Jansen Charlotte H, de Vries Jana M, Engels Melanie, van de Kamp Karline, Snijders Rosalinde J, Martin Linda, Henneman Lidewij, Pajkrt Eva
Department of Obstetrics and Gynaecology, Amsterdam Reproduction and Development Research Institute, Amsterdam UMC, University of Amsterdam,Amsterdam, the Netherlands.
EchoXpert, Prenatal Ultrasound and Training Center, Amsterdam,the Netherlands.
Eur J Midwifery. 2020 Sep 22;4:38. doi: 10.18332/ejm/126626. eCollection 2020.
Ongoing developments in prenatal anomaly screening necessitate continuous updating of counsellors' knowledge. We explored the effect of a refresher counselling course on participants' knowledge of prenatal screening.
We investigated the association between knowledge and counsellors' working experience. Also, the association between knowledge and counsellors' attitude towards prenatal screening was determined. All counsellors in the North-West region of the Netherlands were invited to attend a refresher counselling course and fill in both a pre-course and a post-course questionnaire. The participants consisted of midwifes, sonographers and gynaecologists. A 55-item questionnaire assessed pre-course (T0) and post-course (T1) knowledge. At T0, counsellors' attitude towards the prenatal screening program was assessed and its association with knowledge analysed.
Of 387 counsellors, 68 (18%) attended the course and completed both questionnaires. Knowledge increased significantly from 77.7% to 84.6% (p<0.01). Scores were lowest regarding congenital heart diseases. Participants with ultrasound experience scored higher on T0, but improvement was seen in participants with and without ultrasound experience. Participants with a positive attitude towards a free-of-charge first trimester combined test had higher knowledge scores than participants with a negative attitude (62% vs 46%; p=0.002).
A refresher course improved counsellors' knowledge on prenatal screening. Ultrasound experience and a positive attitude towards free screening may be associated with higher knowledge levels. Participating in a mandatory refresher counselling course is useful for the continuous improvement of healthcare practitioners' knowledge. More research on the effect of knowledge and attitude on the quality of prenatal screening is necessary.
产前异常筛查技术的不断发展要求咨询师持续更新知识。我们探讨了进修辅导课程对参与者产前筛查知识的影响。
我们调查了知识与咨询师工作经验之间的关联。此外，还确定了知识与咨询师对产前筛查态度之间的关联。荷兰西北地区的所有咨询师均受邀参加进修辅导课程，并填写课程前和课程后的问卷。参与者包括助产士、超声检查医师和妇科医生。一份包含55个条目的问卷评估了课程前（T0）和课程后（T1）的知识。在T0时，评估了咨询师对产前筛查项目的态度，并分析了其与知识的关联。
387名咨询师中，68名（18%）参加了课程并完成了两份问卷。知识水平从77.7%显著提高到84.6%（p<0.01）。关于先天性心脏病的得分最低。有超声检查经验的参与者在T0时得分较高，但有和没有超声检查经验的参与者均有进步。对免费孕早期联合检测持积极态度的参与者的知识得分高于持消极态度的参与者（62%对46%；p=0.002）。
进修课程提高了咨询师对产前筛查的知识水平。超声检查经验和对免费筛查的积极态度可能与更高的知识水平相关。参加强制性的进修辅导课程对持续提高医疗从业者的知识水平很有帮助。有必要对知识和态度对产前筛查质量的影响进行更多研究。
