Manikgonj Nursing College, Bangladesh.
Save the Children Bangladesh, House No-CWN(A)35, House No-43; Gulshan-2, Dhaka, Bangladesh.
Sex Reprod Healthc. 2022 Mar;31:100692. doi: 10.1016/j.srhc.2021.100692. Epub 2021 Dec 23.
In 2013 the first midwives in Bangladesh to be educated according to international standards completed their course and were awarded a diploma. Sixty percent of their training took place in clinical placement sites. In order to achieve appropriate mentor support while in clinical practice, a mentorship programme was initiated whereby local doctors were appointed by Save the Children. The aim of this study is to describe the mentors' purpose and the actions they took to improve midwifery care at clinical placement sites. Their appointment was intended to support local Health Care Providers (HCPs) at clinical placement sites meant for educating midwifery students in evidence-based midwifery care.
An open-ended interview study with 14 mentors. The data was analysed using content analysis.
The main category, the theme that emerged from the analysis was "Creating commitment". "Creating commitment" describe how the mentors; the medical doctors employed by Save the Children, "Motivate", "Educate", "Mentor", "Advocate" and "Communicate" (subcategories) to creating commitment for quality midwifery care "In the organization of care" and "In clinical care practices" (categories). As intended, they enabled HCPs, midwifery students, and newly graduated midwives to provide quality midwifery care.
Using medical doctors' status and power to support the development of a newly emerging midwifery cadre in a country where midwifery is just emerging as a profession is because midwives integrated in the health system will improve the birthing process, improve life chances for newborns, and reduce morbidity and mortality in Bangladesh. It is recommended for implementation in other similar national contexts.
2013 年，首批按照国际标准接受培训的孟加拉国助产士完成学业并获得了文凭。他们 60%的培训是在临床实习地点进行的。为了在临床实践中获得适当的导师支持，启动了一项导师计划，由拯救儿童组织任命当地医生担任导师。本研究的目的是描述导师的目的以及他们为改善临床实习地点的助产护理而采取的行动。他们的任命旨在支持临床实习地点的当地卫生保健提供者（HCPs），为接受循证助产护理教育的助产士学生提供支持。
对 14 名导师进行了开放式访谈研究。使用内容分析法对数据进行分析。
主要类别是“建立承诺”，这是从分析中得出的主题。“建立承诺”描述了导师（由拯救儿童组织雇用的医生）如何“激励”、“教育”、“指导”、“倡导”和“沟通”（子类别），以建立对高质量助产护理的承诺，无论是在护理组织中还是在临床护理实践中（类别）。正如预期的那样，他们使 HCPs、助产士学生和新毕业的助产士能够提供高质量的助产护理。
在一个助产士职业刚刚兴起的国家，利用医生的地位和权力来支持新出现的助产士队伍的发展，因为融入卫生系统的助产士将改善分娩过程，提高新生儿的生活机会，并减少孟加拉国的发病率和死亡率。建议在其他类似的国家背景下实施。
