The Impact of Introducing Centering Pregnancy in a Community Health Setting: A Qualitative Study of Experiences and Pers
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The Impact of Introducing Centering Pregnancy in a Community Health Setting: A Qualitative Study of Experiences and Perspectives of Health Center Clinical and Support Staff Ania Kania-Richmond1 · Erin Hetherington2 · Deborah McNeil3,4 · Hamideh Bayrampour5 · Suzanne Tough2,6 · Amy Metcalfe1,2,7
© Springer Science+Business Media New York 2017
Abstract Objectives Introducing new programming into an existing setting may be challenging. Understanding how staff and clinicians who are not directly involved in program delivery view the program can help support program implementation. This study aimed to understand how peripheral staff and clinicians perceived a newly implemented Centering Pregnancy group prenatal care program in a community-based health center and its impact on clinic operations. Methods Semi-structured interviews were conducted with a purposive sample of 12 staff members at a community-based health center. The interview guide covered topics such as perceptions of Centering Pregnancy and how the program impacted their work. An interpretive description approach was used to analyze the interview data. A coding framework was developed iteratively and all interview data were analyzed independently by multiple researchers. Results Staff had overall positive perceptions of Centering Pregnancy, but the level of understanding about the program varied widely. Most respondents viewed
the Centering Pregnancy program as separate from other programs offered by the clinic, which created both opportunities and challenges. Opportunities included increased cross-referrals between established services and Centering Pregnancy. Challenges included a lack of communication about responsibilities of staff in relation to Centering Pregnancy patients. Impact on staff and overall clinic operations was perceived to be minimal to moderate, and most tensions related to roles and expectations were resolved. Conclusions for Practice Clear communication regarding fit within clinic structures and processes and expectations of staff in relation to the program was critical to the integration of Centering Pregnancy program into an established health center.
* Amy Metcalfe [email protected]
2
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada
Ania Kania-Richmond [email protected]
3
Population, Public and Aboriginal Health, Alberta Health Services, Calgary, Canada
Erin Hetherington [email protected]
4
Faculty of Nursing, University of Calgary, Calgary, Canada
5
Deborah McNeil [email protected]
Department of Family Practice, Midwifery Program, University of British Columbia, Vancouver, Canada
6
Hamideh Bayrampour [email protected]
Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Canada
7
Departments of Obstetrics & Gynecology and Community Health Sciences, University of Calgary, 4th Floor North Tower – Foothills Medical Centre, 1403 29 St NW, Calgary, AB T2N 2T
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