让助产士回到医院:一个离散的选择实验
Jessica Rheindorf1, Christian Hagist1, Christian Schlereth1
1WHU Otto-Beisheim School of Management, Germany.
International journal of nursing studies
|June 7, 2024
概括
助产士希望提供分娩协助,但更喜欢助产士领导的单位而不是医生监督. 支持这些单位可以帮助填补空缺职位,并改善产妇护理.
科学领域:
- 医疗保健管理的管理
- 助产士 助产士的职业是助产士
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球缺少助产士,原因是工作条件差.
- 医院正在努力填补助产士的空缺.
- 德国助产士通常在7年内离开助产服务,通常在医生监督下工作.
研究的目的:
- 为保持助产士在产科病房提供建议.
- 了解目前不提供分娩协助的助产士的工作偏好.
- 为政策和医院管理提供信息,以更快地填补空缺和改善孕产妇护理.
主要方法:
- 使用在线调查的离散选择实验 (DCE).
- 调查通过电子邮件和社交媒体分发给德国的助产士.
- 分析241名未提供分娩协助的助产士,使用多项逻辑和层次贝叶斯估计.
主要成果:
- 助产士希望提供分娩协助,但拒绝医生监督.
- 收入增长15%将使16%的人接受由医生主导的设置.
- 44%的人将在助产士领导的单位提供分娩援助,而进一步的收入增长将促进接受.
结论:
- 助产士主导的护理被认为是健康妇女的安全和有效护理.
- 政策制定者应该增加对助产士领导的单位的支持.
- 这些单位可以帮助解决助产士短缺问题,并加强孕妇的医疗保健.
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