助产士实践中的"情境意识":一个范围审查
Rachael Budd1, Paul Bowie2,3
1School of Health Education Policing and Sciences, University of Staffordshire, Stoke-on-Trent, UK.
BMJ open quality
|March 4, 2026
概括
在助产中,情境意识 (SA) 经常在孕产妇死亡中被引用,但它的应用需要仔细研究. 目前的研究使用Endsley.
科学领域:
- 医疗保健安全 医疗保健安全
- 助产士的实践 助产士的实践
- 认知系统工程 认知系统工程
背景情况:
- 情境意识 (SA) 经常与可预防的孕产妇和婴儿死亡率有关,但其在助产学中的经验基础尚未得到充分确立.
- 助产学的构造需要有条不的研究,以确定其在助产学中的理论和实际相关性,而不是从无关的领域无批判地采用.
研究的目的:
- 在助产护理安全的背景下,系统地审查SA的定义,理解,测量和解释.
- 建立未来研究的基础,旨在通过更清楚地理解SA来提高产妇护理的安全性.
主要方法:
- 使用公认的方法框架进行了范围审查.
- 一项全面的文献搜索确定了259篇文章,其中11篇最终被纳入了评论.
- 对所选的文章进行了数据提取,图表和主题分析.
主要成果:
- 恩兹利对SA的原始定义在所有主要研究论文中都被一致应用,无论是明确的还是隐含的.
- 团队SA被概念化为个人临床医生的SA的总和.
- 只有两项研究试图测量SA;其他研究从可观测的团队合作指标推断出SA水平.
结论:
- 恩兹利的SA模型在助产者环境中的应用发生在没有充分评估其适合这种特定的临床环境的情况下.
- 其他扩展的SA模型可能为产妇护理安全提供更合适的系统理论视角.
- 采用替代模式符合当前的医疗保健趋势,强调系统思维和促进公正文化.
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