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在本科护理专业的母婴课程中教授生理性分娩:当前面临的挑战

Teaching physiologic birth in maternal-newborn courses in undergraduate nursing programs: current challenges.

作者信息

Birkhead Ana C Sanchez, Callister Lynn Clark, Fletcher Nicole, Holt Allison, Curtis Samantha

出版信息

J Perinat Educ. 2012 Summer;21(3):169-77. doi: 10.1891/1058-1243.21.3.169.

Abstract

For low-risk childbearing women, fewer technological interventions are associated with better physical and psychosocial outcomes; yet, the number of unmedicated physiologic births is decreasing. As a result, fewer undergraduate nursing students experience caring for women who choose physiologic birth, which presents a challenge for nurse educators and implications for preparing students to provide appropriate care for all childbearing women after the students graduate. This exploratory descriptive qualitative study was conducted among 150 randomly selected undergraduate nursing programs in the United States to explore the challenges of educating nursing students about low-intervention birth. Four themes described current challenges: lack of placement opportunities, education versus clinical practice, evidence-based support of physiologic birth, and the need for more research on pedagogical strategies that effectively educate future nurses to advocate for minimal intervention birth options for all women.

摘要

对于低风险孕产妇而言,较少的技术干预与更好的生理和心理社会结局相关;然而,未使用药物的自然分娩数量正在减少。因此,越来越少的本科护理专业学生有机会护理选择自然分娩的产妇,这给护理教育工作者带来了挑战,也对学生毕业后为所有孕产妇提供适当护理的准备工作产生了影响。这项探索性描述性定性研究在美国150个随机选择的本科护理项目中进行,旨在探讨护理专业学生低干预分娩教育面临的挑战。研究描述了当前面临的四个挑战:实习机会不足、教育与临床实践的矛盾、自然分娩的循证支持,以及需要更多地研究能有效教育未来护士倡导为所有女性提供最低限度干预分娩选择的教学策略。

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