Barriers and enablers to antenatal care attendance for women referred to social work services in a Victorian regional hospital: A qualitative descriptive study.

Autor: Vasilevski V; School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Institute for Health Transformation, Western Health Partnership, Victoria, Australia. Electronic address: vidanka.vasilevski@deakin.edu.au., Graham K; School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Institute for Health Transformation, Western Health Partnership, Victoria, Australia; College of Nursing and Health Sciences, Flinders University, Australia; National Centre for Epidemiology and Population Health, The Australian National University., McKay F; School of Health and Social Development, Institute for Health Transformation, Deakin University, Victoria, Australia., Dunn M; School of Health and Social Development, Institute for Health Transformation, Deakin University, Victoria, Australia., Wright M; Barwon Health, Victoria, Australia., Radelaar E; Barwon Health, Victoria, Australia., Vuillermin PJ; Barwon Health, Victoria, Australia; School of Medicine, Deakin University, Victoria, Australia., Sweet L; School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Institute for Health Transformation, Western Health Partnership, Victoria, Australia.
Jazyk: angličtina
Zdroj: Women and birth : journal of the Australian College of Midwives [Women Birth] 2024 Mar; Vol. 37 (2), pp. 443-450. Date of Electronic Publication: 2024 Jan 20.
DOI: 10.1016/j.wombi.2024.01.006
Abstrakt: Background: Women referred to social work services during pregnancy are more likely to experience social disadvantage than those who are not, resulting in reduced antenatal care attendance. Lack of antenatal care engagement leads to poor identification and management of concerns that can have immediate and long-term health consequences for women and their babies. Identifying the barriers and enablers to antenatal care attendance for women referred to social work services is important for designing models of care that promote effective engagement.
Aims: This study aimed to explore the barriers and enablers to antenatal care attendance by women referred to social work services from the perspectives of women, and clinicians who provide antenatal healthcare.
Methods: A qualitative descriptive study using constructivist grounded theory methods was undertaken. Ten women referred to social work services and 11 antenatal healthcare providers were purposively recruited for interviews from a regional maternity service in Victoria, Australia.
Findings: Continuity of care and healthcare providers partnering with women were central to effective engagement with antenatal care services. Three interrelated concepts were identified: 1) experiences of the hospital environment and access to care; 2) perceptions of care influence engagement, and 3) motivations for regularly attending services.
Conclusions: Continuity of care is essential for supporting women referred to social work services to attend antenatal appointments. Women are better equipped to overcome other barriers to antenatal service attendance when they have a strong partnership with clinicians involved in their care.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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