School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia 6102, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Western Australia, 6009, Australia.
King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
Midwifery. 2019 Sep;76:142-147. doi: 10.1016/j.midw.2019.06.002. Epub 2019 Jun 3.
Women's use of mobile phones while in birth suite has been recognised as a common occurrence. However, no evidence has been reported around midwives' perceptions of how women's mobile phone use impacts midwifery care in birth suite.
To explore midwives' perceptions of women's mobile phone use and impact on care in the labour and birth environment.
A qualitative descriptive study was undertaken. Transcriptions from focus groups were subjected to thematic analysis.
Ten focus groups involving 63 Australian midwives were conducted. Four key themes and corresponding subthemes were identified: 'considering consent' which encompassed the subthemes 'establishing boundaries' and 'taken by surprise'; 'competing with the phone' encompassing 'missing the experience' and 'delaying care'; 'being with woman' encompassing 'affecting relationships' and 'not my right to deny'; and finally 'bringing others into the room' with subthemes of 'keeping in touch' and 'seeking a second opinion'.
This is the first study to explore midwives perceptions of women's mobile phone use and the impact on a midwife's ability to provide care in birth suite. Findings suggest that women's mobile phone use can influence the relationship between the midwife and the woman and contributes to delays in providing care. Midwives shared how they experienced tensions around their right to grant permission for their image to be recorded. Finally, mobile phones have allowed others not present in the birth suite to access women and influence their decision making.
It is widely recognised women are bringing their mobile phones into the labour and birth environment. Therefore, it is important we explore midwives perceptions around the tensions and concerns that exist, so they can be addressed.
女性在分娩套房中使用手机已被认为是一种常见现象。然而，目前尚无证据表明助产士如何看待女性在分娩套房中使用手机会对助产护理产生影响。
探讨助产士对女性使用手机及其对分娩环境中护理影响的看法。
采用定性描述性研究方法。对焦点小组的转录内容进行主题分析。
共进行了 10 个焦点小组，涉及 63 名澳大利亚助产士。确定了 4 个主要主题和相应的子主题：“考虑同意”，包括“建立界限”和“感到意外”；“与手机竞争”，包括“错过体验”和“延迟护理”；“陪伴女性”，包括“影响关系”和“我无权拒绝”；最后是“将他人带入房间”，包括“保持联系”和“寻求第二意见”。
这是第一项探讨助产士对女性使用手机及其对在分娩套房中提供护理能力的影响的看法的研究。研究结果表明，女性使用手机会影响助产士和女性之间的关系，并导致护理延迟。助产士分享了他们在授予拍摄许可方面的权利方面所经历的紧张感。最后，手机使不在分娩套房中的其他人能够访问女性并影响他们的决策。
人们普遍认识到女性将手机带入分娩和分娩环境中。因此，重要的是我们要探讨助产士对现有紧张局势和问题的看法，以便加以解决。
