Coddington Rebecca, Catling Christine, Homer Caroline S E
Centre for Midwifery, Child and Family Health, Faculty of Health, Level 8, 235-253 Jones Street, Broadway, University of Technology Sydney, New South Wales, Australia.
Centre for Midwifery, Child and Family Health, Faculty of Health, Level 8, 235-253 Jones Street, Broadway, University of Technology Sydney, New South Wales, Australia.
Women Birth. 2017 Feb;30(1):70-76. doi: 10.1016/j.wombi.2016.08.001. Epub 2016 Sep 1.
Over the past two decades, 14 publicly-funded homebirth models have been established in Australian hospitals. Midwives working in these hospitals now have the opportunity to provide homebirth care, despite many having never been exposed to homebirth before. The transition to providing homebirth care can be daunting for midwives who are accustomed to practising in the hospital environment.
To explore midwives' experiences of transitioning from providing hospital to homebirth care in Australian public health systems.
A descriptive, exploratory study was undertaken. Data were collected through in-depth interviews with 13 midwives and midwifery managers who had recent experience transitioning into and working in publicly-funded homebirth programs. Thematic analysis was conducted on interview transcripts.
Six themes were identified. These were: skilling up for homebirth; feeling apprehensive; seeing birth in a new light; managing a shift in practice; homebirth-the same but different; and the importance of mentoring and support.
Midwives providing homebirth work differently to those working in hospital settings. More experienced homebirth midwives may provide high quality care in a relaxed environment (compared to a hospital setting). Midwives acceptance of homebirth is influenced by their previous exposure to homebirth.
The transition from hospital to homebirth care required midwives to work to the full scope of their practice. When well supported by colleagues and managers, midwives transitioning into publicly-funded homebirth programs can have a positive experience that allows for a greater understanding of and appreciation for normal birth.
在过去二十年中，澳大利亚医院已建立了14种由公共资金资助的家庭分娩模式。在这些医院工作的助产士现在有机会提供家庭分娩护理，尽管许多人以前从未接触过家庭分娩。对于习惯在医院环境中执业的助产士来说，向提供家庭分娩护理的转变可能令人生畏。
探讨澳大利亚公共卫生系统中助产士从提供医院分娩护理过渡到家庭分娩护理的经历。
进行了一项描述性探索性研究。通过对13名最近有过过渡到公共资金资助的家庭分娩项目并在其中工作经历的助产士和助产士管理人员进行深入访谈来收集数据。对访谈记录进行了主题分析。
确定了六个主题。分别是：为家庭分娩提升技能；感到担忧；以新视角看待分娩；应对实践转变；家庭分娩——相同但又不同；以及指导和支持的重要性。
提供家庭分娩护理的助产士与在医院环境中工作的助产士工作方式不同。经验更丰富的家庭分娩助产士可能在轻松的环境中（与医院环境相比）提供高质量护理。助产士对家庭分娩的接受程度受其以前接触家庭分娩的影响。
从医院分娩护理过渡到家庭分娩护理要求助产士充分发挥其执业能力。当得到同事和管理人员的良好支持时，过渡到公共资金资助的家庭分娩项目的助产士可以有积极的体验，从而对正常分娩有更深入的理解和欣赏。
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