助产士的知识,态度,实践和经验对创伤告知堕胎护理在卢旺达的城市地区医院
Yvonne Delphine Nsaba Uwera1, Aimable Nkurunziza2, Michael Habtu3
1School of Nursing and Midwifery, University of Rwanda, Kigali, Rwanda.
许多卢旺达的助产士缺乏创伤告知堕胎护理 (TIAC) 的培训,尽管他们有足够的知识和经验. 对TIAC的负面态度阻碍了质量护理,需要有针对性的培训和改善医疗保健基础设施.
科学领域:
- 生殖健康 生殖健康
- 创伤信息化的护理
- 助产士的实践 助产士的实践
背景情况:
- 卢旺达的堕胎服务往往缺乏创伤知情堕胎护理 (TIAC).
- 法律限制和程序设计可能会给患者带来创伤.
- 助产士经常缺乏足够的培训来支持经历创伤的客户.
研究的目的:
- 评估助产士在卢旺达对TIAC的知识,态度,做法和经验.
- 确定实施TIAC的障碍和促进者.
- 为改善堕胎护理质量的战略提供信息.
主要方法:
- 这是一项涉及167名助产士的混合方法研究.
- 定量调查评估知识,态度和实践.
- 定性焦点小组讨论探索经验和感知.
主要成果:
- 报告了高水平的TIAC知识 (86.2%) 和经验 (83.8%).
- 很大一部分人 (62.3%) 对TIAC有负面的态度.
- 高级文凭持有者表现出更令人满意的知识;工作场所影响了实践.
- 男性助产士比女性助产士有更积极的态度.
- 知识和积极的态度与良好实践有显著的相关性.
结论:
- 有针对性的TIAC培训对于改变助产士的负面态度至关重要.
- 医疗机构必须改善基础设施和资源,以支持TIAC.
- 在医疗保健工作者中解决二次创伤对于有效的堕胎服务至关重要.
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