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助产士在分娩病房实施助产模式前后的工作状况和专业角色 - 混合方法研究。

Work situation and professional role for midwives at a labour ward pre and post implementation of a midwifery model of care - A mixed method study.

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University , Gothenburg, Sweden.

Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg University , Gothenburg, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2020 Dec;15(1):1848025. doi: 10.1080/17482631.2020.1848025.

Abstract

: To explore and analyse the experience of work situation and professional role for midwives at a labour ward pre and post the implementation of a midwifery model of care (MiMo). : A simultaneous mixed method was used. The qualitative core component departed from three focus group interviews (n = 16 midwives). Secondary inductive and deductive content analysis was performed using an unconstrained matrix to make a corresponding comparison of the different time points. The supplemental component was a quantitative survey about the work situation (n = 58). : The qualitative results pre the implementation showed three categories: , and . Post the intervention they transformed to , and a new category was found. There were no significant differences in the measures of work situation in the quantitative analyses. : The synthesized findings based on the qualitative part show that MiMo has a potential to strengthen the professional role and midwifery practice. As such, MiMo has the capability to offer benefits to the labour wards with additional considerations.

摘要

: 探讨并分析助产士在实施助产模式(MiMo)前后在产房的工作状况和专业角色体验。: 采用同时混合方法。定性核心部分源自三个焦点小组访谈(n=16 名助产士)。使用无约束矩阵进行二次归纳和演绎内容分析,以对应比较不同时间点。补充部分是关于工作状况的定量调查(n=58)。: 实施前的定性结果显示出三个类别: 、 、 。干预后转化为 、 和一个新类别 。定量分析中工作状况的测量没有显著差异。: 基于定性部分的综合发现表明,MiMo 有可能增强专业角色和助产实践。因此,MiMo 有可能为产房带来额外的好处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a6d/7717870/7fb3742e9cf8/ZQHW_A_1848025_F0001_OC.jpg

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