Western Sydney University & Nepean Blue Mountains Local Health District, Centre for Nursing and Midwifery Research, First Floor - Court Building - Nepean Hospital, Nepean Blue Mountains Local Health District, PO Box 63, Penrith NSW 2751 Australia.
Western Sydney University, Building 7, Ground Floor, Room 33, Campbelltown Campus | Locked Bag 1797 Penrith NSW 2751 Australia.
Midwifery. 2020 Jul;86:102691. doi: 10.1016/j.midw.2020.102691. Epub 2020 Mar 7.
To evaluate women's experiences of a student-led midwifery group practice.
A mixed methods design was used to examine women's experiences and level of satisfaction about a student-led midwifery model of care. An on-line survey elucidated women's levels of satisfaction and experiences with the student-led midwifery group practice. The online survey was sent to all women (n = 25) who were receiving care from third year Bachelor of Midwifery students in 2018 via email up to 6 weeks postnatally. The online survey was distributed in the first instance to obtain baseline information about the importance of this student-led midwifery group practice and so the survey information was linked to the in-depth interview in the analysis for the purpose of identifying if the women were primiparous or multiparous. Women (n = 9) were invited to participate in an in-depth interview by self-opting on the survey and this extra data provided a richer understanding about the level of satisfaction about woman-centred care led by midwifery students. Retrospective data were also collected from the Maternity database - E-Maternity about birth outcomes.
A tertiary teaching public hospital in New South Wales (NSW).
Fifteen women participated in an online survey. Five primiparous and four multiparous women opted to be involved in the in-depth interviews on the online survey.
Analysis in SPSS provided descriptive statistics including frequencies and percentages of data including birth outcomes. Simple correlations enabled associations to be established between levels of satisfaction, individualised care, quality of care, benefits and anxiety during pregnancy. The overarching themes from the qualitative findings identified the students' presence for the women as the most important component of the women's journey. The four main themes that emerged from the study included: familiarity of the caregiver, staying informed on the journey, feeling supported and reassured by their expertise, and control and decisions over birth events.
For a variety of reasons, women valued the presence of the students throughout their childbearing journey, including valuing the woman's private space during labour and her time with her partner. This combination of pedagogical approaches provides an alternative to the current placement approach, which includes working shifts in all areas of maternity. This approach will better support midwifery students to achieve the skills necessary to provide a continuity of care experience (CoCE) amongst a small team by a student-led midwifery group practice that is supported by a registered midwife in the antenatal clinic. The midwifery student is able to develop a relationship with the woman as a component of the CoCE under the guidance of a registered midwife and this is an important underpinning of the philosophy of woman-centred care.
This model of care provides evidence that women do value the students' support and presence throughout their experience and that the benefits of this model should be offered to all women as a normal component of their midwifery care.
评估妇女对学生主导的助产小组实践的体验。
采用混合方法设计，检查妇女对学生主导的助产模式的满意度和体验。在线调查阐明了妇女对学生主导的助产小组实践的满意度和体验。该在线调查通过电子邮件发送给 2018 年所有正在接受三年级助产学生护理的（n=25）女性，产后 6 周内。在线调查首先分发，以获取有关该学生主导的助产小组实践重要性的基线信息，因此调查信息与深入访谈相关联，目的是确定女性是初产妇还是经产妇。（n=9）名妇女通过在线调查选择参加深入访谈，这些额外数据提供了对妇女对助产学生主导的以妇女为中心的护理满意度的更深入了解。从电子病历 - E-Maternity 中还收集了回顾性生育结局数据。
新南威尔士州（NSW）的一所三级教学公立医院。
15 名妇女参加了在线调查。5 名初产妇和 4 名经产妇选择参与在线调查的深入访谈。
SPSS 中的分析提供了描述性统计数据，包括数据的频率和百分比，包括生育结局。简单的相关性使人们能够确定满意度、个性化护理、护理质量、怀孕期间的益处和焦虑之间的关联。从定性研究中得出的主要主题确定了学生对女性的存在是女性旅程中最重要的组成部分。研究中出现的四个主要主题包括：护理人员的熟悉程度、在旅程中保持知情、通过他们的专业知识获得支持和安心、以及对分娩事件的控制和决策。
由于各种原因，女性在整个生育过程中都重视学生的存在，包括在分娩期间尊重女性的私人空间和她与伴侣在一起的时间。这种教学方法的结合提供了一种替代当前安置方法的方法，该方法包括在整个产科领域轮班工作。这种方法将更好地支持助产学生通过学生主导的助产小组实践来实现提供连续性护理体验（CoCE）的技能，该小组实践得到产前诊所注册助产士的支持。助产学生可以在注册助产士的指导下与女性建立关系，作为 CoCE 的组成部分，这是以人为中心的护理理念的重要基础。
这种护理模式提供了证据表明，女性确实重视学生的支持和存在，并且应该将这种模式的好处作为其助产护理的正常组成部分提供给所有女性。
