从助产士的角度评估专业间产科和助产护理,使用专业间协作量表 (ICS)
Anja Alexandra Schulz1, Markus Antonius Wirtz1
1Research Methods in the Health Sciences, University of Education Freiburg, Freiburg, Germany.
与产前/产后护理相比,助产士在分娩期间报告了更高的专业间合作. 经过调整的专业间合作量表 (ICS-R) 和公平沟通量表 (EC) 从助产士的角度有效衡量这种合作.
科学领域:
- 医疗保健 医疗保健 医疗保健 医疗保健
- 护士和助产士的工作
- 公共卫生 公共卫生
背景情况:
- 医生和助产士之间的专业间合作对于安全的孕产妇和新生儿护理至关重要.
- 以女性为中心的护理需要持续的信息交换和协调的跨专业概念.
- 分析助产士对合作的看法是改善护理流程的关键.
研究的目的:
- 从助产士的角度调整和心理测量专业间协作量表 (ICS).
- 评估怀孕,分娩和产后期间的专业间合作.
- 将公平的沟通 (EC) 纳入作为协作质量的衡量标准.
主要方法:
- 在13项ICS中,299名助产士接受了产前/产后和产周护理.
- 还包括了关于公平沟通 (EC) 的三个额外项目.
- 使用确认因素分析 (CFA) 验证了尺度结构.
主要成果:
- 一个二维结构,包括缩小的ICS (ICS-R) 和EC尺度,证明适合于两个护理环境.
- 调整后的比例表显示,与产前/产后护理相比,在分娩环境中,专业间的协作显著更高.
- 咨询中的责任和对产科护理的态度等因素与ICS-R和EC分数相关.
结论:
- 经过调整的ICS-R和EC尺度表现出良好的构造有效性,用于评估助产士对跨专业合作的观点.
- 这些经过验证的尺度可以在助产和产科设置中使用,以评估与医生的合作.
- 该工具有助于在以女性为中心的护理中识别跨专业护理团队中的分歧观点.
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