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急救医疗技术人员在机构外非计划分娩中的经历:一项定性访谈研究。

Emergency medical technicians' experiences with unplanned births outside institutions: A qualitative interview study.

作者信息

Vagle Hanne, Haukeland Gunn Terese, Dahl Bente, Aasheim Vigdis, Vik Eline Skirnisdottir

机构信息

Faculty of Health and Social Sciences Western Norway University of Applied Sciences Bergen Norway.

Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences University of South-Eastern Norway Kongsberg Norway.

出版信息

Nurs Open. 2019 Jul 31;6(4):1542-1550. doi: 10.1002/nop2.354. eCollection 2019 Oct.

Abstract

AIM

To explore emergency medical technicians' experiences with unplanned births outside institutions.

DESIGN

A qualitative interview study.

METHODS

Individual semi-structured interviews with 12 emergency medical technicians in Norway. Systematic text condensation was used to analyse the data material.

RESULTS

Analysis showed that there is a mismatch between society's expectations about emergency medical technicians and the reality they encounter in out-of-hospital maternity care, that emergency medical technicians experience a general lack of training in caring for labouring women and that poor communication with other health professions challenges patient safety. The participants expressed how they do their best in caring for both mother and child, in spite of a lack of education, training and competence in assisting labouring women.

摘要

目的

探讨急救医疗技术人员处理院外意外分娩的经历。

设计

一项定性访谈研究。

方法

对挪威12名急救医疗技术人员进行个人半结构式访谈。采用系统文本浓缩法分析数据资料。

结果

分析表明,社会对急救医疗技术人员的期望与他们在院外产妇护理中所遇到的现实情况存在差距,急救医疗技术人员普遍感到在护理分娩妇女方面缺乏培训,并且与其他医疗专业人员沟通不畅对患者安全构成挑战。尽管在协助分娩妇女方面缺乏教育、培训和能力,但参与者表示他们会尽最大努力照顾好母亲和孩子。

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