个人和系统因素对产后风险感知和产科干预率的关联:一个横截面研究
Nina H Peterwerth1,2, Margareta Halek3, Rainhild Schäfers4
1Department of Applied Health Sciences - Midwifery, University of Applied Sciences-Hochschule für Gesundheit, Gesundheitscampus 6-8, 44801, Bochum, Germany. nina.peterwerth@hs-gesundheit.de.
产科医疗保健专业人员产科医疗保健专业人员.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
- 风险感知研究 风险感知研究
背景情况:
- 风险感知对于周边干预的决策至关重要.
- 了解影响风险感知的因素对于改善产科护理至关重要.
- 本研究探讨了影响产科专业人员风险感知的个人和系统因素.
研究的目的:
- 调查工作设置因素和产科医疗保健专业人员的风险感知之间的关联.
- 确定风险感知如何影响产科干预的决策.
- 确定影响医疗保健专业人员在分娩期间介入意愿的关键因素.
主要方法:
- 量化横截面在线调查,使用案例小组来衡量风险感知.
- 探索性连续混合方法设计,包括干预准备评分.
- 统计分析包括t测试,相关性和多重线性回归.
主要成果:
- 助产士报告的风险感知明显低于产科医生.
- 长时间工作 (≥30.5h) 与更高的风险感知相关.
- 与高度专业化的医院相比,在较低急性设置 (分娩诊所) 的专业人员的风险感知较低.
- 风险感知,职业,经验和工作时间显著影响干预决策.
结论:
- 个人和系统因素,如资格,职业,工作时间和工作场所敏度影响产科专业人员的风险感知.
- 风险感知有助于解释干预意愿的变化.
- 较弱的相关性表明谨慎的解释;然而,解决干预使用的变化对于质量护理至关重要.
- 改善跨学科合作对于优化孕妇护理至关重要.
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