试点在澳大利亚的产妇护理中进行共享决策的临床医师培训干预:混合方法研究
Teena Clerke1, Jayne Margetts1, Helen Donovan1
1Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of Technology Sydney, Faculty of Health, Australia.
Midwifery
|September 17, 2023
概括
这项研究为产科临床医生开发了共享决策培训. 培训是可行的和可以接受的,支持以女性为中心的护理计划分娩时间.
科学领域:
- 孕产妇护理服务提供
- 分享决策的共同决策.
- 临床沟通 临床沟通
背景情况:
- 在产妇实践中实施以女性为中心的护理需要临床医生之间分享决策技能.
- 对于分娩的共享决策干预措施的培训和研究有限.
研究的目的:
- 为助产士和产科医生开发和评估共享决策培训干预措施的可行性和可接受性.
- 提高临床医生的技能,帮助妇女就计划分娩的时间做出明智的决定.
主要方法:
- 一个由临床医生和消费者代表共同设计的干预措施.
- 在线培训材料和角色扮演研讨会专注于计划出生时间的共享决策.
- 通过培训后调查和定性访谈进行评估.
主要成果:
- 包括在线模块和研讨会在内的培训干预措施得到了参与者的好评.
- 共同决策的障碍包括时间限制,父权主义态度和对后果的恐惧.
- 临床医生学习了沟通策略,并提供了对共享决策实践的同行反.
结论:
- 开发的培训干预措施对产科临床医生来说是可行的和可以接受的.
- 共享决策培训提高了临床医生在关于计划分娩时间的决定中实施以女性为中心的护理的能力.
- 干预促进了专业间的学习和关于克服实施障碍的集体反思.
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