Roth Louise Marie, Henley Megan M, Seacrist Marla J, Morton Christine H
J Obstet Gynecol Neonatal Nurs. 2016 Nov-Dec;45(6):790-800. doi: 10.1016/j.jogn.2016.06.011. Epub 2016 Sep 10.
To analyze factors that lead nurses and doulas to have positive views of each other.
A multivariate analysis of a cross-sectional survey, the Maternity Support Survey.
Online survey with labor and delivery nurses, doulas, and childbirth educators in the United States and Canada.
A convenience sample of 704 labor and delivery nurses and 1,470 doulas.
Multiple regression analysis was used to examine five sets of hypotheses about nurses' and doulas' attitudes toward each other. Scales of nurses' attitudes toward doulas and doulas' attitudes toward nurses included beliefs that nurses/doulas enhance communication, are collaborative team members, enhance a woman's birth experience, interfere with the ability to provide care, or interfere with relationships with the women for whom they care.
For nurses, exposure to doulas in their primary hospitals was associated with more positive views, whereas working more hours, feeling overworked, and a preference for clinical tasks over labor support were associated with more negative views of doulas. For doulas, working primarily in one hospital and certification were associated with more positive views of nurses. Nurses with more positive attitudes toward common obstetric practices had more negative attitudes toward doulas, whereas doulas with more positive attitudes toward common obstetric practices had more positive attitudes toward nurses.
Our findings show factors that influence mutual understanding and appreciation of nurses and doulas for each other. These factors can be influenced by educational efforts to improve interprofessional collaboration between these maternity care support roles.
分析促使护士和导乐相互产生积极看法的因素。
对横断面调查“产妇支持调查”进行多变量分析。
针对美国和加拿大的分娩护士、导乐及分娩教育工作者开展的在线调查。
704名分娩护士和1470名导乐组成的便利样本。
采用多元回归分析来检验关于护士和导乐相互态度的五组假设。护士对导乐的态度量表以及导乐对护士的态度量表包括以下信念，即护士/导乐能加强沟通、是协作团队成员、能提升女性的分娩体验、干扰护理能力或干扰与她们所护理女性的关系。
对于护士而言，在其主要工作医院接触导乐与更积极的看法相关，而工作时间更长、感觉工作过度劳累以及相较于分娩支持更偏好临床任务则与对导乐的更负面看法相关。对于导乐来说，主要在一家医院工作和获得认证与对护士的更积极看法相关。对常见产科操作态度更积极的护士对导乐的态度更消极，而对常见产科操作态度更积极的导乐对护士的态度更积极。
我们的研究结果显示了影响护士和导乐相互理解与欣赏的因素。这些因素可通过教育努力来加以影响，以改善这些产科护理支持角色之间的跨专业协作。
