Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital.
Inspired by the six quality-of-care goals developed by the Institute of Medicine, woman-centred care (WCC) as model of care is used in maternity services as it gives an emphasis on the woman as an individual and not her status as a patient. Bringing stronger attention to women's needs and value...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0286852 |
| _version_ | 1797774750632640512 |
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| author | Lucia Floris Benedicte Michoud-Bertinotti Begoña Martinez de Tejada Sara de Oliveira Riccardo Pfister Stéphanie Parguey Harriet E Thorn-Cole Claire de Labrusse |
| author_facet | Lucia Floris Benedicte Michoud-Bertinotti Begoña Martinez de Tejada Sara de Oliveira Riccardo Pfister Stéphanie Parguey Harriet E Thorn-Cole Claire de Labrusse |
| author_sort | Lucia Floris |
| collection | DOAJ |
| description | Inspired by the six quality-of-care goals developed by the Institute of Medicine, woman-centred care (WCC) as model of care is used in maternity services as it gives an emphasis on the woman as an individual and not her status as a patient. Bringing stronger attention to women's needs and values, is proven to have clear benefits for perinatal outcomes, but fails to be known or recognised by healthcare professionals' (HCPs) and implemented. Using a mixed-methods approach, this study aimed to explore HCPs definitions of WCC and identify the degree of agreement and knowledge regarding perinatal indicators when a WCC model of care is implemented. The quantitative part was carried using a self-administered questionnaire with perinatal indicators identified from the literature. Semi-structured interviews were realized using a purposive sample of 15 HCPs and an interview grid inspired by Leap's WCC model. The study was conducted in the maternity of a university hospital in French-speaking part of Switzerland. Out of 318 HCPs working with mothers and their newborns, 51% had already heard of WCC without being familiar with Leap's model. The HCPs were aware of the positive perinatal care outcomes when WCC was implemented: women's satisfaction (99.2%), health promotion (97.6%), HCP's job satisfaction (93.2%) and positive feelings about their work (85.6%), which were strongly emphasised in the interviews. The respondents reported institutional difficulties in implementing the model such as administrative overload and lack of time. The positive outcomes of WCC on spontaneous deliveries and improved neonatal adaptation were known by most HCPs (63.4% and 59.9%, respectively). However, fewer than half of the HCPs highlighted the model's positive effects on analgesia and episiotomies or its financial benefits. Knowledge of quality-of-care outcomes (i.e women's satisfaction, positive impact on practice…) was prevalent among most of HCPs. Without adhering to a common definition and without a specific model for consensus, most providers have integrated some aspects of WCC into their practice. However, specific perinatal indicators remain largely unknown, which may hinder the implementation of WCC. |
| first_indexed | 2024-03-12T22:25:45Z |
| format | Article |
| id | doaj.art-7a1af76f39e14a31ac2b9a5b1fbc084f |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-12T22:25:45Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7a1af76f39e14a31ac2b9a5b1fbc084f2023-07-22T05:31:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01187e028685210.1371/journal.pone.0286852Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital.Lucia FlorisBenedicte Michoud-BertinottiBegoña Martinez de TejadaSara de OliveiraRiccardo PfisterStéphanie PargueyHarriet E Thorn-ColeClaire de LabrusseInspired by the six quality-of-care goals developed by the Institute of Medicine, woman-centred care (WCC) as model of care is used in maternity services as it gives an emphasis on the woman as an individual and not her status as a patient. Bringing stronger attention to women's needs and values, is proven to have clear benefits for perinatal outcomes, but fails to be known or recognised by healthcare professionals' (HCPs) and implemented. Using a mixed-methods approach, this study aimed to explore HCPs definitions of WCC and identify the degree of agreement and knowledge regarding perinatal indicators when a WCC model of care is implemented. The quantitative part was carried using a self-administered questionnaire with perinatal indicators identified from the literature. Semi-structured interviews were realized using a purposive sample of 15 HCPs and an interview grid inspired by Leap's WCC model. The study was conducted in the maternity of a university hospital in French-speaking part of Switzerland. Out of 318 HCPs working with mothers and their newborns, 51% had already heard of WCC without being familiar with Leap's model. The HCPs were aware of the positive perinatal care outcomes when WCC was implemented: women's satisfaction (99.2%), health promotion (97.6%), HCP's job satisfaction (93.2%) and positive feelings about their work (85.6%), which were strongly emphasised in the interviews. The respondents reported institutional difficulties in implementing the model such as administrative overload and lack of time. The positive outcomes of WCC on spontaneous deliveries and improved neonatal adaptation were known by most HCPs (63.4% and 59.9%, respectively). However, fewer than half of the HCPs highlighted the model's positive effects on analgesia and episiotomies or its financial benefits. Knowledge of quality-of-care outcomes (i.e women's satisfaction, positive impact on practice…) was prevalent among most of HCPs. Without adhering to a common definition and without a specific model for consensus, most providers have integrated some aspects of WCC into their practice. However, specific perinatal indicators remain largely unknown, which may hinder the implementation of WCC.https://doi.org/10.1371/journal.pone.0286852 |
| spellingShingle | Lucia Floris Benedicte Michoud-Bertinotti Begoña Martinez de Tejada Sara de Oliveira Riccardo Pfister Stéphanie Parguey Harriet E Thorn-Cole Claire de Labrusse Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital. PLoS ONE |
| title | Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital. |
| title_full | Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital. |
| title_fullStr | Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital. |
| title_full_unstemmed | Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital. |
| title_short | Exploring health care professionals' experiences and knowledge of woman-centred care in a university hospital. |
| title_sort | exploring health care professionals experiences and knowledge of woman centred care in a university hospital |
| url | https://doi.org/10.1371/journal.pone.0286852 |
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