Rural perinatal nursing in Canada: A hermeneutic literature review
Notice bibliographique
Résumé
Background: Nurses working in rural and remote settings are central to the delivery of perinatal services, often as the initial providers to assess and manage patients. Although policies and guidelines dictate nurses' responsibilities, little research focuses on rural perinatal nursing practice. Articulation of nurses' actual and significant involvement in rural perinatal care is needed as increasingly sustaining rural perinatal services is in jeopardy. Objective: The study aimed to answer the question, "How are nurses understood to be involved in the delivery of rural perinatal care?" Design: A hermeneutic literature review. Setting: Rural and remote Canada. Methods: A hermeneutic literature review was conducted through a two-phase, interpretive process of evaluation and deliberation for relevance and meaning carried out through dialogue and questioning with the selected texts and among members of the research team. This process provided deepened understanding of rural perinatal nursing practice and the contexts in which it takes place, highlighting not only what was evident in the texts, but also what was missing regarding nurses' involvement in the provision of perinatal care. Results: Seven of 38 grey literature documents, and 25 research articles out of 800 were selected as relevant to the research question. Rural nurses' perinatal practice was found to be largely invisible in the literature. Only a few studies focused on nurses, demonstrating their autonomy and agency to benefit patients, other providers, and system functioning, despite many contextual and health system constraints. Rural nurses' experiences and insights were found rarely to be represented in perinatal policy and guidelines. Conclusions: Rural nurses voices and practices are rarely represented in the research and grey literature relevant to rural perinatal services. Nurses' insights and experiences are essential to ensure that policies and practices in healthcare organizations foster the sustainability of rural perinatal care for rural/remote childbearing families and the retention of nurses in rural practice. Tweetable abstract: Canadian rural perinatal nurses' practices are largely invisible in research and grey literature. Their voices and recognition of their contributions to care are needed to sustain rural maternity services.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 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 tête enseignante, 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 ».