Nursing College, Hangzhou Normal University, 16 Xuelin Road, Xiasha Higher Education Zone, Hangzhou 310036, Zhejiang Province, PR China.
Midwifery. 2009 Dec;25(6):744-55. doi: 10.1016/j.midw.2008.01.009. Epub 2008 Mar 14.
to investigate and assess Chinese midwives' views of their roles and ability to practice in a proposed midwife-led normal birth unit (MNBU).
a self-completed questionnaire supplemented with semi-structured telephone interviews. Memos, diaries, correspondence and comments of Chinese collaborators were also accessed.
six hospitals in Hangzhou, the capital of Zhejiang province.
143 midwives were contacted and completed the questionnaire survey. Three midwives were subsequently interviewed.
the response rate was 100%; 86% of midwives supported the development of an MNBU, and 94.4% expressed confidence that they would be able to practice in an MNBU. The study shed new light on: (1) the meaning of an MNBU in the Chinese context; (2) the need for development of an MNBU; (3) role conflicts among midwives, doulas, nurses and obstetricians; (4) professional expertise and tension; and (5) the low status of Chinese midwives.
the proposed MNBU is welcomed by Chinese midwives. Their consensus and confidence show that there is enthusiasm for this project to proceed. However, the Chinese have never thought of MNBU services before. There is a need to develop well-structured philosophy, policy, procedures and outcome measures.
the findings highlight the importance of an MNBU to re-establish Chinese midwives' support of physiological childbirth. The extent to which Chinese midwives understand an MNBU could be further explored. The result may provide a possible route to the continuity of midwifery care and support.
调查和评估中国助产士对拟议的助产士主导的正常分娩单位 (MNBU) 中其角色和实践能力的看法。
自我完成的问卷补充半结构化电话访谈。还查阅了中国合作者的备忘录、日记、信件和评论。
浙江省省会杭州市的六家医院。
联系了 143 名助产士并完成了问卷调查。随后有 3 名助产士接受了采访。
回复率为 100%；86%的助产士支持 MNBU 的发展，94.4%表示有信心在 MNBU 中执业。该研究揭示了以下几点：(1) MNBU 在中文语境中的含义；(2) 对 MNBU 发展的需求；(3) 助产士、导乐、护士和产科医生之间的角色冲突；(4) 专业专长和紧张局势；(5) 中国助产士的地位低下。
拟议的 MNBU 受到中国助产士的欢迎。他们的共识和信心表明，人们对该项目的推进充满热情。然而，中国人以前从未想过 MNBU 服务。需要制定结构良好的哲学、政策、程序和结果衡量标准。
研究结果强调了 MNBU 对重新确立中国助产士对生理分娩的支持的重要性。助产士对 MNBU 的理解程度可以进一步探讨。这一结果可能为助产士护理和支持的连续性提供了一条可能的途径。
