Centre for Midwifery, Child and Family Health, University of Technology Sydney, Broadway, NSW, Australia.
Women Birth. 2013 Mar;26(1):e31-6. doi: 10.1016/j.wombi.2012.08.002. Epub 2012 Aug 25.
A pilot study was undertaken between 2006 and 2008 to explore the feasibility of implementing the CenteringPregnancy model of group antenatal care in Australia. The study was undertaken at two hospital antenatal clinics and two community healthcare centres in southern Sydney. This paper reports on one arm of the pilot study, known as the 'Midwives' Study', which aimed to explore the experiences of the midwives as they moved from providing traditional one-to-one antenatal care to facilitating group antenatal care.
The Australian pilot study used Action Research. Eight midwives, the group facilitators, and three researchers formed the Action Research group. A qualitative descriptive approach was undertaken to describe the experiences of the midwives. Data were collected using focus groups, surveys and checklists and analysed using thematic content analysis.
The midwives' initial fears and misgivings about undertaking the new role of group antenatal care gave way to a growing confidence in their abilities and group facilitation skills. They appreciated: the benefits of the CenteringPregnancy model for pregnant women; new opportunities to develop positive relationships with women and their colleagues; and the structured support and education throughout all stages of the Action Research process.
The midwives were enthusiastic about their experiences of becoming CenteringPregnancy facilitators and described the benefits of this model of care compared to traditional one-to-one antenatal care. Support and education of the midwives through structured Action Research cycles enhanced the effective implementation of this new model.
2006 年至 2008 年期间进行了一项试点研究，旨在探索在澳大利亚实施集中妊娠模式的群体产前护理的可行性。该研究在悉尼南部的两家医院产前诊所和两家社区医疗中心进行。本文报告了该试点研究的一个分支，称为“助产士研究”，旨在探讨助产士在从提供传统的一对一产前护理转变为促进群体产前护理时的经验。
澳大利亚的试点研究采用行动研究。八名助产士、小组促进者和三名研究人员组成了行动研究小组。采用定性描述方法来描述助产士的经验。数据收集使用焦点小组、调查和检查表，并使用主题内容分析进行分析。
助产士对承担新的群体产前护理角色的最初恐惧和疑虑逐渐转变为对自己能力和小组促进技能的信心增强。他们赞赏：集中妊娠模式对孕妇的好处；与妇女及其同事建立积极关系的新机会；以及在行动研究过程的所有阶段都有结构化的支持和教育。
助产士对成为集中妊娠促进者的经验感到热情，并描述了这种护理模式与传统一对一产前护理相比的优势。通过结构化的行动研究周期为助产士提供支持和教育，增强了这种新模式的有效实施。
