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产科护士和助产士接受围产期丧亲护理培训项目的经历:一项定性研究。

Experiences of obstetric nurses and midwives receiving a perinatal bereavement care training programme: A qualitative study.

作者信息

Qian Jialu, Chen Shuyi, Jevitt Cecilia, Sun Shiwen, Wang Man, Yu Xiaoyan

机构信息

Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, China.

Division of Midwifery, Department of Family Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.

出版信息

Front Med (Lausanne). 2023 Mar 15;10:1122472. doi: 10.3389/fmed.2023.1122472. eCollection 2023.

Abstract

AIM

To explore obstetric nurses and midwifery professionals' experiences with the Perinatal Bereavement Care Training Programme (PBCTP) after implementation.

DESIGN

A qualitative descriptive design was used.

METHOD

This qualitative study was conducted at a tertiary level maternity hospital in China. The PBCTP was implemented at Women's Hospital School of Medicine, Zhejiang University from March to May 2022. A total of 127 nurses and 44 midwives were invited to participate in the training. Obstetric nurses and midwives studied a 5-module training programme comprised of eight online theoretical courses and submitted a reflective journal after each session. Semi-structured interviews were conducted with 12 obstetric nurses and four midwives from May to July 2022 as a post-intervention evaluation. Thematic analysis was used in data analysis.

FINDINGS

A total of 16 participants in this study ranged in age from 23 to 40 years [mean age (SD), 30 (4) years]. Six main themes within participants' experiences of PBCTP intervention were identified: participants' aims of undertaking the training; personal growth and practice changes after training; the most valuable training content; suggestions for training improvement; directions for practice improvement; influencing factors of practice optimization.

CONCLUSION

Nursing and midwifery professionals described the PBCTP as satisfying their learning and skills enhancement needs and supporting positive changes in their care providing for bereaved families. The optimized training programme should be widely applied in the future. More efforts from the hospitals, managers, obstetric nurses, and midwives are needed to jointly contribute to forming a uniform care pathway and promoting a supportive perinatal bereavement care practice.

摘要

目的

探讨产科护士和助产专业人员在围产期丧亲护理培训计划(PBCTP)实施后的体验。

设计

采用质性描述性设计。

方法

本质性研究在中国一家三级妇产医院进行。PBCTP于2022年3月至5月在浙江大学医学院附属妇产科医院实施。共邀请了127名护士和44名助产士参加培训。产科护士和助产士学习了一个由八门在线理论课程组成的五模块培训计划,并在每节课后提交一篇反思日志。作为干预后评估,于2022年5月至7月对12名产科护士和4名助产士进行了半结构式访谈。数据分析采用主题分析法。

结果

本研究共有16名参与者,年龄在23岁至40岁之间[平均年龄(标准差),30(4)岁]。确定了参与者在PBCTP干预体验中的六个主要主题:参与者参加培训的目的;培训后的个人成长和实践变化;最有价值的培训内容;培训改进建议;实践改进方向;实践优化的影响因素。

结论

护理和助产专业人员表示,PBCTP满足了他们的学习和技能提升需求,并支持他们在为丧亲家庭提供护理方面做出积极改变。优化后的培训计划未来应得到广泛应用。医院、管理人员、产科护士和助产士需要做出更多努力,共同致力于形成统一的护理路径,促进支持性的围产期丧亲护理实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c50b/10056219/b8f906484416/fmed-10-1122472-g001.jpg

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