助产士为助产士主导的护理做好准备:一种混合方法研究
Yvonne J Kuipers1, Valerie Bosmans2, Ellen Thaels3
1School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, Scotland EH11 4BN, United Kingdom.
Women and birth : journal of the Australian College of Midwives
|November 1, 2024
概括
比利时的助产士表现出足够的知识,但对助产士主导的护理的自我效能和表现较低,这表明他们对产前和产后服务的准备有限.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健系统 医疗保健系统
- 助产士的实践 助产士的实践
背景情况:
- 为了将助产士主导的护理纳入比利时的产科服务,需要了解助产士对这一转变的准备.
- 目前的做法主要集中在产后服务,在产前和产后护理的范围有限.
研究的目的:
- 探索比利时助产士对助产士主导的护理的准备.
- 了解影响这种准备的基本过程.
主要方法:
- 一个混合方法的连续研究,涉及414名助产士的调查和12名助产士的采访.
- 量化分析使用了准备指标 (知识,自我效能,绩效) 的一般线性模型.
- 定性分析采用基于准备情况评估框架的专题分析.
主要成果:
- 助产士表现出足够的知识,但对于助产士主导的护理,自我效能和绩效得分较低.
- 定性调查结果揭示了与政府/机构支持,监管,报销和利益相关者意识相关的挑战.
- 一个显著的趋势是大多数准备指标的得分下降,特别是将护理扩展到产前和产后服务.
结论:
- 比利时助产士在产后服务方面处于良好地位,但在将助产士领导的护理扩展到产前和产后阶段方面面临重大挑战.
- 准备好接受助产士带领的护理是有限的,受到系统因素的影响,需要更多的意识和支持.
- 需要进一步发展,以促进比利时的助产士主导的综合护理的整合.
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