Rogers Catherine, Bloomfield Linda, Townsend Joy
University of Hertfordshire, College Lane, Hatfield, Herts, AL10 9AB, UK.
Midwifery. 2003 Mar;19(1):55-62. doi: 10.1054/midw.2002.0330.
to explore midwives' attitudes and perceptions about extending their role to the examination of the newborn baby, as well as their general perceptions and attitudes to new role developments.
qualitative, data collected using semi-structured interviews, which were exploratory and interactive in form.
six maternity hospitals in South-east England.
ten midwives were purposefully selected, including five trained in the examination of the newborn baby and currently conducting examinations and five who had not. Most of the midwives had been qualified for over ten years and had a wide range of clinical experience in hospital and community settings.
midwives identified many benefits to themselves, to their profession and to the mothers as a result of developing their role into the examination of the newborn baby. The major benefit cited was improved job satisfaction, which was directly related to their ability to give continuity and total care to mothers and babies. Midwives also perceived that undertaking the examination strengthened their position as autonomous practitioners, by enabling them to provide total care to mothers and babies who fitted their criteria of normality. Moreover, midwives thought that improvements in the overall quality of care to mothers would result from them performing the examination, including improved communication, greater continuity of care and a more holistic examination. Although midwives were concerned about possible increase in workloads and pressure to take on new roles, the examination was generally perceived as being easily incorporated into their current practice without compromising overall standards in midwifery care. Midwives expressed concern about 'extending' practice into areas that did not fit their perceptions of normality and about being 'pressurised' into taking on new roles.
it would appear from this study that an important consideration for midwives in their acceptance of new roles, is the relationship of that role to their position as experts in normality. Midwives in this study viewed the examination of the newborn baby as 'fitting in' with their perceptions of the core values of midwifery.
探讨助产士对于将其角色扩展至新生儿检查的态度和看法，以及她们对新角色发展的总体认知和态度。
定性研究，采用半结构化访谈收集数据，访谈形式具有探索性和互动性。
英格兰东南部的六家妇产医院。
特意挑选了10名助产士，其中5名接受过新生儿检查培训且目前正在进行检查，另外5名未接受过培训。大多数助产士已取得资格超过十年，在医院和社区环境中拥有广泛的临床经验。
助产士认为将其角色扩展至新生儿检查对自身、职业以及母亲们都有诸多益处。提到的主要益处是工作满意度提高，这与她们为母亲和婴儿提供连续性和全面护理的能力直接相关。助产士还认为，进行检查通过使她们能够为符合其正常标准的母亲和婴儿提供全面护理，强化了她们作为自主从业者的地位。此外，助产士认为她们进行检查会提高对母亲的整体护理质量，包括改善沟通、增强护理的连续性以及进行更全面的检查。尽管助产士担心工作量可能增加以及承担新角色的压力，但她们普遍认为检查很容易融入当前的工作实践，而不会影响助产护理的总体标准。助产士对将实践“扩展”到不符合其正常观念的领域以及被“施压”承担新角色表示担忧。
从这项研究来看，助产士接受新角色时的一个重要考虑因素是该角色与她们作为正常方面专家的地位之间的关系。本研究中的助产士认为对新生儿进行检查“符合”她们对助产核心价值观的认知。
