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培养我们的新助产士:一项定性研究,探讨导师在支持新毕业助产士在连续护理模式中工作的经验。

Nurturing our new midwives: A qualitative enquiry of mentor's experiences of supporting new graduate midwives working in continuity of care models.

机构信息

Sunshine Coast Hospital and Health Service, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Australia.

School of Nursing and Midwifery, Edith Cowan University, Australia.

出版信息

Women Birth. 2023 Jul;36(4):357-366. doi: 10.1016/j.wombi.2022.12.003. Epub 2023 Feb 7.

Abstract

PROBLEM

Limited opportunity exists for new graduates in Australia to be employed in continuity of care midwifery models.

AIM

To explore the perspectives of midwifery mentors supporting new graduate midwives employed in continuity of care models.

METHODS

An interpretive, qualitative study was conducted. Semi-structured interviews and focus groups with senior midwifery staff who mentored new graduate midwives during their transition to practice within a continuity of care model were undertaken. Digitally recorded and transcribed verbatim, data were thematically analysed. Data collection ceased once theoretical saturation had been achieved. NVIVO software was used to assist with coding and data management.

FINDINGS

Twelve mentors participated. Mentors provided valuable feedback to optimise the supportive mechanisms to enable the success of the rotation of new graduate midwives in continuity of care models during their transition to practice period. Three key themes were constructed, including: Getting it right in the first place; Nurturing our new midwives; and The cultural void.

DISCUSSION

Consistent with the wider literature, effective implementation, sound support structures and wider acceptance of new graduate midwives transitioning to practice within continuity of care models is crucial to its success and sustainability.

CONCLUSION

Mentors are responsible to nurture, respect and guide new midwives through this crucial period, as they transition from midwifery student to registered midwife. Mentors believe in the transition of new graduate midwives in continuity of care models.

摘要

问题

澳大利亚的新毕业生在连续护理助产模式中就业的机会有限。

目的

探讨支持在连续护理模式中就业的新毕业助产士的助产士导师的观点。

方法

进行了一项解释性、定性研究。对在连续护理模式下向新毕业助产士过渡期间指导他们的资深助产士进行了半结构化访谈和焦点小组讨论。对数据进行了主题分析,数据是通过数字记录和逐字转录的。一旦达到理论饱和度,就停止数据收集。使用 NVIVO 软件来协助编码和数据管理。

结果

有 12 名导师参与。导师提供了有价值的反馈,以优化支持机制,使新毕业助产士在过渡期间能够成功地在连续护理模式中轮转。构建了三个关键主题,包括:一开始就做对;培养我们的新助产士;以及文化鸿沟。

讨论

与更广泛的文献一致,连续性护理模式中新毕业助产士的有效实施、健全的支持结构和更广泛的接受对于其成功和可持续性至关重要。

结论

导师有责任在这个关键时期培养、尊重和指导新助产士,因为他们从助产学生过渡到注册助产士。导师相信新毕业助产士在连续性护理模式中的过渡。

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