中国助产士的在线继续教育：当前趋势、障碍及未来方向。
Online continuing education for midwives in China: current trends, barriers, and future directions.
作者信息
Zhang Yao, Deng Qinqi, Zheng Xiaolong, Xu Xinfen, Wang Fang
机构信息
Department of Nursing, Hangzhou Normal University, Hangzhou City, Zhejiang Province, China.
School of Nursing, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, China.
出版信息
BMC Med Educ. 2025 Apr 26;25(1):620. doi: 10.1186/s12909-025-07180-0.
AIM
This study investigated the state of online continuing education for midwives in China via a web-based questionnaire, identified current trends, explored potential barriers, predicted future research directions, and provided insights into improving the effectiveness and quality.
BACKGROUND
The COVID-19 pandemic necessitated the shift from in-person to long-distance online education, significantly modifying continuing education for midwives. Online continuing education is crucial in improving midwifery skills and has been widely adopted in China.
DESIGN
A cross-sectional design was used.
METHODS
This study used a cross-sectional design with convenience sampling. Data were collected from midwives working in Level I to Level III hospitals across 31 provinces of mainland China through an online questionnaire platform called WenjuanXing from October 2021 to April 2022.
RESULTS
A total of 12,122 midwives participated, of which 10,102 (83.34%) had previously attended online courses, primarily using DingTalk (52.79%), Tencent Meeting (48.75%), and WeChat (44.4%) for online learning. More than half of the participants had experienced blended learning (59.74%) rather than only online learning (31.54%). Most participants (10,541, 84.38%) had limited knowledge of online continuing education. Flexible scheduling (94.76%) was the top reason for participation, whereas clinical work pressure (85.9%) was the main barrier. 10,315 (85.09%) participants preferred more interactive online learning methods. Ordered logistic regression analysis revealed that geographic location, demographic factors, employment characteristics, and hospital attributes significantly influenced healthcare professionals' willingness to use online resources. Midwives in Central regions, unmarried, elderly, highly educated, non-formally employed, working in obstetrics wards, and lower-tier hospitals showed a higher inclination for online continuing education.
CONCLUSION
With rapid technological advancements, online continuing education offers a valuable way for clinical midwives to obtain up-to-date information and knowledge. However, it remains in the early stages and requires further development.
目的
本研究通过基于网络的问卷调查，对中国助产士在线继续教育的状况进行调查，确定当前趋势，探索潜在障碍，预测未来研究方向，并为提高其有效性和质量提供见解。
背景
新冠疫情使得继续教育从面对面教学转向远程在线教育，这极大地改变了助产士的继续教育模式。在线继续教育对于提高助产技能至关重要，并且在中国已被广泛采用。
设计
采用横断面设计。
方法
本研究采用横断面设计并进行便利抽样。2021年10月至2022年4月期间，通过问卷星在线问卷平台，收集了中国大陆31个省份一级至三级医院的助产士数据。
结果
共有12122名助产士参与，其中10102名（83.34%）曾参加过在线课程，主要使用钉钉（52.79%）、腾讯会议（48.75%）和微信（44.4%）进行在线学习。超过一半的参与者经历过混合式学习（59.74%），而非仅在线学习（31.54%）。大多数参与者（10541名，84.38%）对在线继续教育了解有限。灵活的课程安排（94.76%）是参与的首要原因，而临床工作压力（85.9%）是主要障碍。10315名（85.09%）参与者更喜欢更具互动性的在线学习方法。有序逻辑回归分析显示，地理位置、人口统计学因素、就业特征和医院属性显著影响医疗专业人员使用在线资源的意愿。中部地区、未婚、年龄较大、高学历、非正规就业、在产科病房工作以及基层医院的助产士对在线继续教育的倾向较高。
结论
随着技术的快速发展，在线继续教育为临床助产士获取最新信息和知识提供了一条宝贵途径。然而，它仍处于早期阶段，需要进一步发展。
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