预注册助产士计划如何为新获得资格的助产士准备他们注册后的围产期心理健康角色? 一个混合方法研究研究
Yemi Onilude1, Omorogieva Ojo1, David Evans1
1School of Health Sciences, University of Greenwich, London SE9 2UG, UK.
新获得资格的助产士 (NQM) 对围产期心理健康 (PMH) 的知识和态度表现出信心,但需要在诸如预防自杀和应急管理等特定领域接受更多培训. 建议进行进一步的教育和支持,以增强NQM的KASH (知识,态度,技能和习惯) 对于他们的PMH角色.
科学领域:
- 围产期心理健康 围产期心理健康
- 助产士教育 助产士教育
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 全球的助产士必须在每个产妇接触处进行围产期心理健康 (PMH) 风险评估.
- 研究表明,助产士往往缺乏对管理女性PMH需求的信心和准备.
- 这项研究调查了KASH (知识,态度,技能和习惯) 中新合格的助产士 (NQM) 对其PMH角色的准备情况.
研究的目的:
- 评估注册前的助产士教育和临床实习在多大程度上为NQM提供了必要的KASH,以满足其注册后的PMH责任.
- 识别NQM关于PMH知识,态度,技能和习惯的准备工作中的具体差距.
主要方法:
- 一个解释性的连续混合方法研究,涉及调查和半结构面试.
- 调查数据来自英国10所大学的50名NQM和32名高级专业助产士 (SSM).
- 采访12名NQM和8名SSM的定性数据,使用NVivo进行主题分析.
主要成果:
- 国家合格人员对PMH知识,多学科团队角色,可用的服务和对PMH患者女性的积极态度表现出足够的信心 (p < 0.05).
- 还报告了对PMH评估,建立关系和识别恶化的PMH (p < 0.01),以及讨论PMH和转介的习惯 (p < 0.05) 的技能的信心.
- 发现的差距包括对PMH药物的知识,预防自杀,伴侣/孩子的影响 (p < 0.01),应急管理技巧 (p < 0.05),讨论自杀想法 (p < 0.01),自伤,以及损失/创伤后汇报 (p < 0.05).
结论:
- 预注册助产士课程部分为NQM准备他们注册后的PMH角色.
- 确定了需要改进的领域,需要在教育策略,临床实践,政策制定和教导方面取得进展.
- 提高NQM对KASH的可持续信心对于有效的围产期心理健康护理提供至关重要.
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