产科和助产士护理的专业间合作 - - 助产士和医生视角的多组比较
Anja Alexandra Schulz1, Markus Antonius Wirtz1
1Research Methods in Health Sciences, University of Education Freiburg, Kunzenweg 21, 79117 Freiburg, Germany.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
医生和助产士对产前,产后和分娩护理期间的专业间合作 (IPC) 和公平沟通 (EC) 的看法有很大的不同. 这些差异凸显了改善以女性为中心的医疗保健的领域.
科学领域:
- 医疗保健的质量和提供.
- 专业间协作动态 专业间协作动态
- 产妇和新生儿护理系统
背景情况:
- 专业间合作 (IPC) 对于综合,高质量的以女性为中心的护理至关重要.
- 了解IPC和助产士和医生之间的公平沟通 (EC) 的观点至关重要.
- 在IPC和EC感知中的差异可能会影响产前,产后和出生环境中的护理质量.
研究的目的:
- 分析助产士和医生对IPC和EC的观点的一致性和差异.
- 为了在产前/产后护理 (PPC) 和分娩护理 (BC) 设置中比较这些观点.
- 识别IPC和EC评估中的专业和特定环境的变化.
主要方法:
- 使用了经过修订的专业间协作量表 (ICS-R) 和公平沟通 (EC) 量表.
- 在德国调查了293名助产士和215名医生.
- 雇员t测试,ANOVA和确认因素分析,以分析专业和环境特定的差异和规模的公平性.
主要成果:
- 在PPC和BC设置中,助产士一致认为IPC方面低于医生.
- 公平沟通 (EC) 的评分对助产士来说明显较低 (d = 1.22-1.41),尽管这两个组在BC中评价EC更高.
- 对于聚合EC总分,发现了违反规模公平性的情况,影响了组比较的有效性.
结论:
- 在助产士和医生如何评估IPC方面存在显著的专业差异.
- 调查结果强调需要解决这些不同的看法,以优化IPC.
- 结果提供了可操作的见解,通过改进的跨专业动态来加强以女性为中心的护理.
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