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支持助产士队伍建设:对澳大利亚维多利亚州一家大型三级妇产医院本科助产士学生就业模式的评估。

Supporting the midwifery workforce: An evaluation of an undergraduate midwifery student employment model at a large tertiary maternity service in Victoria, Australia.

机构信息

Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia.

Judith Lumley Centre, La Trobe University, Bundoora, VIC 3086, Australia; School of Nursing & Midwifery, La Trobe University, Bundoora, VIC 3086, Australia.

出版信息

Women Birth. 2023 Feb;36(1):e65-e77. doi: 10.1016/j.wombi.2022.04.012. Epub 2022 May 5.

DOI:10.1016/j.wombi.2022.04.012
PMID:35527196
Abstract

BACKGROUND

In 2020, in response to major maternity workforce challenges exacerbated by the COVID-19 pandemic, the Victorian Department of Health implemented a number of workforce maximisation strategies, one of which was employment of undergraduate midwifery students called 'Registered Undergraduate Student Of Midwifery' (RUSOM).

AIM

To evaluate the RUSOM model implemented in a tertiary maternity service in Melbourne, Australia.

METHODS

A cross-sectional online survey was distributed to all RUSOMs and midwives at the study site in August 2021.

FINDINGS

Twenty of 26 RUSOMs (77%) and 110 of 338 permanent midwives (33%) responded. Both groups considered the model to be a positive workforce strategy that contributed to work readiness of students, and increased confidence and competence to practise. RUSOMS and midwives reported positives for the organisation including improving workload for midwives on the postnatal ward, enhancing quality of care and outcomes for women and babies, and the value of RUSOMs as team members. RUSOMs felt well supported, supervised and clinically and theoretically prepared. Both groups considered RUSOMs were underutilised, and that they could undertake additional duties, and both thought that the RUSOM model should continue.

CONCLUSION

The model was highly valued by both RUSOMs and midwives. There was strong agreement that the model should continue and that the list of duties could be expanded. Given these findings, further research should explore the expansion and sustainability of RUSOMs in the maternity workforce.

摘要

背景

2020 年,为应对因 COVID-19 大流行而加剧的主要助产劳动力挑战,维多利亚州卫生部实施了多项劳动力最大化战略,其中之一是雇用本科助产学生,称为“注册本科助产学生”(RUSOM)。

目的

评估澳大利亚墨尔本一家三级产科服务机构实施的 RUSOM 模式。

方法

2021 年 8 月,向研究现场的所有 RUSOM 和助产士分发了横断面在线调查。

发现

26 名 RUSOM 中的 20 名(77%)和 338 名永久助产士中的 110 名(33%)做出了回应。两组人员都认为该模式是一种积极的劳动力策略,有助于学生的工作准备,并提高了实践的信心和能力。RUSOM 和助产士报告说,该组织有积极的方面,包括增加了产后病房的助产士工作量,提高了妇女和婴儿的护理质量和结果,以及 RUSOM 作为团队成员的价值。RUSOM 感到得到了很好的支持、监督以及临床和理论上的准备。两组人员都认为 RUSOM 未得到充分利用,可以承担额外的职责,并且都认为 RUSOM 模式应该继续。

结论

该模式受到 RUSOM 和助产士的高度重视。双方都强烈认为该模式应该继续,并应该扩大职责范围。鉴于这些发现,应进一步研究扩大和维持 RUSOM 在产科劳动力中的作用。

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