探索加拿大第一个助产士单位中助产士的经验:对助产士实践的影响和影响
Beth Murray-Davis1,2, Lindsay N Grenier1, Anne M Malott1,3
1McMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.
Journal of midwifery & women's health
|February 10, 2025
概括
在助产单位 (AMU) 的助产士成功地保持了他们的护理理念,改善了关系,并加强了医院的整合. 这种模式对助产士的实践产生了积极的影响,并支持产妇护理的最佳实践.
科学领域:
- 孕产妇和儿童的健康
- 助产士的实践 助产士的实践
- 医疗保健管理的管理
背景情况:
- 助产士主导的单位与积极的分娩结果有关,但这些模型中的助产士经验研究不足.
- 2018年成立的加拿大第一个助产科 (AMU) 提供了一种新型的护理模式,将医院和社区助产士整合在一起.
- 助产产科医院提供低风险分娩,在与产科单位相邻的家庭环境中进行,以促进助产士主导的护理.
研究的目的:
- 探索和描述助产士在助产师单位 (AMU) 模式下工作的经验.
- 了解AMU模型如何影响助产士的实践和哲学.
- 找出助产士在这个综合护理环境中的促进者和挑战.
主要方法:
- 使用与助产士进行半结构面试的定性研究.
- 针对社区和医院助产士进行了焦点小组.
- 基于理论的方法被用于数据分析.
主要成果:
- 助产士报告说,他们仍然保持着他们对护理的核心助产哲学.
- 观察到加强了职业内部和职业间的关系.
- 助产士在AMU模型中经历了医院整合和领导角色的增长.
结论:
- 该AMU模型支持最佳实践,并促进医疗保健专业人员之间的积极关系.
- 实施AMU对助产士的实践产生了积极的影响,而不会损害助产士的价值观.
- 结果为完善AMU模型和指导其在其他医疗保健环境中的实施提供了洞察力.
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