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一种探索助产士对国家产务服务改革看法的研究方法。

A research method to explore midwives' views of national maternity service reforms.

机构信息

Faculty of Health, Engineering and Sciences (HES), University of Southern Queensland, 11 Salisbury Road, Ipswich, Queensland, Australia.

Head of School Health and Wellbeing, Faculty of Health, Engineering and Sciences (HES), University of Southern Queensland, 11 Salisbury Road, Ipswich, Queensland 4305, Australia.

出版信息

Women Birth. 2018 Jun;31(3):e216-e221. doi: 10.1016/j.wombi.2017.09.014. Epub 2017 Oct 14.

DOI:10.1016/j.wombi.2017.09.014
PMID:29037486
Abstract

BACKGROUND

Priorities of the National Maternity Services Plan (NMSP) are a significant contrast to current standard hospital maternity service provision. This paper demonstrates the applicability of case study methods to explore the views of midwives during a period of midwifery reform.

AIM

This research aims to highlight key findings and insights surrounding recommended changes facing midwives that can be shared with education providers to incorporate strategies into education programs to ensure contemporary midwifery practice.

METHODS

Exploratory Case Study methodology was employed using ethical processes and designing semi-structured interview questions to explore participants' views. Purposive sampling ensured participants were currently practicing midwives in order to reflect the perspective and intent of this study. Data were analysed and findings presented in categories and subcategories.

RESULTS

Case Study methodology enables an in-depth understanding of a phenomenon to be explored within a natural context. The participants of this study formed a single unit of analysis to ensure the research makes a worthwhile contribution to the profession of midwifery.

CONCLUSION

This paper demonstrates that Case Study methodology is a valid research approach to exploring the views of midwives employed in standard care settings during a period of national reform. The rigorous processes and versatility of Case Study methodology ensured a systematic, critical enquiry was undertaken to gain understanding of the views of participants in implementing the NMSP. This understanding is reflective of the real life contexts of midwives to promote understanding and provide a body of knowledge where there is ambiguity and uncertainty.

摘要

背景

国家妇幼保健服务计划(NMSP)的优先事项与当前标准医院产科服务的提供形成了鲜明对比。本文展示了案例研究方法在探索助产士观点方面的适用性,这一方法适用于助产士改革期间。

目的

本研究旨在强调围绕助产士所面临的建议性变革的关键发现和见解,这些见解可以与教育提供者分享,以便将策略纳入教育计划中,以确保当代助产实践。

方法

采用探索性案例研究方法,通过伦理程序和设计半结构化访谈问题来探索参与者的观点。为了反映本研究的观点和意图,采用了目的性抽样,确保参与者是目前从事助产工作的人。对数据进行了分析,并按照类别和子类别呈现了研究结果。

结果

案例研究方法能够在自然背景下深入探讨现象。本研究的参与者构成了一个单一的分析单元,以确保该研究对助产专业做出了有价值的贡献。

结论

本文表明,案例研究方法是一种有效的研究方法,可以在国家改革期间探索标准护理环境中从事助产工作的助产士的观点。案例研究方法的严格程序和多功能性确保了系统、批判性地进行探究,以了解参与者在实施 NMSP 方面的观点。这种理解反映了助产士的现实生活背景,以促进理解并提供一个在存在模糊性和不确定性的情况下的知识体系。

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