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“你自身具备这种能力”:在产前时期将关注重点放在健康方面的政治行为。

'You've got it within you': the political act of keeping a wellness focus in the antenatal time.

作者信息

Browne Jenny, O'Brien Maureen, Taylor Jan, Bowman Rebekah, Davis Deborah

机构信息

Disciplines of Nursing and Midwifery, Faculty of Health, University of Canberra, ACT 2601, Australia.

Disciplines of Nursing and Midwifery, Faculty of Health, University of Canberra, ACT 2601, Australia.

出版信息

Midwifery. 2014 Apr;30(4):420-6. doi: 10.1016/j.midw.2013.04.003. Epub 2013 Jun 5.

DOI:10.1016/j.midw.2013.04.003
PMID:23747292
Abstract

OBJECTIVE

by exploring midwives' communication techniques intended to promote a wellness focus in the antenatal period, this study identified strategies midwives use to amplify women's own resources and capacities, with the aim of reducing antenatal anxiety.

DESIGN

a qualitative design utilising focus groups as a means of generating data.

SETTING

two Australian cities: Canberra, ACT and Sydney NSW.

PARTICIPANTS

14 experienced, practising midwives across two states/territories, employed in multiple hospitals and community settings.

FINDINGS

three themes emerged from the analysis: calm unhurriedness, speaking in wellness and reassuring bodies. Midwives in these focus groups used strategies in antenatal care that could be co-ordinated into a planned process for wellness focussed care.

KEY CONCLUSIONS

individually midwives used a variety of strategies specifically intended to facilitate women's capabilities, to employ worry usefully and to reduce anxiety. Midwives in the study clearly viewed this kind of wellness focussed care as their responsibility and their right.

IMPLICATIONS FOR PRACTICE

the midwives' collective wisdom could be shared and developed further into an overall salutogenic antenatal strategy to be used for the good of pregnant women and their infants.

摘要

目的

通过探究助产士旨在促进孕期关注健康的沟通技巧,本研究确定了助产士用以增强女性自身资源和能力的策略,以期减轻产前焦虑。

设计

采用焦点小组作为数据收集方式的定性设计。

地点

澳大利亚的两个城市:澳大利亚首都地区堪培拉市和新南威尔士州悉尼市。

参与者

来自两个州/领地的14名经验丰富的在职助产士,就职于多家医院和社区机构。

研究结果

分析得出三个主题:平静从容、以健康为话题交流以及安抚身体。这些焦点小组中的助产士在产前护理中运用的策略可整合为以健康为重点的护理计划流程。

主要结论

助产士个人使用了各种专门旨在增强女性能力、有效利用担忧情绪以及减轻焦虑的策略。本研究中的助产士明确将这种以健康为重点的护理视为自己的责任和权利。

对实践的启示

助产士的集体智慧可加以分享,并进一步发展为一项全面的健康促进型产前策略,以造福孕妇及其婴儿。

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