Browne Jenny, Taylor Jan
Discipline of Midwifery, Faculty of Health, University of Canberra, Canberra, ACT 2601, Australia.
Discipline of Midwifery, Faculty of Health, University of Canberra, Canberra, ACT 2601, Australia.
Midwifery. 2014 Mar;30(3):e108-14. doi: 10.1016/j.midw.2013.11.006. Epub 2013 Nov 27.
midwifery relationships, especially ones developed over time, are viewed and valued as practical and political health interventions that increase the likelihood of good health for women and infants and assist with health challenges. Thus the continuity relationships with women required for each Bachelor of Midwifery student are used, not only to expand students' learning but also, in a fragmented maternity care system, to provide opportunities for women to experience the care of a known person through their pregnancy, labour and early parenting time.
we sought understandings of women's experiences of their continuity relationships with midwifery students.
a survey was posted to all women (n=1008) who had agreed to continuity in the first years of our undergraduate program 2009-2011. We analysed 354 completed surveys (34% response rate). SPSS was used for quantitative data and content analysis identified themes expressed in the qualitative responses from a selected sub-set of 27 participants. Ethical approval was obtained from the authors' institution and research funding from the local registration board.
women's satisfaction of being with a student in a continuity relationship was high. On a scale from one (not at all satisfied) to 10 (extremely satisfied), the mean score was 8.88. The women, more than half of whom received standard maternity care, stated they valued the opportunity for a constant presence across their childbearing experience and will recommend student continuity to their friends.
this study shows that our curriculum emphasis on continuity is valued by women. Pairing a woman and a student gives women a relationship with a named person in the maternity health field that provides valued extras: care, time, patience, effort, information, advocacy, support and kindness. It raises the profile of midwifery in the community, especially the profile of continuity of midwifery care for women in standard models of care. It increases communication for and with women in a variety of useful and desirable ways and it allows an opportunity for women to contribute to students' learning. It also provides the university sector a chance to value and privilege the continuity of midwifery relationship.
助产士关系，尤其是长期建立起来的关系，被视为切实可行且具有政治意义的健康干预措施，这些措施会增加妇女和婴儿健康状况良好的可能性，并有助于应对健康挑战。因此，每个助产士专业本科学生与女性建立的连续性关系，不仅用于拓展学生的学习，而且在碎片化的产科护理系统中，为女性提供机会，使其在孕期、分娩期及育儿早期能体验到来自熟悉之人的护理。
我们旨在了解女性与助产士专业学生建立连续性关系的经历。
向所有在2009 - 2011年本科项目第一年同意接受连续性护理的女性（n = 1008）发放调查问卷。我们分析了354份完整的调查问卷（回复率为34%）。使用SPSS对定量数据进行分析，并通过内容分析确定了从27名参与者的选定子集中提取的定性回复中所表达的主题。研究获得了作者所在机构的伦理批准，并得到了当地注册委员会的研究资金。
女性对与学生建立连续性关系的满意度较高。在从1分（完全不满意）到10分（极其满意）的评分量表上，平均得分是8.88分。超过半数接受标准产科护理的女性表示，她们重视在整个生育经历中能有一个始终陪伴的人，并会向朋友推荐学生连续性护理模式。
本研究表明，我们课程中对连续性护理的重视受到女性的重视。让一名女性与一名学生配对，使女性在产科健康领域与一个有名有姓的人建立关系，这种关系能带来有价值的额外收获：关怀、时间、耐心、努力、信息、支持、倡导及善意。它提升了助产士在社区中的形象，尤其是在标准护理模式下助产士对女性连续性护理的形象。它以各种有用且理想的方式增进了与女性的沟通，并为女性提供了为学生学习做出贡献的机会。它还为大学部门提供了一个重视并珍视助产士关系连续性的契机。
