Sandall Jane, Jill Manthorpe, Mansfield Amanda
King's College, London.
J Fam Health Care. 2007;17(6):191-2.
Reductions in doctors' hours and length of training and reconfigurations of obstetric and neonatal services in the UK have led to practitioners taking on new clinical roles. The need to free midwives' time for their extending clinical roles has led to greater use of support workers. These workers are increasingly assisting with clinical as well as clerical and administrative tasks but their training and responsibilities are variable. A recent scoping study of these workers in NHS Trusts in England, discussed here by its authors, reveals that managers welcome the support workers' contribution to maternity care, for example through breast-feeding support in the community, helping to provide continuity of care and one-to-one care in labour, attending at home births, assisting in obstetric theatres and running antenatal and postnatal groups. However, a national framework is needed to ensure governance, Research is also needed into the impact of support workers on outcomes for mothers and babies, the cost-effectiveness of the role, and the experience of mothers.
英国医生工作时长的减少、培训时间的缩短以及产科和新生儿服务的重新配置，促使从业者承担起新的临床角色。为了让助产士有更多时间履行其不断扩展的临床职责，对辅助人员的使用越来越多。这些工作人员越来越多地协助处理临床以及文书和行政任务，但其培训和职责各不相同。本文作者在此讨论了最近一项针对英格兰国民保健服务信托基金中这些工作人员的范围界定研究，该研究表明，管理人员欢迎辅助人员对产妇护理做出的贡献，例如通过在社区提供母乳喂养支持、帮助提供连续护理以及分娩时的一对一护理、参与家庭分娩、在产科手术室提供协助以及开展产前和产后小组活动等。然而，需要一个国家框架来确保管理。还需要对辅助人员对母婴结局的影响、该角色的成本效益以及母亲的体验进行研究。
