Mothers’ experiences of team-based antenatal care in rural British Columbia
Notice bibliographique
Résumé
Introduction: The health care system in British Columbia places priority on providing teambased primary maternity care. Participation of mothers in planning their care is an essential component of team-based care. Therefore, it is important to understand mothers’ experiences of team-based maternity care. Background: An integrated literature review resulted in 12 articles focused on mothers’ experiences with antenatal care delivered by a team of providers. Evidence highlighted the positive impact of team-based speciality antenatal care. Mother’s experiences of community team-based antenatal care were a notable gap in the literature. Objective: To explore antenatal care experiences of mothers living in rural British Columbia, where team-based antenatal care is known to exist. Method: To understand the perceptions of mothers' experiences of team-based antenatal care a qualitative methodology was used. An interpretive description approach combined semi-structured interviews with eight mothers purposively selected from two rural communities. Findings: Mothers played a key role in shaping the continuity of their care. Mothers collaborated with their providers across three types of continuity expressed within a team-based antenatal care context: management, informational, and relational. Building the relationship between the mother and a consistent provider (relational continuity) required clinical coordination (management continuity) and clear communication (informational continuity). From the mother's perspective, a specific team composition did not rate as highly as the connection to a consistent provider with whom they had respectful and trusting relationship. For all eight mothers a nurse and physician team-combination promoted continuity and patient-centeredness. Specifically, a primary care maternity nurse role supported stability in the mother's antenatal care. Gaps in continuity arose from experiences of antenatal care during the Covid-19 global pandemic and in the mothers’ mental wellness and pelvic floor health. Conclusion: When the mothers shared responsibility for continuity in care this strengthened the mother-provider partnership, regardless of which discipline was providing care. Mothers appreciated the continuity of carer – a provider who could develop a relationship with them during their antenatal care. The mothers valued providers who worked as part of a network, collaborating with a range of interdisciplinary providers to support the mothers’ antenatal care needs. Clinical Implications: There is merit in expanding discussions on the value a consistent provider working alongside mothers in rural team-based primary maternity care brings to mothers’ experiences of and engagement with antenatal care. Future research on how both continuity of care and continuity of a carer can support sustainable team-based antenatal care to improve outcomes is warranted in all community contexts.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,007 | 0,002 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».