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“我们需要的一种工具”:助产士对理想产科分诊工具的描述与建议

'A tool we need': Midwives' descriptions and recommendations of an ideal obstetric triage tool.

作者信息

Tukisi Kagiso P, Temane Annie, Nolte Anna

机构信息

Department of Nursing Science, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.

出版信息

Health SA. 2022 Oct 26;27:2029. doi: 10.4102/hsag.v27i0.2029. eCollection 2022.

Abstract

BACKGROUND

The obstetric triage tool (OBTT) is used to record the clinical findings following obstetric triage (OBT). The recorded OBTT provides midwives with clinical information leading to diagnosis of existing and potential maternal and foetal problems that may lead to intrapartum complications, planning of specific midwifery care and communication among the midwifery team about the woman in labour.

AIM

This study aimed to explore and describe midwives' experiences of the OBTT used during admission of women in labour in the Bojanala district.

SETTING

This study was conducted in the two selected facilities in Bojanala district in North West province.

METHODS

This study is a derivative of a major study, entitled 'Midwives' experiences of OBT by midwives in the Bojanala district'. A qualitative, explorative and descriptive research design was followed. Nine purposefully sampled midwives with over 5 years of clinical midwifery experience, employed in the Bojanala district, attended a semistructured interview. Data obtained were analysed using Colaizzi's descriptive method of data analysis according to the themes and categories which emerged.

RESULTS

One central theme with 10 subthemes emerged. Midwives verbalised their dissatisfaction with the current OBTT and made recommendations for the revision of the tool.

CONCLUSION

The study highlighted midwives' experiences of the OBTT and recommendations for an ideal tool based on their knowledge of admission of a woman in labour.

CONTRIBUTION

This study provides a new OBTT from midwives' perspectives that could be useful in improving pregnancy and labour outcomes in clinical midwifery practice.

摘要

背景

产科分诊工具(OBTT)用于记录产科分诊(OBT)后的临床检查结果。记录的OBTT为助产士提供临床信息,有助于诊断可能导致产时并发症的现有和潜在的母婴问题,规划具体的助产护理,并促进助产团队之间就分娩妇女的情况进行沟通。

目的

本研究旨在探讨和描述西北省博贾纳拉地区助产士在收治分娩妇女时使用OBTT的经验。

地点

本研究在西北省博贾纳拉地区选定的两家机构进行。

方法

本研究源自一项名为“博贾纳拉地区助产士对OBT的经验”的主要研究。采用了定性、探索性和描述性研究设计。九名在博贾纳拉地区工作、有超过5年临床助产经验的助产士被有目的地抽样,参加了半结构化访谈。根据出现的主题和类别,使用科莱齐的描述性数据分析方法对获得的数据进行分析。

结果

出现了一个包含10个子主题的中心主题。助产士表达了他们对当前OBTT的不满,并对该工具的修订提出了建议。

结论

该研究突出了助产士对OBTT的经验以及基于他们对分娩妇女收治情况的了解而对理想工具提出的建议。

贡献

本研究从助产士的角度提供了一种新的OBTT,这可能有助于改善临床助产实践中的妊娠和分娩结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0db7/9634682/8e14cd8f0010/HSAG-27-2029-g001.jpg

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