Centre for Women's, Family & Child Health, Vestfold University College and Research Department, Stavanger University Hospital, Stavanger, Norway.
J Nurs Manag. 2010 May;18(4):400-8. doi: 10.1111/j.1365-2834.2010.01106.x.
Midwives' different leadership and supervisory styles influence women's experiences of childbirth in various ways.
The aim of this study was to evaluate midwives' experiences of group supervision and the influence of the continuity of care model, with particular focus on childbearing women's need for emotional support. An additional aim was to evaluate the development of the midwives' professional competence.
Qualitative thematic analysis was used to analyse the notes made during the supervision sessions and focus group discussion.
The significance of the midwives' continuity of care model was: assessment of the women's individual needs, enabling strategies to create a deeper relationship and acknowledging the vulnerability in the relationship with the women. The outcome of the midwives' group supervision was increased professional competence. Three themes emerged: Integrating science into midwifery practice, Awareness of one's professional role and Sensitivity in one's professional role.
These findings provide a clear indication that the women's need for emotional support can be fulfilled by the midwives' leadership.
The development of the midwife's role as a leader in maternity care is closely related to the opportunities for the provision of supervision aimed at increasing her professional competence.
助产士不同的领导和监督风格以各种方式影响着妇女的分娩体验。
本研究旨在评估助产士群体监督的经验，以及连续性护理模式的影响，特别关注产妇对情感支持的需求。另一个目的是评估助产士专业能力的发展。
采用定性主题分析方法分析监督会议和焦点小组讨论的记录。
助产士连续性护理模式的重要性在于：评估妇女的个体需求，制定策略以建立更深入的关系，并承认与妇女关系中的脆弱性。助产士群体监督的结果是专业能力的提高。出现了三个主题：将科学融入助产实践、意识到自己的专业角色以及在专业角色中保持敏感。
这些发现清楚地表明，妇女对情感支持的需求可以通过助产士的领导来满足。
助产士在产妇护理中作为领导者的角色的发展与提供旨在提高其专业能力的监督机会密切相关。
