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Background Respectful maternity care (RMC) emphasizes the social and relational elements of maternity care and is a crucial part of initiatives to improve service accessibility and quality. Women's perceptions have influenced much of what we know about RMC and contempt in the labor ward. In order to understand midwives' perspectives of RMC, this meta-synthesis focused on them. Method For this inquiry, the databases PubMed/Medline, Embase, Web of Science, and Scopus were searched to find studies on midwives' perceptions of RMC written between 2011 and April 20th 2023. The included articles were to English language restriction. The results of the included research were examined using thematic analysis. Using the inclusion criteria, 84 potentially relevant articles were carefully reviewed, and only 22 were ultimately selected for synthesis. The quality of the qualitative study was assessed using the CASP, a tool for quality evaluation and PRISMA guidelines were followed. Using the MAXQDA program, the cited quotes and the original authors' interpretations were combined. Result There were 22 studies total, thematic synthesis was determined to be appropriate for a total of 22 research studies. Following are the topics which we summarized our analysis: in six major themes: Midwives’ conceptualizations of RMC, Midwives commitment to woman’s rights, The value and impact of RMC to midwives, Midwife’s perception of disrespectful care, Challenges in providing respectful maternity care, and Midwives’ recommendations for optimal RMC practice. Conclusion In addition to specific focus on promoting cooperation, policies to enhance health systems and strategic consideration of the midwifery profession's future are required.
Background Respectful maternity care (RMC) emphasizes the social and relational elements of maternity care and is a crucial part of initiatives to improve service accessibility and quality. Women's perceptions have influenced much of what we know about RMC and contempt in the labor ward. In order to understand midwives' perspectives of RMC, this meta-synthesis focused on them. Method For this inquiry, the databases PubMed/Medline, Embase, Web of Science, and Scopus were searched to find studies on midwives' perceptions of RMC written between 2011 and April 20th 2023. The included articles were to English language restriction. The results of the included research were examined using thematic analysis. Using the inclusion criteria, 84 potentially relevant articles were carefully reviewed, and only 22 were ultimately selected for synthesis. The quality of the qualitative study was assessed using the CASP, a tool for quality evaluation and PRISMA guidelines were followed. Using the MAXQDA program, the cited quotes and the original authors' interpretations were combined. Result There were 22 studies total, thematic synthesis was determined to be appropriate for a total of 22 research studies. Following are the topics which we summarized our analysis: in six major themes: Midwives’ conceptualizations of RMC, Midwives commitment to woman’s rights, The value and impact of RMC to midwives, Midwife’s perception of disrespectful care, Challenges in providing respectful maternity care, and Midwives’ recommendations for optimal RMC practice. Conclusion In addition to specific focus on promoting cooperation, policies to enhance health systems and strategic consideration of the midwifery profession's future are required.
Giriş: Saygılı annelik bakımı kavramı her kadının evrensel ve temel bir hakkı olup intrapartum bakım içerisinde önem kazanmaktadır. Amaç: Bu araştırmanın amacı kadınların doğumda verilen destekleyici bakım algılarının saygılı annelik bakımı algısına ilişkin yordayıcı rolünü incelemektir. Yöntem: Araştırma tanımlayıcı ve kesitsel bir çalışmadır. Araştırmaya Türkiye’nin güney bölgesinde yer alan bir devlet hastanesinde vajinal doğum yapan 180 kadın katılmıştır. Araştırmada kadınlara Kişisel Bilgi Formu, Doğumda Verilen Destekleyici Bakıma İlişkin Kadının Algısı Ölçeği ve Kadınların Saygılı Annelik Bakımı Algısı Ölçeği uygulanmıştır. Verilerin analizinde çoklu regresyon analizi kullanılmıştır. Bulgular: Çoklu doğrusal regresyon analizi sonucunda oluşan 4 modele göre; kadınların saygılı annelik bakımı algısını Model 1’de rahatlatıcı davranışlar %65’ini (R2: .650), Model 2’de eğitim %48’ini (R2: .483), Model 3’te rahatsız edici davranışlar %43’ünü (R2: .429), Model 4’te doğumda verilen destekleyici bakım ölçeğindeki 3 değişken birlikte %66’sını yordamaktadır (R2: .655). Sonuç: Saygılı annelik bakımı algısı ile doğumda verilen destekleyici bakıma ilişkin kadının algısı ölçeğinin rahatlatıcı davranışlar, eğitim ve rahatsız edici davranışlar alt boyutu arasında pozitif yönde ve anlamlı bir ilişki saptanmıştır. Kadınların saygılı bakım algısını arttırmakta intrapartum süreçte hem ebelere hem de hemşirelere önemli görevler düşmektedir.
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