Freedman Lori, Levi Amy
1University of California, San Francisco, California, USA.
Qual Health Res. 2014 Jan;24(1):78-89. doi: 10.1177/1049732313514483. Epub 2013 Nov 21.
In this article we explore how nurse practitioners, physician assistants, and nurse midwives in California (collectively referred to as clinicians) developed confidence while learning to provide vacuum aspiration abortion. We interviewed clinicians (n = 30) who worked in reproductive health care settings and had participated in a large abortion-training study. Although the training had moral and political significance for the trainees, in this article we focus on their experience of skill development and how they gained confidence and competence in aspiration abortion, a procedure typically performed by physicians. We argue that confidence is not one dimensional. Understanding the diverse ways in which clinicians arrive at confidence might inform health care training and education generally. By examining attained competency from the clinicians' perspectives, we continue the discussion within the social science of health care and medicine about how clinicians know what they know and what expertise feels like to them.
在本文中，我们探讨了加利福尼亚州的执业护士、医师助理和助产士（统称为临床医生）在学习提供真空吸引流产术的过程中是如何建立信心的。我们采访了30名在生殖健康护理机构工作且参与了一项大型流产培训研究的临床医生。尽管该培训对学员具有道德和政治意义，但在本文中，我们关注的是他们的技能发展经历，以及他们如何在通常由医生执行的吸引流产术中获得信心和能力。我们认为信心并非单一维度的。了解临床医生获得信心的多样方式可能会对一般的医疗保健培训和教育有所启发。通过从临床医生的角度审视所获得的能力，我们延续了医疗保健和医学社会科学领域内关于临床医生如何知晓他们所知晓的内容以及专业技能对他们而言是怎样一种感受的讨论。
