Cummins Allison M, Denney-Wilson E, Homer C S E
Faculty of Health, University of Technology, Broadway, NSW 2007, Australia.
Faculty of Health, University of Technology, Broadway, NSW 2007, Australia.
Midwifery. 2015 Apr;31(4):438-44. doi: 10.1016/j.midw.2014.12.013. Epub 2015 Jan 7.
midwifery continuity of care has been shown to be beneficial to women through reducing interventions and other maternal and neonatal morbidity. In Australia, numerous government reports recognise the importance of midwifery models of care that provide continuity. Given the benefits, midwives, including new graduate midwives, should have the opportunity to work in these models of care. Historically, new graduates have been required to have a number of years׳ experience before they are able to work in these models of care although a small number have been able to move into these models as new graduates.
to explore the experiences of the new graduate midwives who have worked in midwifery continuity of care, in particular, the support they received; and, to establish the facilitators and barriers to the expansion of new graduate positions in midwifery continuity of care models.
a qualitative descriptive study was undertaken framed by the concept of continuity of care.
the new graduate midwives valued the relationship with the women and with the group of midwives they worked alongside. The ability to develop trusting relationships, consolidate skills and knowledge, be supported by the group and finally feeling prepared to work in midwifery continuity of care from their degree were all sub-themes. All of these factors led to the participants feeling as though they were 'becoming a real midwife'.
this is the first study to demonstrate that new graduate midwives value working in midwifery continuity of care - they felt well prepared to work in this way from their degree and were supported by midwives they worked alongside. The participants reported having more confidence to practice when they have a relationship with the woman, as occurs in these models.
有研究表明，连续性助产护理对女性有益，可减少干预措施以及其他孕产妇和新生儿发病率。在澳大利亚，众多政府报告都认识到提供连续性护理的助产护理模式的重要性。鉴于其益处，包括新毕业的助产士在内的助产士应有机会在这些护理模式中工作。从历史上看，新毕业生需要有若干年的经验才能在这些护理模式中工作，不过也有少数新毕业生能够直接进入这些模式工作。
探讨在连续性助产护理中工作的新毕业助产士的经历，特别是他们所获得的支持；并确定在连续性助产护理模式中扩大新毕业生岗位的促进因素和障碍。
开展了一项以护理连续性概念为框架的定性描述性研究。
新毕业的助产士重视与产妇以及与一同工作的助产士团队之间的关系。能够建立信任关系、巩固技能和知识、得到团队支持并最终因学位而感到为从事连续性助产护理做好准备，这些都是子主题。所有这些因素都让参与者感觉自己“正在成为一名真正的助产士”。
这是第一项表明新毕业助产士重视在连续性助产护理中工作的研究——他们觉得从学位课程起就为以这种方式工作做好了充分准备，并得到了一同工作的助产士的支持。参与者报告称，当他们与产妇建立关系时，就像在这些模式中那样，他们会更有信心进行实践。
