TY - JOUR
T1 - Interventions for vulnerable pregnant women
T2 - Factors influencing culturally appropriate implementation according to health professionals: A qualitative study
AU - Feijen-De Jong, Esther I.
AU - Warmelink, J. Catja
AU - van der Stouwe, Relinde A.
AU - Dalmaijer, Maria
AU - Jansen, Danielle E.M.C.
N1 - Funding Information:
The work was supported by ZonMW | The Netherlands Organisation for Health Research and Development (project/grant number 50-54300-98-261). The grant was awarded to DJ. No authors received salary or other funding from commercial companies. The URL to the sponsor’s website: https://www.zonmw.nl/en/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors would like to thank the health professionals who participated. We are also grateful to the students of the Midwifery Academy Groningen and their supervisors for their support and assistance. We would further like to thank the members of our scientific board and advisory board and our team Together we are strong!: Lilian Peters, Stella Weiland, Conny Vreugdenhil and Andrea Drost.
Publisher Copyright:
© 2022 Feijen-de Jong et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2022/8
Y1 - 2022/8
N2 - Background: Proper implementation of interventions by health professionals has a critical effect on their effectiveness and the quality of care provided, especially in the case of vulnerable pregnant women. It is important, therefore, to assess the implementation of interventions in care settings to serve as input to improve implementation.Objective: The aim of this study is to identify factors that influence the implementation of interventions for vulnerable pregnant women in the North of the Netherlands from the perspective of health professionals. In this region, an intergenerational transfer of poverty is apparent, leading to many health problems and the transfer of unhealthy lifestyles and the associated diseases to subsequent generations.Methods: We used a qualitative research design. Semi-structured interviews with 39 health professionals were conducted between February 2019 and April 2020. To analyse the findings, the MIDI (Measurement Instrument for Determinants of Innovations) was used, an instrument designed to identify what determinants influence the actual use of a new or existing innovation.Results: We found two themes that influence the implementation of interventions: 1. The attitude of health professionals towards vulnerable pregnant women: stereotyped remarks and words expressing the homogenization of vulnerable pregnant women. 2. A theme related to the MIDI determinants, under which we added six determinants.Conclusion: Our research showed that many factors influence the implementation of interventions for vulnerable pregnant women, making the optimal implementation of interventions very complex. We highlight the need to challenge stereotypical views and attitudes towards specific groups in order to provide relation-centred care, which is extremely important to provide culturally appropriate care. Health professionals need to reflect on their own significant influence on access to and the use of care by vulnerable groups. They hold the key to creating partnerships with women to obtain the best health for mothers and their babies.
AB - Background: Proper implementation of interventions by health professionals has a critical effect on their effectiveness and the quality of care provided, especially in the case of vulnerable pregnant women. It is important, therefore, to assess the implementation of interventions in care settings to serve as input to improve implementation.Objective: The aim of this study is to identify factors that influence the implementation of interventions for vulnerable pregnant women in the North of the Netherlands from the perspective of health professionals. In this region, an intergenerational transfer of poverty is apparent, leading to many health problems and the transfer of unhealthy lifestyles and the associated diseases to subsequent generations.Methods: We used a qualitative research design. Semi-structured interviews with 39 health professionals were conducted between February 2019 and April 2020. To analyse the findings, the MIDI (Measurement Instrument for Determinants of Innovations) was used, an instrument designed to identify what determinants influence the actual use of a new or existing innovation.Results: We found two themes that influence the implementation of interventions: 1. The attitude of health professionals towards vulnerable pregnant women: stereotyped remarks and words expressing the homogenization of vulnerable pregnant women. 2. A theme related to the MIDI determinants, under which we added six determinants.Conclusion: Our research showed that many factors influence the implementation of interventions for vulnerable pregnant women, making the optimal implementation of interventions very complex. We highlight the need to challenge stereotypical views and attitudes towards specific groups in order to provide relation-centred care, which is extremely important to provide culturally appropriate care. Health professionals need to reflect on their own significant influence on access to and the use of care by vulnerable groups. They hold the key to creating partnerships with women to obtain the best health for mothers and their babies.
U2 - 10.1371/journal.pone.0272249
DO - 10.1371/journal.pone.0272249
M3 - Article
C2 - 35921311
AN - SCOPUS:85135597204
SN - 1932-6203
VL - 17
JO - PLoS ONE
JF - PLoS ONE
IS - 8
M1 - e0272249
ER -