Peterson Wendy E, Davies Barbara, Rashotte Judy, Salvador Anne, Trépanier Marie-Josée
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
J Obstet Gynecol Neonatal Nurs. 2012 May-Jun;41(3):358-68. doi: 10.1111/j.1552-6909.2012.01369.x.
To determine whether hospital-based perinatal nurses with expertise in adolescent mother-friendly care identify a need to improve inpatient nursing care of adolescent mothers and how well perinatal units support nurses' capacity to provide adolescent mother-friendly care.
DESIGN/SETTING/PARTICIPANTS: A key informant survey of nurses from eight perinatal units at three hospitals (four separate sites) in a Canadian city.
Perinatal nurses expert in the care of adolescent mothers were identified by their managers and colleagues. These nurses and all perinatal clinical educators were invited to participate. Twenty-seven of 34 potential key informants completed the survey.
Key informants rated their own skill in caring for adolescent mothers higher (median 8.0) than they rated the skill of other nurses (median 6.0) on their units. They attributed their expertise working with adolescent mothers to their clinical and life experiences and their ability to develop rapport with adolescents. A common reason for the assigned lower peer-group ratings was the judgmental manner in which some nurses care for adolescent mothers. Key informants also identified that hospital-based perinatal nurses lack adequate knowledge of community-based resources for adolescent mothers, educational programs related to adolescent mother-friendly care were insufficient, and policies to inform the nursing care of adolescent mothers were not available or known to them.
A minority of perinatal nurses have expertise in adolescent mother-friendly care. There is a need for perinatal unit-level interventions to support the development of nurses' skills in caring for adolescent mothers and their knowledge of community-based resources. Peer mentoring and self-reflective practice are promising strategies.
确定具备关爱青少年母亲友好型护理专业知识的医院围产期护士是否认为有必要改善青少年母亲的住院护理，以及围产期护理单元在多大程度上支持护士提供关爱青少年母亲友好型护理的能力。
设计/地点/参与者：对加拿大一个城市三家医院（四个独立地点）的八个围产期护理单元的护士进行关键信息提供者调查。
围产期护理单元的管理人员和同事确定了在照顾青少年母亲方面的专家护士。邀请这些护士和所有围产期临床教育工作者参与。34名潜在关键信息提供者中有27人完成了调查。
关键信息提供者对自己照顾青少年母亲的技能评分（中位数8.0）高于对所在护理单元其他护士技能的评分（中位数6.0）。他们将自己在照顾青少年母亲方面的专业知识归功于临床和生活经验以及与青少年建立融洽关系的能力。同组评分较低的一个常见原因是一些护士照顾青少年母亲时的评判态度。关键信息提供者还指出，医院围产期护士缺乏关于青少年母亲社区资源的足够知识，与关爱青少年母亲友好型护理相关的教育项目不足，且他们不知道也没有可用于指导青少年母亲护理工作的政策。
少数围产期护士具备关爱青少年母亲友好型护理的专业知识。围产期护理单元层面需要采取干预措施，以支持护士发展照顾青少年母亲的技能以及他们对社区资源的了解。同伴指导和自我反思实践是有前景的策略。
