Influencing factors of emergency cesarean section decision to delivery interval: a qualitative study
10.3760/cma.j.cn115682-20240925-05306
- VernacularTitle:紧急剖宫产术决策分娩时间影响因素的质性研究
- Author:
Yinjie ZHANG
1
;
Hong LI
;
Wei GAO
Author Information
1. 上海交通大学医学院附属国际和平妇幼保健院中心手术室，上海 200030
- Publication Type:Journal Article
- Keywords:
Cesarean section;
Emergency;
Decision to delivery interval;
Influencing factor;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2025;31(25):3417-3422
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of decision to delivery interval (DDI) for emergency cesarean section with the aim of further optimizing the emergency cesarean section treatment process, improving the quality of emergency cesarean section treatment and the prognosis of mothers and infants.Methods:This study was a qualitative study. From January to June 2024, 20 healthcare professionals from the International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine were selected by purposive sampling to conduct semi-structured interviews. The data was analyzed using the Colaizzi 7-step analysis.Results:A total of five influencing factors for DDI of emergency cesarean section were refined, including healthcare decision-making power as the primary factor, teamwork as an important factor, process optimization as a key factor, simulation exercise as a core factor, and operational skills as a basic factor.Conclusions:Hospital administrators should focus on improving the decision-making ability of medical and nursing staff, developing standardized processes, establishing rapid response teams, and conducting periodic simulation exercises at the same time, in order to continually improve the team's cooperation and emergency response ability, shorten the DDI of emergency cesarean section, and ensure the safety of the parturient woman and the neonate.
