Sinclair M
School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
J Adv Nurs. 2001 Aug;35(4):599-606. doi: 10.1046/j.1365-2648.2001.01876.x.
The literature would suggest that midwives' attitudes towards the use of birth technology are mainly focused around issues of "trust and dependence" yet there has been no published research to refute or substantiate these beliefs.
This paper reports on an empirical study that aimed to identify midwives' attitudes to technology usage in the labour ward and specifically the use of the cardiotocograph machine (CTG) for electronic foetal monitoring.
A postal survey was conducted and the questionnaire included a 25-item attitude scale, which was designed to assess attitudes towards the use of the CTG machine. All midwives (1086) on the United Kingdom Central Council register for Northern Ireland were surveyed. The data were factor analysed and compared using several categorical groupings including age, perceived skill, prior training with computers and trust in the machines.
The results indicate that midwives reject any notion of them being, or becoming, dependent on machines in their practice. However, midwives who trust machines are more disposed to their use and trust is affected by perceived competence.
The paper concludes with a recommendation for the future education of midwives to develop and maintain competence based craft skills in natural birth as well as high-tech birth.
文献表明，助产士对使用分娩技术的态度主要集中在“信任与依赖”问题上，但尚无已发表的研究来反驳或证实这些观点。
本文报告一项实证研究，旨在确定助产士对产房技术使用的态度，特别是对用于电子胎儿监护的胎心监护仪（CTG）的使用态度。
进行了一项邮寄调查，问卷包括一个25项的态度量表，旨在评估对使用CTG机器的态度。对北爱尔兰英国中央理事会登记在册的所有助产士（1086名）进行了调查。对数据进行了因子分析，并使用包括年龄、感知技能、计算机方面的先前培训以及对机器的信任等几个分类分组进行了比较。
结果表明，助产士拒绝在其实践中依赖机器或变得依赖机器的任何观念。然而，信任机器的助产士更倾向于使用机器，并且信任受到感知能力的影响。
本文最后建议，未来应对助产士进行教育，以培养和保持自然分娩以及高科技分娩方面基于技能的能力。
