低资源国家的传统助产员培训计划:综合性文献综述
Sara David1, Zoe Bradfield2, Yvonne Hauck3
1Curtin University, School of Nursing, Curtin University, PO Box U1987, Bentley 6845 W. Australia.
Midwifery
|July 22, 2025
概括
低资源国家的传统助产员 (TBA) 培训计划面临挑战,因为角色不清楚和教育需求不同. 社区参与和标准化培训对于有效的孕产妇保健整合至关重要.
科学领域:
- 孕产妇和儿童的健康
- 全球卫生平等全球卫生平等
- 医疗保健劳动力发展工作人员
背景情况:
- 可预防的孕产妇死亡率在资源较低的环境中仍然很高,由于传统分娩护理人员 (TBA) 的培训不足而加剧.
- 产科医生的角色,培训和监督在加强孕产妇护理方面存在重大挑战,因为获得熟练分娩护理人员的机会有限.
研究的目的:
- 进行综合性文献审查,分析低资源国家的现有传统分娩助理培训计划.
- 确定影响全球TBA培训计划有效性和实施的关键主题和挑战.
主要方法:
- 在电子数据库中使用五步框架进行了系统的文献搜索.
- 审查了25篇出版物,导致确定了与TBA培训计划相关的四个主要主题和11个子主题.
主要成果:
- 在TBA的角色,范围,头和报酬方面存在显著的差异,影响了培训标准化.
- 培训的有效性受到服务提供背景的影响,包括高孕产妇/新生儿死亡率和有限的医疗保健机会的地区.
- 教育需求评估显示,关于特定技能,文化适应性和推流程的重要性缺乏共识.
结论:
- 全球围绕TBA的角色存在混乱,包括实践范围,培训需求和所需的临床技能,阻碍了其融入正式医疗保健.
- 社区参与对于文化相关的TBA角色和可持续的培训计划至关重要,但关于可衡量的培训成果的知识差距仍然存在.
- 提供了关于将TBA纳入低资源环境中的更广泛的孕产妇医疗保健系统的建议.
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