Regan Annette K, Hauck Yvonne, Nicolaou Lisa, Engelbrecht Danielle, Butt Janice, Mak Donna B, Priest Rikki, Cukierman Ronit, Effler Paul V
School of Public Health, Curtin University, Bentley, WA 6152, Australia.
School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, WA 6152, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, WA 6008, Australia.
Midwifery. 2018 Jul;62:199-204. doi: 10.1016/j.midw.2018.04.004. Epub 2018 Apr 10.
To determine the knowledge, attitudes and learning needs of midwives regarding antenatal vaccination.
A cross-sectional, paper-based survey of midwives employed at the only public tertiary maternity hospital in the Australian state of Western Australia between November 2015 and July 2016.
252 midwives providing care in antepartum, intrapartum, and/or postpartum settings.
Self-reported responses to a 41-item survey.
The vast majority of midwives supported influenza and pertussis vaccination for pregnant women, with 90.0% and 71.7% reporting they would recommend pertussis and influenza vaccine, respectively, to a pregnant friend or family member, and almost all stating that midwives should administer vaccines to pregnant patients (94.8%). Seven out of ten midwives (68.1%) responded correctly to all knowledge items regarding vaccines recommended during pregnancy; 52.8% demonstrated correct knowledge regarding vaccine administration despite only 36.6% having attended an education session on antenatal vaccination in the previous two years. Nearly all midwives (97.3%) expressed a need for more education on vaccine administration. The most commonly reported barrier to administering influenza (61.3%) and pertussis (59.0%) vaccination was having staff available with the certification required to administer vaccines.
Midwives view antenatal vaccination as their responsibility and are interested and receptive to education.
There is an unmet need and demand among midwives for professional development that would enable them to recommend and administer vaccines to pregnant women in accordance with national immunisation guidelines and integrate vaccination into routine antenatal care.
确定助产士在产前疫苗接种方面的知识、态度和学习需求。
2015年11月至2016年7月，对澳大利亚西澳大利亚州唯一一家公立三级妇产医院聘用的助产士进行了一项基于纸质问卷的横断面调查。
252名在产前、产时和/或产后环境中提供护理的助产士。
对一项包含41个条目的调查问卷进行自我报告式回答。
绝大多数助产士支持孕妇接种流感疫苗和百日咳疫苗，分别有90.0%和71.7%的助产士表示会向怀孕的朋友或家人推荐百日咳疫苗和流感疫苗，几乎所有助产士（94.8%）都表示助产士应该为怀孕患者接种疫苗。十分之七的助产士（68.1%）对所有关于孕期推荐疫苗的知识问题回答正确；52.8%的助产士对疫苗接种知识掌握正确，尽管在前两年中只有36.6%的人参加过产前疫苗接种教育课程。几乎所有助产士（97.3%）都表示需要接受更多关于疫苗接种的教育。报告中最常见的流感疫苗（61.3%）和百日咳疫苗（59.0%）接种障碍是缺乏具备疫苗接种所需资质的工作人员。
助产士将产前疫苗接种视为自己的责任，并且对教育感兴趣且乐于接受。
助产士对专业发展存在未得到满足的需求，这将使他们能够根据国家免疫指南为孕妇推荐和接种疫苗，并将疫苗接种纳入常规产前护理。
