Bridging Perspectives, Building Resilience: Safety-II Guided Reflexive Dialogues Between Care Professionals and Clients as Part of Developing Integrated Maternity Care

被引：0

作者：

Lips, Sarah r. ^{[1
,2
]}

Boxem-tiemessen, Jolanda c. g. ^{[2
,3
,4
,5
]}

Ligthart, Anna m. ^{[6
]}

Schuitmaker-warnaar, Tjerk jan ^{[7
]}

DE Bruijne, Martine c. ^{[2
,8
]}

Verhoeven, Corine j. m. ^{[2
,3
,4
,5
,9
,10
]}

Verdonk, Petra ^{[1
,2
]}

DE Jonge, Ank ^{[2
,3
,4
,5
]}

机构：

[1] Amsterdam UMC Locat Vrije Univ Amsterdam, Dept Eth Law & Humanities, Amsterdam, Netherlands

[2] Amsterdam Publ Hlth, Qual Care, Amsterdam, Netherlands

[3] Amsterdam UMC Locat Vrije Univ Amsterdam, Dept Midwifery Sci, Amsterdam, Netherlands

[4] InHolland, Midwifery Acad Amsterdam Groningen, Amsterdam, Netherlands

[5] Univ Groningen, Univ Med Ctr Groningen, Dept Primary & Long Term Care, Groningen, Netherlands

[6] VSV Westfriesland Waterland IGO Geboortehart, Zaanstreek Waterland, Netherlands

[7] Vrije Univ Amsterdam, Athena Inst, Amsterdam, Netherlands

[8] Amsterdam UMC Locat Vrije Univ Amsterdam, Dept Publ & Occupat Hlth, Amsterdam, Netherlands

[9] Univ Nottingham, Sch Hlth Sci, Div Midwifery, Nottingham, England

[10] Maxima Med Ctr, Dept Obstet & Gynaecol, Veldhoven, Netherlands

来源：

INTERNATIONAL JOURNAL OF INTEGRATED CARE | 2024年 / 24卷 / 04期

关键词：

integrated maternity care; participatory action research; reflexivity; dialogue; resilience; relation-centered care; Safety-II; HEALTH-CARE; TEAM REFLEXIVITY; CONTEXT; REFLECTION; COMPLEXITY; AUTONOMY;

D O I：

10.5334/ijic.8588

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Limitations of traditional structures and approaches to further enhance patient safety, satisfaction, and systemic sustainability in healthcare, are becoming increasingly visible. Embedding reflexivity is a proposed strategy to promote progress. We aimed to explore the potential of creating reflexive spaces for promoting integration and client-centeredness in maternity care specifically. Methods: In this participatory action research (PAR), two multidisciplinary and multiorganizational groups of maternity care professionals and clients (n = 28) from two Dutch regions, participated in 'reflexive dialogues'. Cases were discussed from a Safety-II perspective. In total, 22 meetings took place from 2020-2022, mostly online. Additionally, 23 participants were interviewed. Data were audio-recorded, transcribed, and thematically analyzed. Findings: Participants were generally positive about the reflexive dialogues and Safety- II approach. They felt both safe and challenged to critically reflect on their own and each other's care practices. Exchanging perspectives, experiences, and approaches fostered trust, well-being, and repertoire, and through this, resilience. Conclusions: By structurally stimulating, facilitating, and embedding Safety-II guided reflexive dialogues between professionals and clients from multiple organizations and disciplines, healthcare leaders could promote resilience and reinforce the transformation towards integrated, relation-centered maternity care.

引用

页数：15