RESUMEN

BACKGROUND: The increasing demand for childbirth care based on physiological principles has led official bodies to encourage health centers to provide evidence-based care aimed at promoting women's participation in informed decision-making and avoiding excessive medical intervention during childbirth. One of the goals is to reduce pain and find alternative measures to epidural anesthesia to enhance women's autonomy and well-being during childbirth. Currently, water immersion is used as a non-pharmacological method for pain relief. This review aimed to identify and synthesize evidence on women's and midwives' experiences, values, and preferences regarding water immersion during childbirth. METHODS: A systematic review and thematic synthesis of qualitative evidence were conducted. Databases were searched and references were checked according to specific criteria. Studies that used qualitative data collection and analysis methods to examine the opinions of women or midwives in the hospital setting were included. Non-qualitative studies, mixed-methods studies that did not separately report qualitative results, and studies in languages other than English or Spanish were excluded. The Critical Appraisal Skills Program Qualitative Research Checklist was used to assess study quality, and results were synthesized using thematic synthesis. RESULTS: Thirteen studies met the inclusion criteria and were included in this review. The qualitative studies yielded three key themes: 1) reasons identified by women and midwives for choosing a water birth, 2) benefits experienced in water births, and 3) barriers and facilitators of water immersion during childbirth. CONCLUSIONS: The evidence from qualitative studies indicates that women report benefits associated with water birth. From the perspective of midwives, ensuring safe water births requires adequate resources, midwives training, and rigorous standardized protocols to ensure that all pregnant women can safely opt for water immersion during childbirth with satisfactory results.

Asunto(s)

RESUMEN

Objetivo. Conocer la satisfacción de los profesionales (enfermería/medicina) que participaban en un proyecto de telemonitorización, desde la atención primaria, de pacientes con enfermedades crónicas (insuficiencia cardiaca y/o broncopatía), con varios ingresos hospitalarios y dificultad para salir de sus domicilios (proyecto TELBIL-A). Material y métodos. En noviembre de 2012 se remitió a los correos electrónicos de 55 sanitarios participantes un cuestionario Web (aplicación «encuesta fácil») diseñado por los investigadores. Constaba de 6 ítems para valorar satisfacción (escala de Likert de 1 —mayor desacuerdo, apreciación más negativa— a 5 —mayor acuerdo, apreciación más positiva—), edad, experiencia profesional y una pregunta abierta para comentarios. Los datos se descargaron y analizaron con el programa SPSS 18.0. Resultados. La tasa de respuesta fue de 90,9% (50 respuestas), 94% de mujeres, un 68% >= 40 años y un 90% > 5 años de experiencia trabajando en el centro de salud. Un 86% eligió la respuesta 4 o 5 en el ítem de satisfacción general con el proyecto, siendo la puntuación media de 4,4 puntos. La media para el resto de preguntas fue de: 3,8 para la interferencia con las tareas habituales, 4,5 en apreciar ventajas en el manejo de los pacientes, 4,2 en la sensación de que los pacientes participaban más en su autocuidado, 3,9 en el aspecto tecnológico y 4,3 en recomendarlo potencialmente a un amigo/familiar. Conclusiones. En las condiciones del estudio se observa una elevada satisfacción con el proyecto TELBIL-A por parte de los profesionales que están participando en el mismo (AU)

Objective: To analyze, through an on-line survey, the satisfaction of professionals (nurses/ general practitioners) taking part in a project of telemonitoring in-home patients with chronic diseases (heart failure and/or pulmonary disease) with ≥2 hospital admissions in the last year (TELBIL-A project). Material and methods: An on-line questionnaire designed by the researchers (using «easy survey» application) was sent to professionals’ email. It consisted of several items to assess satisfaction (Likert scale from 1-strongly disagree, negative appreciation- to 5- strongly agree, positive appreciation-), age, number of years working in Primary Care, and an open question for comments. Data were analyzed using SPSS 18.0. Results: We received responses from 50 out of 55 professionals (90.9%), of whom 94% were female, and 68% aged >=40 years, with 90% working > 5 years in Primary Care. They chose in 86% answer 4 or 5 for the item on overall satisfaction with the project, with the average score being 4.4. The means for the rest of questions were: 3.8 for interference with other professional daily tasks, 4.5 appreciating advantages in the management of patients, 4.2 for the feeling that patients are more involved in their own care, 3.9 for technological aspects, and 4.3 for recommending to a friend/relative. Conclusions: The study explores one aspect, satisfaction with the project, which is critical because of the association with the correct compliance and developing of the intervention. We found a high satisfaction of professionals involved with the TELBIL-A project (AU)

Asunto(s)

RESUMEN

OBJECTIVE: To analyze, through an on-line survey, the satisfaction of professionals (nurses/general practitioners) taking part in a project of telemonitoring in-home patients with chronic diseases (heart failure and/or pulmonary disease) with ≥2 hospital admissions in the last year (TELBIL-A project). MATERIAL AND METHODS: An on-line questionnaire designed by the researchers (using «easy survey¼ application) was sent to professionals' email. It consisted of several items to assess satisfaction (Likert scale from 1-strongly disagree, negative appreciation- to 5- strongly agree, positive appreciation-), age, number of years working in Primary Care, and an open question for comments. Data were analyzed using SPSS 18.0. RESULTS: We received responses from 50 out of 55 professionals (90.9%), of whom 94% were female, and 68% aged ≥40 years, with 90% working >5 years in Primary Care. They chose in 86% answer 4 or 5 for the item on overall satisfaction with the project, with the average score being 4.4. The means for the rest of questions were: 3.8 for interference with other professional daily tasks, 4.5 appreciating advantages in the management of patients, 4.2 for the feeling that patients are more involved in their own care, 3.9 for technological aspects, and 4.3 for recommending to a friend/relative. CONCLUSIONS: The study explores one aspect, satisfaction with the project, which is critical because of the association with the correct compliance and developing of the intervention. We found a high satisfaction of professionals involved with the TELBIL-A project.

Asunto(s)