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助产连续性照护模式对女性、家庭和助产士而言是完美的补充——来自瑞典助产专业学生的声音。

Midwifery continuity models of care are a perfect complement for women, families, and midwives - Voices from midwifery students in Sweden.

作者信息

Johansson Margareta, Sundström Linnea, Holmlund Sophia, Lindqvist Maria, Hildingsson Ingegerd

机构信息

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Department of Women's Health Care, Akademiska University Hospital, Uppsala, Sweden.

Department of Nursing, Umeå University, Umeå, Sweden.

出版信息

Nurse Educ Pract. 2025 Aug;87:104506. doi: 10.1016/j.nepr.2025.104506. Epub 2025 Aug 13.

DOI:10.1016/j.nepr.2025.104506
PMID:40829347
Abstract

AIM

This study aimed to explore midwifery students' thoughts on midwifery continuity models of care and the benefits for women and midwives.

BACKGROUND

The World Health Organization recommends continuity of care for pregnant women because it leads to favorable outcomes such as a higher likelihood of having a spontaneous vaginal birth and a positive birth experience. However, midwifery continuity models are rare in Sweden and few midwifery students are exposed to such models during their clinical placements. Therefore, students' attitudes towards these models are largely unknown.

DESIGN

A qualitative Swedish national study.

METHODS

Digital interviews involving 16 midwifery students were carried out in 2023. Data were analyzed using reflexive thematic content analysis according to Braun and Clark.

RESULTS

The study revealed the main theme: "Midwifery continuity models of care are a perfect complement for women, families and midwives in Swedish maternity care". This main theme was supported by the following themes: Increased knowledge of midwifery continuity of care would strengthen interest; Working in a midwifery continuity model of care should be based on midwives' preferences; and Convincing evidence of midwifery continuity of care for women.

CONCLUSIONS

The study highlighted the importance of offering women and midwives the opportunity to participate in a midwifery continuity care model and providing support for midwifery students to feel prepared for this approach. Continuity of care was seen as the future model of care. Midwifery students expressed a desire for better conditions for women in maternity care and a sustainable way of working for midwives.

摘要

目的

本研究旨在探讨助产专业学生对连续性助产护理模式以及该模式对产妇和助产士益处的看法。

背景

世界卫生组织建议为孕妇提供连续性护理,因为这会带来诸如自然阴道分娩可能性更高和积极分娩体验等良好结果。然而,连续性助产护理模式在瑞典很少见,很少有助产专业学生在临床实习期间接触到此类模式。因此,学生对这些模式的态度在很大程度上尚不明确。

设计

一项瑞典全国性的定性研究。

方法

2023年对16名助产专业学生进行了数字访谈。根据布劳恩和克拉克的方法,采用反思性主题内容分析法对数据进行了分析。

结果

该研究揭示了主要主题:“连续性助产护理模式是瑞典产科护理中对产妇、家庭和助产士的完美补充”。这一主要主题得到了以下主题的支持:增加对连续性助产护理的了解会增强兴趣;在连续性助产护理模式下工作应基于助产士的偏好;以及有令人信服的证据表明连续性助产护理对产妇有益。

结论

该研究强调了为产妇和助产士提供参与连续性助产护理模式的机会以及为助产专业学生提供支持以使他们为这种护理方式做好准备的重要性。连续性护理被视为未来的护理模式。助产专业学生表达了希望改善产科护理中产妇状况以及为助产士提供可持续工作方式的愿望。

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