Labour Unit, Obstetrics and Gynaecology Hospital of Fudan University, Shanghai, China.
Midwifery. 2011 Apr;27(2):243-9. doi: 10.1016/j.midw.2009.06.007. Epub 2009 Aug 22.
to explore and describe Chinese midwives' experience of providing one-to-one continuity of care to labouring women.
a qualitative study using a phenomenological approach. Data were collected using open-ended, tape-recorded interviews. The analysis of the transcribed texts included searching for themes sorted into clusters for a final expression of the essential structure of the phenomenon.
Obstetrics and gynaecology hospital of Fudan University, Shanghai, China.
12 midwives, providing one-to-one continuity of care to labouring women.
two main categories were identified: (1) midwives' feelings on providing continuity of care, and (2) impact of on-call system on midwives providing continuity of care. Key themes emerged from each main category: (1) 'playing important roles in labour care', 'gaining a sense of self-achievement', 'falling into exhaustion and frustration' and 'coping with caring work'; and (2) 'on-call syndrome', 'affecting personal lives' and 'managing on-call shift'. The midwives experienced mixed feelings of being with women and expressed their adaptation to being on-call, which was the essence of this study. They played important roles in caring for women, gained a sense of self-achievement and developed suitable coping strategies. However, they also indicated the impact of the on-call system upon them in the process of providing continuity of care.
midwives have gained both positive and negative experiences when providing continuity of care to labouring women. The positive aspects may facilitate other professional midwives working in a similar role, whereas the negative aspects may inform them of learning to live with this situation, and may also have implications for managers to develop new approaches to the organisation and provision of continuity of care to support midwives' practice, and to fully utilise 'flexibility' under an on-call system.
探索并描述中国助产士为分娩妇女提供一对一连续护理的体验。
采用现象学方法的定性研究。使用开放式、录音采访收集数据。对转录文本的分析包括寻找主题，将主题分类为集群，以最终表达现象的基本结构。
中国上海复旦大学妇产科医院。
12 名助产士，为分娩妇女提供一对一的连续护理。
确定了两个主要类别：（1）助产士提供连续护理的感受，以及（2）轮班制度对助产士提供连续护理的影响。每个主要类别都出现了关键主题：（1）“在分娩护理中发挥重要作用”、“获得成就感”、“陷入疲惫和沮丧”和“应对护理工作”；以及（2）“轮班综合征”、“影响个人生活”和“管理轮班”。助产士对与妇女在一起的感受喜忧参半，并表达了他们对轮班的适应，这是本研究的本质。他们在照顾妇女方面发挥了重要作用，获得了成就感，并制定了合适的应对策略。然而，他们也指出了轮班制度对他们提供连续性护理的影响。
助产士在为分娩妇女提供连续性护理时既有积极的经验，也有消极的经验。积极的方面可能有助于其他从事类似角色的专业助产士，而消极的方面可能使他们了解到如何在这种情况下生活，并可能对管理者产生影响，以制定新的方法来组织和提供连续性护理，以支持助产士的实践，并在轮班制度下充分利用“灵活性”。
