Bench Suzanne, Fitzpatrick Joanne
Florence Nightingale School of Nursing and Midwifery, King's College, London, UK.
J Nurs Manag. 2007 Apr;15(3):348-56. doi: 10.1111/j.1365-2834.2007.00759.x.
The aim of this study was to explore midwives' recognition and management of critical illness in obstetric women in order to inform service provision.
Critical illness is not confined to Intensive Care. Limited published work was located examining factors affecting critical care provision by midwives.
A multi-method design incorporating a paper and pencil simulation (n = 11) and in-depth interviewing (n = 5) was conducted with midwives from a large London National Health Service Trust. This study details and discusses the findings.
Findings indicated that frequency and type of critical illness experience impact upon midwives' critical care knowledge and skills. Midwives, especially those who were more junior, expressed anxiety regarding this aspect of practice, and considered the support of senior midwives, medical and nursing staff as crucial to effective client management.
This study has yielded important insights into midwives' management of critical illness. Possible mechanisms to enhance the quality of service provision, and midwife support in this area are highlighted.
本研究旨在探讨助产士对产科危急重症的识别与管理，以为服务提供提供参考依据。
危急重症并不局限于重症监护病房。关于影响助产士提供重症护理的因素，已发表的相关研究较少。
对来自伦敦一家大型国民保健服务信托机构的助产士采用了纸笔模拟（n = 11）和深度访谈（n = 5）相结合的多方法设计。本研究详细阐述并讨论了研究结果。
研究结果表明，危急重症经历的频率和类型会影响助产士的重症护理知识和技能。助产士，尤其是资历较浅的助产士，对这方面的实践表示焦虑，并认为资深助产士、医疗和护理人员的支持对于有效管理患者至关重要。
本研究对助产士在危急重症管理方面有了重要的见解。强调了提高服务质量的可能机制以及在该领域对助产士的支持。
