Walker Deborah S, Visger Joan M, Levi Amy
Wayne State University, College of Nursing and School of Medicine, OB/GYN, 5557 Cass Ave., Rm. 248, Detroit, MI 48202, USA.
J Midwifery Womens Health. 2008 Sep-Oct;53(5):421-9. doi: 10.1016/j.jmwh.2008.04.002.
Most midwives are aware of the need to collect clinical practice data and of its usefulness in supporting the care they provide, which contributes to healthy outcomes for mothers and babies. For the individual midwife, there is more than one easily accessible, standardized data collection instrument from which to choose. However, despite these choices, in an American College of Nurse-Midwives (ACNM) Division of Research (DOR) survey on midwifery clinical data collection (N = 263), the majority of member respondents (n = 135; 51%) reported using a self-designed data collection tool, and more than one-third did not know of the ACNM Nurse-Midwifery Clinical Data Sets (NMCDS). On a larger scale, the midwifery profession is also in need of an organized and consistent approach to data collection for the purpose of capturing midwifery practice and outcomes in order to provide data to support legislation, practice, and policy changes. However, the profession currently lacks a single common midwifery practice database. In order to facilitate data aggregation that captures a larger view of midwifery practice at the local, regional, and national levels, it is imperative that all midwives collect relevant data that are uniform and standardized, and that the midwifery professional organizations move forward with the development of a common electronic database. This article describes currently available data collection tools as well as their best uses, applications to practice, and future directions.
大多数助产士都意识到收集临床实践数据的必要性及其对所提供护理的支持作用，这有助于实现母婴健康的结果。对于个体助产士而言，有不止一种易于获取的标准化数据收集工具可供选择。然而，尽管有这些选择，但在美国护士助产士学院（ACNM）研究部（DOR）关于助产临床数据收集的一项调查（N = 263）中，大多数成员受访者（n = 135；51%）报告使用自行设计的数据收集工具，超过三分之一的人不知道ACNM护士助产临床数据集（NMCDS）。从更大范围来看，为了记录助产实践和结果以便提供数据支持立法、实践和政策变革，助产行业也需要一种有组织、一致的数据收集方法。然而，该行业目前缺乏一个单一的通用助产实践数据库。为了促进数据汇总，以便在地方、区域和国家层面更全面地了解助产实践，所有助产士必须收集统一且标准化的相关数据，并且助产专业组织必须推进通用电子数据库的开发。本文介绍了当前可用的数据收集工具及其最佳用途、在实践中的应用和未来发展方向。
