干旱区生态环境知识资源中心(Arid): Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries-A critical frame analysis

Arid

DOI	10.1016/j.midw.2023.103608
	Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries-A critical frame analysis
	Persson, Margareta; Lindberg, Inger; Ohman, Ann
通讯作者	Persson, M
来源期刊	MIDWIFERY
ISSN	0266-6138
EISSN	1532-3099
出版年	2023
卷号	119
英文摘要	Objective: Policy documents govern how the prevention and care of obstetric anal sphincter injuries (OA-SIS) are implemented. Thus, in the absence of Swedish national guidelines on OASIS, differing views may be visible in the regional and local policy documents. Therefore, we aimed to analyse regional and local policies, guidelines, and care programs on the prevention of OASIS and care for OASIS-affected women in a Swedish context by applying a critical frame analysis inspired by Verloo.Design and setting: A cross-sectional study of existing policy documents from Swedish healthcare regions was performed. The documents were analysed using Verloo's critical frame analysis. Findings: We found that OASIS was framed as a preventable problem addressed by skilled protective manoeuvres of the healthcare staff. Education, communication, and teamwork were three frames of cru-cial solutions to minimise the prevalence of OASIS. However, complicating power dimensions between professional groups and between professionals and birthing women were identified. Furthermore, sev-eral discursive struggles were found, predominantly regarding the scientific evidence for the suggested prevention and care.Conclusion: The policy documents emphasised that OASIS is preventable, and improved education, com-munication, and teamwork could diminish the OASIS prevalence. Nevertheless, power dimensions and discursive struggles may challenge the preventive effort s. Furthermore, each Swedish region has the sovereignty to develop its policies, which was reflected in our findings and may imply inequities in care provision. Thus, there is an urgent need to develop comprehensive national high-quality guidelines of high quality for OASIS prevention and care so that all women giving birth have access to equal care and treatment in Sweden.(c) 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ )
英文关键词	Obstetric anal sphincter injuries Policy documents Prevention Management Critical frame analysis
类型	Article
语种	英语
开放获取类型	Green Published, hybrid
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000993214100001
WOS关键词	DELIVERY ; BODY
WOS类目	Nursing
WOS研究方向	Nursing
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/397857
推荐引用方式 GB/T 7714	Persson, Margareta,Lindberg, Inger,Ohman, Ann. Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries-A critical frame analysis[J],2023,119.
APA	Persson, Margareta,Lindberg, Inger,&Ohman, Ann.(2023).Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries-A critical frame analysis.MIDWIFERY,119.
MLA	Persson, Margareta,et al."Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries-A critical frame analysis".MIDWIFERY 119(2023).