Flinders University, College of Nursing and Health Science, Sturt Street, Bedford Park, Adelaide, SA 5154, Australia.
Flinders University, College of Nursing and Health Science, Sturt Street, Bedford Park, Adelaide, SA 5154, Australia.
Women Birth. 2021 Feb;34(1):e7-e13. doi: 10.1016/j.wombi.2020.04.009. Epub 2020 May 11.
No South Australian study has previously investigated the role of midwives in the promotion and provision of antenatal influenza immunisation.
Influenza acquired in pregnancy can have serious sequalae for both mother and foetus. Recent studies have demonstrated that influenza vaccine in pregnancy is both safe and effective. Despite this, evidence suggests that vaccine uptake in pregnancy is suboptimal in both Australia and worldwide.
The aim of this study was to investigate the role of midwives in the promotion and provision of antenatal influenza vaccine and, to provide a statistical and thematic description of the barriers and enablers midwives encounter.
This mixed method study incorporated a cross sectional on-line survey and in-depth interviews conducted with midwives, employed in urban and regional South Australia.
Quantitative data were available for 137 midwives and 10 midwives participated in the interviews. Recruitment for the interview phase was through the last question on the survey. Whilst all midwives indicated that education and vaccine promotion were part of their role, immunisation knowledge varied between Registered Nurse/Midwives (RM/RN) 80% and Registered Midwives (RM) 48.90% ( = 0.001). Quantitative data showed that only 43% of midwives felt sufficiently educated to provide the vaccine. Midwives who had received formal immunisation training were more likely to recommend the vaccine 93.7% ( = 0.001). Qualitative data confirmed these results and identified the lack of immunisation education as a barrier to practise.
Midwives identified an immunisation knowledge deficit. Midwives who had received immunisation education were more likely to actively promote and provide the vaccine to pregnant women. These findings indicate the need for more immunisation education of midwives in both tertiary and practice settings.
以前没有南澳大利亚的研究调查过助产士在促进和提供产前流感免疫方面的作用。
孕妇感染流感可能会对母亲和胎儿造成严重后果。最近的研究表明，孕妇接种流感疫苗既安全又有效。尽管如此，有证据表明，澳大利亚和全球范围内孕妇的疫苗接种率都不理想。
本研究旨在调查助产士在促进和提供产前流感疫苗方面的作用，并提供助产士遇到的障碍和促进因素的统计和主题描述。
这项混合方法研究包括对南澳大利亚城市和地区的助产士进行横断面在线调查和深入访谈。
定量数据可用于 137 名助产士，10 名助产士参加了访谈。访谈阶段的招聘是通过调查的最后一个问题进行的。虽然所有的助产士都表示教育和疫苗推广是他们工作的一部分，但免疫知识在注册护士/助产士（RM/RN）80%和注册助产士（RM）48.90%之间存在差异（=0.001）。定量数据显示，只有 43%的助产士认为自己受过足够的教育可以提供疫苗。接受过正规免疫接种培训的助产士更有可能推荐接种疫苗，占 93.7%（=0.001）。定性数据证实了这些结果，并指出缺乏免疫教育是实践的障碍。
助产士确定了免疫知识的不足。接受过免疫教育的助产士更有可能积极向孕妇推荐和提供疫苗。这些发现表明，需要在三级和实践环境中为助产士提供更多的免疫教育。
