Le SIDA au Ghana (serveur d'exploration)

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Use of a facilitated discussion model for antenatal care to improve communication.

Identifieur interne : 000527 ( PubMed/Curation ); précédent : 000526; suivant : 000528

Use of a facilitated discussion model for antenatal care to improve communication.

Auteurs : Jody R. Lori [États-Unis] ; Michelle L. Munro [États-Unis] ; Meagan R. Chuey [États-Unis]

Source :

RBID : pubmed:25862409

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Abstract

Achieving health literacy is a critical step to improving health outcomes and the health of a nation. However, there is a lack of research on health literacy in low-resource countries, where maternal health outcomes are at their worst.

DOI: 10.1016/j.ijnurstu.2015.03.018
PubMed: 25862409

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<term>Adult</term>
<term>Audiovisual Aids</term>
<term>Communication</term>
<term>Female</term>
<term>Ghana</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Midwifery</term>
<term>Models, Theoretical</term>
<term>Pregnancy</term>
<term>Prenatal Care (methods)</term>
<term>Professional-Patient Relations</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Communication</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Modèles théoriques</term>
<term>Prise en charge prénatale ()</term>
<term>Profession de sage-femme</term>
<term>Relations entre professionnels de santé et patients</term>
<term>Supports audiovisuels</term>
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<term>Prenatal Care</term>
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<term>Audiovisual Aids</term>
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<term>Ghana</term>
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<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">Achieving health literacy is a critical step to improving health outcomes and the health of a nation. However, there is a lack of research on health literacy in low-resource countries, where maternal health outcomes are at their worst.</div>
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<Month>11</Month>
<Day>08</Day>
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<Volume>54</Volume>
<PubDate>
<Year>2016</Year>
<Month>Feb</Month>
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<Title>International journal of nursing studies</Title>
<ISOAbbreviation>Int J Nurs Stud</ISOAbbreviation>
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<ArticleTitle>Use of a facilitated discussion model for antenatal care to improve communication.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Achieving health literacy is a critical step to improving health outcomes and the health of a nation. However, there is a lack of research on health literacy in low-resource countries, where maternal health outcomes are at their worst.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To examine the usefulness and feasibility of providing focused antenatal care (FANC) in a group setting using picture cards to improve patient-provider communication, patient engagement, and improve health literacy.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">An exploratory, mixed methods design was employed to gather pilot data using the Health Literacy Skills Framework.</AbstractText>
<AbstractText Label="SETTINGS" NlmCategory="METHODS">A busy urban district hospital in the Ashanti Region of Ghana was used to gather data during 2014.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">A facility-driven convenience sample of midwives (n=6) aged 18 years or older, who could speak English or Twi, and had provided antenatal care at the participating hospital during the previous year prior to the start of the study participated in the study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data were collected using pre-test and post-test surveys, completed three months after the group FANC was implemented. A semi-structured focus group was conducted with four of the participating midwives and the registered nurse providing support and supervision for the study (n=5) at the time of the post-test. Data were analyzed concurrently to gain a broad understanding of patient communication, engagement, and group FANC.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were no significant differences in the mean communication (t(df=3)=0.541, p=0.626) and engagement (t(df=3)=-0.775, p=0.495) scores between the pre- and post-test. However, the focus group revealed the following themes: (a) improved communication through the use of picture cards; (b) enhanced information sharing and peer support through the facilitated group process and; and (c) an improved understanding of patient concerns.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The improved communication noted through the use of picture cards and the enhanced information sharing and peer support elicited through the group FANC undoubtedly provided patients with additional tools to invoke self-determination, and carry out the behaviors they thought were most important to improve pregnancy outcomes.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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