助产士在社区环境下在分娩和分娩期间管理紧急情况的经验:混合方法系统审查
Rebecca Parker1, Ethel E Burns2, Paul Carding3
1Oxford Brookes University, UK; Hampshire Hospitals NHS Trust, UK; Florence Portal House, Royal Hampshire County Hospital, Romsey Road, Winchester SO22 5DG, UK.
在社区环境中管理产科紧急情况的助产士面临着不可预测的事件. 他们的信心,情感影响和支持系统是影响他们的经验的关键因素,突出了进一步研究和培训的需要.
科学领域:
- 孕产妇健康 孕产妇健康
- 助产士的实践 助产士的实践
- 紧急医疗 紧急医疗
背景情况:
- 在社区环境 (家庭或助产单位) 中计划分娩对于英国的低风险妇女来说是安全的.
- 在社区环境中,产后紧急情况并不常见.
- 对紧急情况的有限接触可能会影响助产士的准备.
研究的目的:
- 综合了助产士在社区环境中管理产科紧急情况的经验证据.
- 了解在此类活动期间助产士的挑战和支持需求.
主要方法:
- 进行了混合方法系统审查.
- 搜索包括2021年4月和2024年2月的研究.
- 包括的研究描述了助产士在高收入国家社区环境中的经历.
主要成果:
- 分析了来自英国,美国,澳大利亚和荷兰的七项研究的十篇论文.
- 出现在四个主题:事件的不可预测性,信心和准备,情感影响和支持的作用.
- 证据通常来自对创伤性分娩的研究,紧急情况作为子集.
结论:
- 需要进一步研究助产士在社区环境中的紧急情况的经验.
- 研究结果表明,需要加强助产士的培训和支持.
- 了解这些经验对于改善护理和支持系统至关重要.
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