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一项关于促进助产士赋权的重要条件的探索性研究。

An exploratory study of the conditions important in facilitating the empowerment of midwives.

作者信息

Matthews Anne, Anne Scott P, Gallagher Pamela, Corbally Melissa A

机构信息

School of Nursing, Dublin City University, Dublin, Ireland.

出版信息

Midwifery. 2006 Jun;22(2):181-91. doi: 10.1016/j.midw.2005.08.003. Epub 2005 Dec 13.

DOI:10.1016/j.midw.2005.08.003
PMID:16359761
Abstract

OBJECTIVE

to explore the conditions important in facilitating the empowerment of midwives, as judged by practising midwives.

DESIGN

a cross-sectional, descriptive, national survey of nurses and midwives practising in Ireland was undertaken in 2002. The questionnaire used in the survey included the 'Understanding of Empowerment Scale'.

PARTICIPANTS

the data come from a larger national study of empowerment among nurses and midwives carried out by the authors in 2001/2 (Scott et al., 2003). A random sample of 4050 nurses and midwives in Ireland was obtained from the Live Register of An Bord Altranais (Irish Nursing Board). There was an overall response rate of 46% (n = 1781). Of these, 1340 people completed questionnaires, as 441 of those who replied were not in practice at the time. Of those who completed the questionnaire, 7% (n = 95) were practising midwives. Their findings are reported in this paper.

MEASUREMENTS AND FINDINGS

factor analysis using the Principal Axis Factoring method of extraction and an oblique (Direct Oblimin) rotation was carried out on the Understanding of Empowerment Scale. This suggested four factors or conditions important for the empowerment of midwives: control, support, recognition and skills.

KEY CONCLUSIONS

these findings relating to the conditions that facilitate empowerment in midwifery reflect the professional distinctiveness of midwifery and take into account the specific role and working environment of the midwife.

IMPLICATIONS FOR PRACTICE

the identification of the important conditions to facilitate empowerment in midwifery provides a framework with which to explore ways of building on strengths and addressing weaknesses within the current situation for midwives in Ireland and elsewhere. These suggestive findings offer an opportunity to further develop a tool to measure levels of these conditions necessary to facilitate empowerment in midwifery.

摘要

目的

探讨助产士认为有助于实现助产士赋权的重要条件。

设计

2002年对爱尔兰执业护士和助产士进行了一项横断面、描述性的全国性调查。调查中使用的问卷包括“赋权理解量表”。

参与者

数据来自作者在2001/2年进行的一项关于护士和助产士赋权的更大规模的全国性研究(斯科特等人,2003年)。从爱尔兰护理委员会的现行登记册中随机抽取了4050名爱尔兰护士和助产士。总体回复率为46%(n = 1781)。其中,1340人完成了问卷调查,因为441名回复者当时未从事相关工作。在完成问卷的人中,7%(n = 95)是执业助产士。本文报告了他们的研究结果。

测量与结果

使用主成分分析法提取因子并进行斜交(直接斜交)旋转,对赋权理解量表进行因子分析。这表明对助产士赋权重要的四个因素或条件:控制权、支持、认可和技能。

主要结论

这些关于促进助产士赋权条件的研究结果反映了助产士职业的独特性,并考虑到了助产士的具体角色和工作环境。

对实践的启示

确定促进助产士赋权的重要条件,为探索在爱尔兰和其他地方助产士当前情况下发挥优势和解决弱点的方法提供了一个框架。这些提示性的研究结果提供了一个机会,可以进一步开发一种工具来衡量促进助产士赋权所需的这些条件的水平。

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