Maternity care coordinator's experiences at the department of Veteran Affairs.

Autor:	Ndakuya-Fitzgerald F; Nursing Education Research and Simulation, Clement J. Zablocki VA Medical Center, Milwaukee, WI 53295, USA., Farkas A; Nursing Education Research and Simulation, Clement J. Zablocki VA Medical Center, Milwaukee, WI 53295, USA.; Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Lopez AA; College of Nursing, University of Wisconsin-Milwaukee, Milwaukee WI 53211, USA., Whittle J; Nursing Education Research and Simulation, Clement J. Zablocki VA Medical Center, Milwaukee, WI 53295, USA.; Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Haeger KO; Department of Veterans Affairs, Office of Women's Health, Washington, DC 20420, USA., Mu Q; Nursing Education Research and Simulation, Clement J. Zablocki VA Medical Center, Milwaukee, WI 53295, USA.
Jazyk:	angličtina
Zdroj:	Translational behavioral medicine [Transl Behav Med] 2024 Nov 16; Vol. 14 (11), pp. 684-691.
DOI:	10.1093/tbm/ibae052
Abstrakt:	The Veterans Health Administration (VHA) provides maternity care by paying for Veterans to receive pregnancy-related care in community settings and by utilizing maternity care coordinators (MCCs) at each medical facility. The purpose of this qualitative descriptive study was to understand the MCC's experiences performing their role across VA facilities. Thirty MCCs were recruited and interviewed virtually using Microsoft Teams. Interviews were recorded and transcribed verbatim. Using thematic analysis, transcripts were coded, and themes were derived. MCC's roles include being a liaison, care coordinator, and supporter. MCCs improve Veterans' care during pregnancy and postpartum by education, monitoring health status, and connecting Veterans to providers within VA and the community. Across VA facilities, there was variation in how MCCs engaged with Veterans and in the services provided. A challenge shared was the lack of dedicated time to the role. In the VA, MCCs are valuable in ensuring high-quality care coordination of pregnant/postpartum Veterans despite the fragmentation of care between VA and community providers. To improve inconsistencies in how the MCC program is implemented, systematic strategies such as ensuring dedicated time are needed. (Published by Oxford University Press on behalf of the Society of Behavioral Medicine 2024.)
Databáze:	MEDLINE
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