在助产士中实施正常分娩指南:遵守和影响因素
1School of Nursing, Tianjin Medical University, #22 Qixiangtai Road, Heping District, Tianjin 300070, PR China.
Women and birth : journal of the Australian College of Midwives
|October 12, 2023
概括
中国的助产士对正常分娩指南的遵守程度较低. 诸如知识,资源和专业角色等因素影响实施,需要多方面的改进,以获得更好的产科护理.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
- 护理研究 护理研究
背景情况:
- 针对正常分娩的临床实践指南的全球发布旨在提供基于证据的,具有成本效益的和普遍的产妇护理.
- 有效的指南实施需要了解当前的做法和影响助产士遵守的因素.
研究的目的:
- 探索助产士遵守正常分娩临床实践指南的情况.
- 确定影响中国大陆助产士实施这些指南的因素.
主要方法:
- 采用了一种混合方法的顺序解释设计.
- 一项针对718名助产士的全国横截面调查评估了他们是否遵守正常分娩指南.
- 与13名助产士进行的半结构面试探索了影响因素,使用专题分析进行分析,并将其映射到理论领域框架 (TDF).
主要成果:
- 助产士的遵守率相对较低,其中41.94%的助产士不遵守十三条指南建议.
- 六个TDF领域和一个额外的主题影响了实施:行为调节,对后果的信念,职业角色,知识,环境背景/资源,技能和女性偏好作为障碍或推动者.
结论:
- 改善准则的遵守需要在专业,组织和母亲层面的多方面的努力.
- 识别特定的障碍和促进因素为减少非基于证据的产后干预提供了基础.
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