| author_sort | Dong Lang |
| collection | DOAJ |
| description | BackgroundAlthough the Chinese promotion of labor analgesia began in 2018 to improve maternal health, high-quality medical care is difficult to provide to pregnant women when medical staff cannot implement standard labor analgesia procedures. This study aims to examine medical personnel's adherence to labor analgesia protocols and to explore the relationships among adherence, satisfaction, and other factors.MethodsThe data were from a national cross-sectional dataset (N = 13,944) of the 2020 Chinese Labor Analgesia Pilot Evaluation Project. Mediating and moderating effects analyses were used to examine the role of satisfaction as a mediator between support measures and adherence.ResultsThere were differences in adherence between different types of medical personnel. Support measures and satisfaction had a positive association with adherence to labor analgesia protocols. Satisfaction had a significant mediating and moderating effect on the relationship between support measures and adherence to labor analgesia standards. Moderating effects of professional titles and attitudes were also observed.ConclusionPrimary health care policies worth considering include comprehensive incentives for medical institutions to improve the use of labor analgesia by medical personnel. It is also worth considering providing more training opportunities for the staff in anesthesiology departments. |
| first_indexed | 2024-04-13T19:16:43Z |
| format | Article |
| id | doaj.art-4ed5c3cf00c64a68b7d0add399a28d42 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-13T19:16:43Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-4ed5c3cf00c64a68b7d0add399a28d422022-12-22T02:33:39ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-06-011010.3389/fpubh.2022.899515899515Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical PersonnelDong Lang0Dong Lang1Chengxu Long2Shuna Lin3Shuna Lin4Yinghua Xie5Yinghua Xie6Fangfei Chen7Fangfei Chen8Rui Zhao9Chunping Liu10Shangfeng Tang11Shangfeng Tang12School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaResearch Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, ChinaDepartment of Global Health & Social Medicine, King's College London, London, United KingdomSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaResearch Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaResearch Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaResearch Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, ChinaChina National Health Development Research Center, Beijing, ChinaChina National Health Development Research Center, Beijing, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaResearch Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, ChinaBackgroundAlthough the Chinese promotion of labor analgesia began in 2018 to improve maternal health, high-quality medical care is difficult to provide to pregnant women when medical staff cannot implement standard labor analgesia procedures. This study aims to examine medical personnel's adherence to labor analgesia protocols and to explore the relationships among adherence, satisfaction, and other factors.MethodsThe data were from a national cross-sectional dataset (N = 13,944) of the 2020 Chinese Labor Analgesia Pilot Evaluation Project. Mediating and moderating effects analyses were used to examine the role of satisfaction as a mediator between support measures and adherence.ResultsThere were differences in adherence between different types of medical personnel. Support measures and satisfaction had a positive association with adherence to labor analgesia protocols. Satisfaction had a significant mediating and moderating effect on the relationship between support measures and adherence to labor analgesia standards. Moderating effects of professional titles and attitudes were also observed.ConclusionPrimary health care policies worth considering include comprehensive incentives for medical institutions to improve the use of labor analgesia by medical personnel. It is also worth considering providing more training opportunities for the staff in anesthesiology departments.https://www.frontiersin.org/articles/10.3389/fpubh.2022.899515/fulladherencelabor analgesiapersonnel medicalmaternal healthChina |
| spellingShingle | Dong Lang Dong Lang Chengxu Long Shuna Lin Shuna Lin Yinghua Xie Yinghua Xie Fangfei Chen Fangfei Chen Rui Zhao Chunping Liu Shangfeng Tang Shangfeng Tang Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel Frontiers in Public Health adherence labor analgesia personnel medical maternal health China |
| title | Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel |
| title_full | Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel |
| title_fullStr | Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel |
| title_full_unstemmed | Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel |
| title_short | Satisfaction as a Mediator and Its Interaction With Adherence to Labor Analgesia Protocols: A Cross-Sectional Survey of Chinese Medical Personnel |
| title_sort | satisfaction as a mediator and its interaction with adherence to labor analgesia protocols a cross sectional survey of chinese medical personnel |
| topic | adherence labor analgesia personnel medical maternal health China |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.899515/full |
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