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基于共识的建议,关于照顾部呈现胎儿的妇女
Sara Morris1, Sadie Geraghty2, Deborah Sundin3
1Lecturer at Edith Cowan University, Clinical Nurse Midwife at King Edward Memorial Hospital, Western Australia.
Midwifery
|January 19, 2024
概括
在护理途径和部表现的技能框架上达成共识. 这旨在提高临床医生的技能和获得安全的阴道后分娩选择.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 临床共识发展 临床共识发展
背景情况:
- 部呈现需要专业的知识和技能,以安全管理.
- 临床实践的变化和获得熟练提供者的机会会影响腹分娩的结果.
- 需要标准化的指导方针和培训来改善关护理.
研究的目的:
- 建立专家共识,关于部呈现和相关护理的关键方面.
- 制定基于证据的建议,用于管理胎怀孕.
- 为建立标准化的护理途径和技能发展框架提供信息.
主要方法:
- 一项跨国,三轮的e-Delphi研究,涉及15名助产士,4名产科医生和1名学者.
- 一个初始的调查与开放式的问题,然后是声明合并和利克特比例协议等级.
- 共识定义为小组成员对关于部护理的陈述达成70%的共识.
主要成果:
- 开发一个基于共识的护理途径,为女性的部呈现.
- 创建一个技能发展框架,以提高临床医生在管理方面的专业知识.
- 识别文化转向生理上部分娩支持的文化转变.
结论:
- 开发的护理途径和技能框架为改善部呈现管理提供了基础.
- 通过培训增加对熟练的临床医生的接触,可能会提高阴道产的安全性和可用性.
- 持续的专业发展和组织支持对于推进关护理实践至关重要.
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