Pregnancy Loss Research Group (PLRG), Department of Obstetrics and Gynaecology, University College Cork, Ireland.
Pregnancy Loss Research Group (PLRG), Department of Obstetrics and Gynaecology, University College Cork, Ireland; The Irish Centre for Maternal and Child Health (INFANT), University College Cork, Ireland.
Sex Reprod Healthc. 2021 Jun;28:100613. doi: 10.1016/j.srhc.2021.100613. Epub 2021 Mar 17.
In January 2019, Termination of Pregnancy (TOP) services were introduced in Ireland allowing the termination of pregnancies < 12 weeks. This study aimed to investigate staff knowledge and training on early TOP and views regarding challenges to successful integration of the service within a large maternity hospital.
A questionnaire, modelled on interim clinical guidance and previous studies on the topic, was distributed to clinical staff in a large maternity hospital in 2019. Descriptive analysis and a hierarchical multiple regression were performed using SPSS.
Levels of knowledge on TOP among staff, training received and main challenges to the service.
Of the total of participants (n = 133), just one-quarter correctly answered all questions on the current legislation and 63.2% on complications. Male gender, education level (diploma/certificate), and age (<30 years) negatively contributed to overall knowledge. 'Medical' job position positively contributed to knowledge levels. Most respondents (88%) had not received training prior to introduction of TOP services. Of those who did, few (9%) believed it to be sufficient. The main identified challenges to the service were lack of training and education, staffing and resources.
Low levels of knowledge among staff suggests that training is required to ensure the provision of a safe and effective TOP service. Our findings indicate that updated and clearer clinical guidance on TOP services is also needed.
2019 年 1 月，爱尔兰引入了终止妊娠（TOP）服务，允许在怀孕 12 周之前终止妊娠。本研究旨在调查工作人员对早期 TOP 的知识和培训情况，以及对在大型妇产医院成功整合该服务所面临挑战的看法。
2019 年，我们向一家大型妇产医院的临床工作人员分发了一份基于中期临床指导和先前关于该主题的研究的问卷。使用 SPSS 进行描述性分析和层次多重回归分析。
工作人员对 TOP 的知识水平、接受的培训以及该服务的主要挑战。
在总共（n=133）的参与者中，只有四分之一的人正确回答了当前法规的所有问题，而只有 63.2%的人回答了并发症的问题。男性、教育水平（文凭/证书）和年龄（<30 岁）越低，对整体知识的贡献越低。“医学”工作岗位对知识水平有积极贡献。大多数受访者（88%）在引入 TOP 服务之前没有接受过培训。其中，只有少数（9%）人认为培训足够。该服务面临的主要挑战是缺乏培训和教育、人员配备和资源。
工作人员的知识水平较低表明需要进行培训，以确保提供安全有效的 TOP 服务。我们的研究结果表明，还需要对 TOP 服务进行更新和更清晰的临床指导。
