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荷兰医院的临床助产士的任务和责任
Hanneke W Harmsen van der Vliet-Torij1, Heidi J M van Heijningen-Tousain1, Eva Wingelaar-Loomans2
1Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
荷兰临床助产士管理各种产科病例,并执行非护理任务,其角色因医院类型而异. 为他们的不断发展的职业建议进行正式化和培训.
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
- 医疗保健管理的管理
背景情况:
- 在过去的二十年中,荷兰医院中临床助产士的角色大幅扩大.
- 然而,他们的具体职责,责任和正式地位仍未确定.
- 这种模糊性需要清楚地了解他们当前的做法.
研究的目的:
- 调查荷兰医院中临床助产士的当代任务和责任.
- 根据医院分类来分析这些任务的变化:中学非教学,中学教学和高等教育机构.
主要方法:
- 采用全国横截面调查,向78家医院的810名临床助产士分发问卷.
- 分析了来自77家医院的412名助产士 (51%的响应率) 的数据.
主要成果:
- 大多数助产士 (97%) 在分娩病房工作,管理诸如分娩诱导,缓解疼痛,染液体,延长分娩和高血压疾病等情况.
- 日常职责受到病理类型,病房病例量和经验的影响.
- 很大一部分承担非临床职责,包括审计 (83%) 和教学 (67%),在医院类型之间观察到任务差异.
结论:
- 荷兰的临床助产士是产科护理的组成部分,管理广泛的条件,有时超出了他们的正式培训.
- 他们从事临床和非临床任务,基于医院环境的角色差异化.
- 建议包括强制性培训和专业正式化,以确保助产士具有技能和授权.
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