农村助产士的障碍:综合性审查
Madison Friesen1, Viviane Josewski2, Caroline Sanders2
1School of Nursing, University of Northern British Columbia, Northern Health, Prince George, British Columbia, Canada.
农村助产士面临着孤立,经济不安全和专业挑战. 解决这些多层次障碍需要增加代表性和支持性政策,以改善农村产妇护理.
科学领域:
- 农村卫生 农村卫生
- 助产士的实践 助产士的实践
- 医疗保健系统 医疗保健系统
背景情况:
- 助产士对于农村产妇护理至关重要.
- 农村地区面临着独特的医疗保健接入挑战.
- 了解助产士的障碍是改善护理的关键.
研究的目的:
- 为了识别农村助产士遇到的障碍.
- 探索影响农村助产士实践的因素.
主要方法:
- 综合性审查利用生态系统理论.
- 在CINAHL,MEDLINE,Science Direct和谷歌学者中进行的搜索.
- 对包括的14篇文章 (1990-2023) 的专题分析.
主要成果:
- 微层面的障碍:孤立,财务不安全,工作与生活平衡问题.
- 中级层面的障碍:职业间的分歧,继续教育的机会.
- 宏观层面的障碍:缺乏代表性,医疗主导地位,政策问题.
结论:
- 农村助产士面临着复杂的,多层次的挑战.
- 解决方案需要在规划中增加助产士的代表性.
- 政策改革和农村特定的医疗保健模式是必不可少的.
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