预测助产士和产科医生之间的协作实践:回归分析
Liesa Beier1,2, Qendresa Thaqi3,4, Ans Luyben5,6
1Department of Obstetrics, University Hospital Zurich, Zurich, Switzerland.
European journal of midwifery
|October 1, 2024
概括
助产士和产科医生之间有效的协作实践对于患者安全至关重要. 关键因素包括信任,共同目标,工作环境和权力共享,这些因素对于改善协作实践 (CP) 是必不可少的.
科学领域:
- 医疗保健专业人员的合作.
- 产科和妇科 产科和妇科
- 患者安全研究 患者安全研究
背景情况:
- 助产士和产科医生之间的有效协作实践对于提高患者安全和产科结果至关重要.
- 实施协作实践的挑战需要对其决定因素有更深入的了解.
- 本研究调查了影响助产士和产科医生之间协作实践 (CP) 的因素.
研究的目的:
- 确定和分析影响瑞士医院分娩病房中助产士和产科医生的协作实践的关键因素.
- 评估助产士和产科医生对他们的协作实践的看法.
- 确定在产科环境中成功合作实践的预测因素.
主要方法:
- 在2021年,瑞士医院分娩病房进行了一项横截面调查.
- 专业间协作量表被用来评估70名助产士和44名产科医生的协作实践认知.
- 采用多重线性回归分析,检查了13个协作实践的个人,行为和组织预测因素.
主要成果:
- 协作实践在4.0分中获得了3.1的中位数.
- 协作实践的重要预测因素包括:职业类型 (p=0.011),信任/尊重 (p=0.000),共同的愿景/目标 (p=0.009),工作场所 (p=0.004) 和共同的权力 (p=0.015).
- 鉴定的因素解释了劳动病房内合作实践的66%的差异.
结论:
- 影响瑞士劳动病房协作实践的关键因素包括基于工作场所特征的定制CP模型.
- 权力共享文化对于培养助产士和产科医生之间的信任,尊重和共同目标至关重要.
- 积极的交流和量身定制的方法对于优化产科环境中的协作实践至关重要.
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