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同行小组监督是协助助产士解决复杂病例的有效方法:爱沙尼亚东塔林中央医院妇女诊所的案例研究。

Peer group supervision is an efficient method to assist midwives to solve complicated cases: A case-study in the Women's Clinic, East-Tallinn Central Hospital, Estonia.

作者信息

Merits Marika, Bartels Irena, Kärema Annely

机构信息

Midwifery Department, Health Education Centre, Tallinn Health Care College, Tallinn, Estonia.

East-Tallinn Central Hospital Women's Clinic, Tallinn, Estonia.

出版信息

Eur J Midwifery. 2019 Sep 30;3:17. doi: 10.18332/ejm/112255. eCollection 2019.

Abstract

INTRODUCTION

Midwives have a remarkable influence on various outcomes in healthcare, of which the activities related to the management during the childbirth are emphasised the most. Midwives like all healthcare workers encounter many different stressors in clinical practice, including time pressure, excessive workload, different roles, and emotional issues. The profession of the midwife requires much knowledge, competence, good attitude and self-confidence in order to cope with many different complicated situations and dilemmas. This study has been conducted under the project: 'Increasing midwives' ethical competence: a European educational and practice development project (INEC)'.

METHODS

This is a qualitative case study. The current case study involved 7 midwives of the Women's Clinic, East-Tallinn Central Hospital, Estonia; the midwives expressed their willingness and agreed to take part in the activities of the peer group supervisors. The aim of the case study was to find how peer group supervision as a method helps midwives to solve complicated cases and dilemmas, helping them to maintain self-confidence and therefore to manage stress at work more effectively.

RESULTS

All the participating midwives shared the opinion that peer group supervision helps midwives to cope with complicated situations and dilemmas more effectively, it empowers professional skills and self-confidence, and so contributes to more effective stress management at work. Also, the midwives expressed hope that this topic would be useful for the professional midwives and to other employees working in the field of healthcare, that encounter complicated cases in their daily work, and so will form an active team of peer group supervision.

CONCLUSIONS

Peer group supervision is an efficient method that helps midwives solve complicated cases in the Women's Clinic, East-Tallinn Central Hospital, Estonia.

摘要

引言

助产士对医疗保健中的各种结果有着显著影响,其中与分娩管理相关的活动最为突出。与所有医护人员一样,助产士在临床实践中会遇到许多不同的压力源,包括时间压力、工作量过大、角色多样以及情感问题。助产士职业需要具备丰富的知识、能力、良好的态度和自信,以便应对各种复杂的情况和困境。本研究是在“提高助产士的道德能力:一项欧洲教育与实践发展项目(INEC)”这一项目下开展的。

方法

这是一项定性案例研究。当前的案例研究涉及爱沙尼亚东塔林中央医院妇女诊所的7名助产士;这些助产士表示愿意并同意参与同伴督导小组的活动。该案例研究的目的是探究同伴督导小组作为一种方法如何帮助助产士解决复杂病例和困境,帮助他们保持自信,从而更有效地应对工作压力。

结果

所有参与研究的助产士都认为,同伴督导小组能帮助助产士更有效地应对复杂情况和困境,提升专业技能和自信,进而有助于在工作中更有效地管理压力。此外,助产士们希望这个话题对专业助产士以及其他在医疗保健领域工作、在日常工作中遇到复杂病例的员工有用,这样就能形成一个积极的同伴督导小组团队。

结论

同伴督导小组是一种有效的方法,可帮助爱沙尼亚东塔林中央医院妇女诊所的助产士解决复杂病例。

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