Doğum Alanında Çalışan Sağlık Profesyonellerinin Vajinal Doğumların Yönetilmesine İlişkin Düşüncelerinin Belirlenmesi: Nitel Bir Araştırma

Year 2024, Volume: 5 Issue: 2, 261 - 270, 27.08.2024

Keziban Amanak , Sibel Şeker , Funda Çitil Canbay , Pınar Serçekuş

https://doi.org/10.58605/bingolsaglik.1487944

Abstract

Araştırma, jinekoloji alanında çalışan sağlık profesyonellerinin vajinal doğumların yönetimine ilişkin görüşlerini belirlemek amacıyla yapılmıştır. Araştırma, Türkiye'nin batısında bir devlet üniversite hastanesinde vajinal doğumda aktif görev alan 18 sağlık çalışanı ile gerçekleştirilmiştir. Amaçlı örnekleme yöntemlerinden maksimum çeşitlilik örnekleme yöntemi kullanılmıştır. Araştırma verileri bilgi formu ve yapılandırılmış bilgi formu aracılığıyla toplanmıştır. Tematik analiz yöntemi ile analiz edilmiştir. Etik onay alınmıştır. Bu araştırmada vajinal doğumların yönetimi ile ilgili üç ana tema belirlenmiştir. (I) Vajinal doğumların yönetimine ilişkin ebelerin görüşleri, (II) Vajinal doğumların yönetimine ilişkin hemşirelerin görüşleri ve (III) Vajinal doğumların yönetimine ilişkin doktorların görüşleri. Katılımcılar (özellikle ebeler ve doktorlar) vajinal doğum sorumluluğu konusunda genel olarak kendilerini önemli bir aktivist olarak gördüklerini ve ebelerin iş yoğunluğu ve gebelerin ebeler tarafından takip edilmesi nedeniyle vajinal doğum yapabildiklerini belirtmişlerdir. Ebe ve hemşireler doğumun sadece tıbbi bir eylem olmadığını, gebelik, doğum ve doğum sonrası dönemde aktif bakım gerektiren önemli sorumluluklar getirdiğini vurgulamışlardır. Sağlık profesyonellerinin bakış açısı çoğunlukla yeterli eğitim ve beceriye sahip tüm ebelerin vajinal doğumları bağımsız olarak yapabilecekleri yönünde olmuştur. Teslimatı yapacak ekibe teorik ve pratik olarak sürekli kurumsal eğitimler verilmesi konusunda anlaştılar. Özellikle üniversite hastanelerinde hemşire ve ebelerin bir ekibin parçası olarak vajinal doğumlarda görevlerini bağımsız olarak yerine getirebilmeleri ve sorumluluklarını artırabilmeleri konusunda aktif çalışmaların planlanması gerekmektedir.

Keywords

Bilgi, Ebe, Nitel Araştırma, Pratik, Vajinal Doğum

Ethical Statement

Approval was received from the Non-invasive Clinical Research Ethics Committee of the hospital where the research was carried (Number : 92340882-050.04.04).

Supporting Institution

The expenses of the research were covered by the authors.

Thanks

We would like to thank the academicians whose scientific opinions we received in this study.

Opinions of Health Professionals about the Management of Vaginal Deliveries: A Qualitative Research

Abstract

The research aimed to identify the opinions of health professionals working in the field of obstetrics about the management of vaginal deliveries. The research was carried out with 18 health professionals having active duties in vaginal deliveries at a state university hospital in western Turkey. The maximum variation sampling method, one of the purposive sampling methods, was used. The research data were collected through information form and structured information form. They were analyzed through the thematic analysis method. Ethic Approval was received. Three main themes were identified about the management of vaginal deliveries in this research. (I) opinions of midwives about the management of vaginal deliveries, (II) opinions of nurses about the management of vaginal deliveries and (III) opinions of doctors about the management of vaginal deliveries. The participants (especially midwives and doctors) stated that they overall viewed themselves as a significant activist in the responsibility for vaginal delivery, and midwives could carry out vaginal deliveries due to the workload and the fact that the pregnant women were followed up by midwives. Midwives and nurses emphasized that delivery was not only a medical action but also brought significant responsibilities requiring active care in pregnancy, delivery and the postpartum. The perspective of health professionals was mainly in the direction of the fact that all midwives, who had sufficient education and skills, could carry out vaginal deliveries independently. They agreed that the team who would carry out the delivery should be given continuous institutional training in terms of theory and practice. It is necessary that active studies should be planned on matter of the fact that especially the nurses and midwives in university hospitals could carry out their independent duties and increase their responsibilities for vaginal deliveries as a part of a team.

Keywords

Information, Midwife, Practice, Qualitative Research, Vaginal Delivery

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