Bradford Regional Medical Center, Bradford, PA, USA.
MCN Am J Matern Child Nurs. 2012 Jan-Feb;37(1):42-7. doi: 10.1097/NMC.0b013e3182387c0a.
To evaluate the effect of a culturally sensitive teaching unit on traditional midwives' knowledge of nursing interventions to prevent and treat postpartum hemorrhage (PPH).
Sixteen midwives participated in a 1-day training program at a Refuge International Health Clinic in the remote town of Sarstun, Guatemala. The quasi experimental study used a one-group, pretest-posttest design. Researchers used a PPH Behavioral Checklist from the American College of Nurse Midwives (ACNM) to assess and compare knowledge of PPH interventions before and after the PPH teaching.
The final analysis included 13 traditional midwives as the subjects. The culturally sensitive teaching improved traditional midwives' knowledge and skills about nursing interventions to manage PPH (pretest M = 1.385/8, posttest M = 4.846/8).
Results of this pilot project suggest a culturally sensitive oral teaching in the primary language of the participants positively affects traditional midwives' knowledge and skills to manage PPH. Future training should be presented in a similar format to meet the needs of illiterate audiences in resource-poor settings.
评估一个文化敏感型教学单元对传统助产士预防和治疗产后出血（PPH）护理干预措施相关知识的影响。
16 名助产士参加了在危地马拉偏远小镇 Sarstun 的国际救援健康诊所举办的为期一天的培训计划。该准实验研究采用了单组前后测设计，研究人员使用美国护理助产士学院（ACNM）的产后出血行为检查表来评估和比较 PPH 干预措施在教学前后的知识水平。
最终分析纳入了 13 名传统助产士作为研究对象。文化敏感型教学提高了传统助产士对护理干预措施管理 PPH 的知识和技能（前测 M = 1.385/8，后测 M = 4.846/8）。
该试点项目的结果表明，以参与者的主要语言进行文化敏感型的口头教学可以积极影响传统助产士管理 PPH 的知识和技能。未来的培训应该以类似的形式呈现，以满足资源匮乏环境中不识字受众的需求。
