助产士在劳动的第二阶段实践同学助产辅助时的专业学习经验:来自oneplus试验的数据
Helena Tern1, Malin Edqvist2,3, Christine Rubertsson4,5
1Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 117, Lund, SE-221 00, Sweden. helena.tern@med.lu.se.
学院助产士援助 (CMA) 支持所有经验水平的助产士的专业学习. 诸如同事的经验,干预的持续时间和反等因素会根据助产士的角色和经验对学习产生不同的影响.
科学领域:
- 产科和妇科 产科和妇科
- 医学教育 医学教育
- 医疗保健专业发展
背景情况:
- 职场学习对医疗保健专业人员,特别是助产士至关重要,他们通过临床实践获得基本技能.
- 在分娩期间涉及两名助产士的CMA (Collegial Midwifery Assistance) 实践表明,严重的围创伤减少了30%.
- 有限的研究存在于与CMA相关的学习经验.
研究的目的:
- 调查执业CMA的初级和二级助产士的学习经验.
- 探索影响不同工作经验水平的助产士学习的因素.
主要方法:
- 观察设计分析了Oneplus试验中的数据.
- 描述性统计数据和比例以95%的置信区间计算.
- 进行了分层的单变量和多变量逻辑回归分析.
主要成果:
- 经验较少的初级助产士 (<2年) 报告了较高的专业学习 (76%) 与高度经验 (>20年,22%) 相比.
- 干预的持续时间 (≥15分钟) 和同事的经验显著影响了学习,根据助产士的角色和经验水平的重要性有所不同.
- 相互反对学习产生了积极的影响,尤其是对初级助产士来说.
结论:
- CMA为所有经验水平的初级和二级助产士提供专业学习.
- 同事的经验,CMA的持续时间和相互反是关键的学习影响因素,根据助产士的角色和经验产生不同的影响.
- 调查结果为CMA的未来实施和实践提供了指导.
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