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振兴助产士教育:克服挑战并提升临床学习体验。

Revitalizing midwifery education: Overcoming challenges and enhancing clinical learning experiences.

作者信息

Podder Lily, Bhardwaj Geeta, Saptarshi Aakanksha, Devi Seeta, Patel Sharmistha, Dimple Kumari

机构信息

Obstetrics and Gynecological Nursing, Nursing College, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

Nursing Officer, All India Institute of Medical Sciences, Guwahati, Assam, India.

出版信息

J Educ Health Promot. 2025 Jul 4;14:241. doi: 10.4103/jehp.jehp_1209_24. eCollection 2025.

Abstract

Midwifery is vital for maternal and neonatal healthcare, especially in regions with limited obstetric care. Rigorous training and licensure enable midwives to provide expert care from preconception to postpartum, significantly reducing maternal and neonatal mortality. This narrative review aims to map research on midwifery training, identify gaps, and propose strategies to enhance trainee midwives' clinical learning experiences in labor rooms. A comprehensive literature search was conducted using PubMed, CINAHL, Web of Science, and Google Scholar for studies published between 2010 and 2023. Inclusion criteria were peer-reviewed articles in English focusing on midwifery education and clinical training. Data were extracted on study objectives, methodologies, sample sizes, key findings, and enhancement strategies. Of the 439 articles, 61 studies were included: 31 focused on challenges and 30 on enhancement strategies. Key challenges include individual factors (fear of mistakes, lack of confidence), inadequate support systems, and resource limitations. Effective strategies encompass simulation-based learning, mentorship, multidisciplinary collaboration, and mobile learning tools. Addressing these challenges with improved resources and support is crucial for preparing competent midwives, ultimately enhancing maternal and neonatal health outcomes.

摘要

助产对于孕产妇和新生儿保健至关重要,尤其是在产科护理有限的地区。严格的培训和执照颁发使助产士能够提供从孕前到产后的专业护理,显著降低孕产妇和新生儿死亡率。本叙述性综述旨在梳理助产培训研究,找出差距,并提出策略以增强实习助产士在产房的临床学习体验。使用PubMed、CINAHL、科学网和谷歌学术对2010年至2023年发表的研究进行了全面的文献检索。纳入标准为以英文发表的、专注于助产教育和临床培训的同行评审文章。提取了有关研究目标、方法、样本量、主要发现和增强策略的数据。在439篇文章中,纳入了61项研究:31项关注挑战,30项关注增强策略。主要挑战包括个体因素(害怕犯错、缺乏信心)、支持系统不足和资源限制。有效的策略包括基于模拟的学习、指导、多学科协作和移动学习工具。通过改善资源和支持来应对这些挑战,对于培养称职的助产士至关重要,最终可改善孕产妇和新生儿健康结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e511/12327717/59a007650dae/JEHP-14-241-g001.jpg

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