"手上","手下"或"手保持平衡"? 通过民族学研究探索产后助产士的决策
Lindsay J Gillman1, Vari M Drennan2, Jayne E Marshall3
1Department of Midwifery, Kingston University, London, UK.
Midwifery
|July 19, 2024
概括
助产士使用复杂的决策来尽量减少分娩期间围损伤,受不清晰的语言,知识和环境的影响. 解决这些"麻烦"的方面是基于证据的实践的关键.
科学领域:
- 产科和妇科 产科和妇科
- 助产士的实践 助产士的实践
- 围外伤管理 围外伤管理
背景情况:
- 在分娩期间围损伤很常见,可能导致长期的发病率.
- 目前用于伤害最小化技术的术语 ("手上"",手下") 是不一致的.
- 缺乏明确性阻碍了基于证据的助产士实践.
研究的目的:
- 调查助产士在分娩期间尽量减少围损伤的行为.
- 在这种情况下,了解影响助产士决策的因素.
主要方法:
- 在英国的一个产科室进行了一项民族学研究.
- 数据收集涉及参与者观察和半结构面试.
- 使用以门概念理论为指导的专题分析.
主要成果:
- 31名助产士参与其中.
- 尽量减少围损伤的决策是复杂的.
- 三个主题出现了:麻烦的语言,麻烦的知识和麻烦的环境.
结论:
- 关于减少围损伤的助产士决策比以前理解的要复杂得多.
- 确定的"麻烦"代表了助产学中的值概念.
- 课程和实践教育应解决这些复杂性,以改善基于证据的决策.
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