影响助产士促进正常生理分娩意图的因素:一种定性研究
Holly Meyer1, Nigel Lee2, Kendall George3
1School of Nursing, Midwifery and Social Work, University of Queensland, Australia; School of Health, University of the Sunshine Coast, Australia.
概括
助产士的目标是支持正常的生理分娩,但工作场所的文化,领导力和跨学科关系显著影响他们的意图. 支持助产士的自治是克服障碍的关键.
科学领域:
- 助产科研究助产科研究
- 医疗保健专业人员的行为
- 生理学出生研究研究生理学出生研究.
背景情况:
- 全球正常生理出生率的下降,尽管母亲更喜欢阴道分娩.
- 对医疗保健专业人员影响分娩实践的意图的理解有限.
- 专注于临床实践忽视了助产士意图的影响.
研究的目的:
- 调查影响助产士促进正常生理分娩的意图的因素.
- 探索有关生理分娩的助产士实践对微妙影响的细微影响.
- 了解促进正常分娩的心理和环境决定因素.
主要方法:
- 使用个人访谈进行的定性研究.
- 利用计划行为理论来结构化数据收集.
- 在理论构造 (态度,主观规范,感知行为控制) 中对面试数据进行主题分析.
主要成果:
- 工作场所文化,领导力影响和价值观显著影响助产士的意图.
- 优先考虑协作跨学科关系成为一个关键因素.
- 对助产士自主性的支持被认为是促进正常生理分娩的重要因素.
结论:
- 助产士致力于支持正常的生理分娩.
- 随着时间的推移,多种,通常是潜意识的因素会影响助产士的意图.
- 解决工作场所文化,促进跨学科合作,增强助产士的自主权,可以改善促进正常生理分娩.
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