Lucas Catherine Jane, Lyell Ellen, Koch Britney, Elder Victoria, Cummins Leanne, Lambert Sarah, McMahon Anne T, Charlton Karen E
Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Maternity and Women's Health, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
BMJ Nutr Prev Health. 2019 Sep 3;2(2):80-85. doi: 10.1136/bmjnph-2019-000031. eCollection 2019.
Midwives and general practice nurses are ideally positioned to provide nutrition education to pregnant women. However, it appears that they do not receive sufficient nutrition training to enable them to fulfil this role. This study aimed to develop, implement and evaluate a suite of learning resources developed specifically for midwives, general practice nurses and student nurses. A four-module suite of learning resources was developed based on recommendations in the Australian Antenatal Care Clinical Guidelines as well as formative evaluation with stakeholders. The feasibility of these modules was tested using a pre-test and post-test quasi-experimental design with three arms using convenient sampling (face-to-face with midwives; online with student nurses; and online with midwives, nurses and practice nurses). Completion rates across the three study arms were poor (n=40 participants in total). For the combined data, there was a significant increase in knowledge scores across all modules from the pretest score (median (IQR): 3.46 (2.09-4.13)) to the post-test score (5.66 (4.66-6.00)) (p<0.001). Studies of high quality are required to determine if changing the nutrition knowledge and confidence in delivering nutrition care of health professionals results in sustainable changes to their clinical practice.
助产士和全科护士在为孕妇提供营养教育方面具有理想的条件。然而,她们似乎没有接受足够的营养培训,无法履行这一职责。本研究旨在开发、实施和评估一套专门为助产士、全科护士和实习护士开发的学习资源。基于澳大利亚产前护理临床指南中的建议以及与利益相关者的形成性评估,开发了一套包含四个模块的学习资源。这些模块的可行性通过采用前测和后测的准实验设计进行测试,该设计分为三个组,采用方便抽样(与助产士面对面;与实习护士在线;与助产士、护士和全科护士在线)。三个研究组的完成率都很低(总共40名参与者)。对于合并数据,所有模块的知识得分从前测分数(中位数(四分位间距):3.46(2.09 - 4.13))到后测分数(5.66(4.66 - 6.00))有显著提高(p < 0.001)。需要高质量的研究来确定改变卫生专业人员的营养知识和提供营养护理的信心是否会导致他们临床实践的可持续变化。