Hughes Deborah, Deery Ruth, Lovatt Alison
Yorkshire Storks, 5, Willow Bank, Haugh Shaw Road, Halifax, HX1 3LE, UK.
Midwifery. 2002 Mar;18(1):43-52. doi: 10.1054/midw.2002.0293.
to improve understanding of local midwifery morale, inform development and reorganisation of a maternity unit, and enhance midwifery involvement in strategic planning.
a randomised stratified sample of 20 midwives working in a UK National Health Service (NHS) hospital and its surrounding community area.
within a critical ethnographic framework, focus groups were tape-recorded and transcribed, and analysed using a thematic content analysis approach.
key areas affecting midwifery morale were identified, in particular staffing levels, working relationships and organisational issues. One year later, despite many changes having taken place, midwifery morale was still low but participants were more politically analytical of, and actively involved in changing their situation. The findings of the study indicate that there are complex and long-standing cultural inhibitions to the effective development of midwifery care but, if these are made explicit through a planned collaborative process, such as in this study, a process of cultural shift can be seen to begin.
focus groups can be a useful tool in moving midwifery culture forward within a local context.
增进对当地助产士士气的理解，为产科病房的发展与重组提供信息，并加强助产士参与战略规划。
从英国国民医疗服务体系（NHS）一家医院及其周边社区工作的助产士中随机分层抽取20名作为样本。
在批判性人种志框架内，对焦点小组进行录音、转录，并采用主题内容分析法进行分析。
确定了影响助产士士气的关键领域，特别是人员配备水平、工作关系和组织问题。一年后，尽管发生了许多变化，但助产士士气仍然低落，但参与者对自身处境有了更强的政治分析能力，并积极参与改变现状。研究结果表明，助产护理的有效发展存在复杂且长期的文化阻碍，但如果通过有计划的协作过程（如本研究）将这些阻碍明确化，就可以看到文化转变的过程开始启动。
焦点小组可以成为在当地推动助产文化发展的有用工具。
