Fako Thabo T, Forcheh Ntonghanwah, Ncube Ephraim
Department of Sociology, University of Botswana, Private Bag UB0705, Gaborone, Botswana.
Soc Sci Med. 2004 Mar;58(6):1109-20. doi: 10.1016/s0277-9536(03)00281-8.
This paper examines several key factors that determine nurses' ability to complete the Botswana Obstetric Record (BOR), an instrument that should help with early diagnosis of problems during pregnancy, labour, delivery and the puerperium. Using a national sample of 309 nurses working in hospitals, clinics and health posts under the local government authority in Botswana, the study found that a nurse's ability to complete the BOR was significantly related to midwifery training, level of basic nursing training, age group, level of income, job satisfaction, adequacy of equipment, attendance of refresher courses, overall level of in-service training, reliance on workshops and seminars, peer reliance and self-reliance for information on new nursing practices. Multivariate analyses indicated that the most competent nurse in completing the BOR was one trained as a midwife, working in an adequately equipped health facility, and who often consulted with peers as well as attended workshops and seminars. The study concludes that it is more important to train all nurses to become midwives than to upgrade enrolled nurses to become registered nurses if the plan for safe motherhood is to be advanced. Further research is needed to establish the objective competence of nurses who claim to be comfortable completing the BOR.
本文探讨了决定护士填写博茨瓦纳产科记录（BOR）能力的几个关键因素，该记录工具应有助于对孕期、分娩期、产时及产褥期的问题进行早期诊断。通过对博茨瓦纳地方政府管辖下的医院、诊所和卫生站工作的309名护士进行全国抽样调查，研究发现护士填写BOR的能力与助产培训、基础护理培训水平、年龄组、收入水平、工作满意度、设备充足程度、参加进修课程情况、在职培训总体水平、依赖研讨会和讲座、同行依赖以及获取新护理实践信息的自我依赖程度显著相关。多变量分析表明，在填写BOR方面最有能力的护士是接受过助产士培训、在设备充足的医疗机构工作、经常与同行交流并参加研讨会和讲座的护士。该研究得出结论，如果要推进安全孕产计划，培训所有护士成为助产士比将注册护士升级为执业护士更为重要。需要进一步研究以确定声称能够熟练填写BOR的护士的客观能力。
