Hicks C
Midwifery. 1995 Mar;11(1):11-7. doi: 10.1016/0266-6138(95)90052-7.
Midwives are increasingly being encouraged to undertake research activities at various levels, as a routine part of their job. However, despite topdown directives to this end, there is some evidence that relatively little research is published and reasons, such as lack of time, confidence and skill have been put forward to explain the short-fall. While these reasons may be valid obstacles, it is also conceivable that they are manifestations of a set of underlying attitudes to research in midwifery. If attitudes are assumed to be predictors of behaviour, then it may be relevant to study midwives' attitudes to research more closely in order to identify whether these are responsible in some measure for the short-fall in research output. To this end, a national survey of 397 midwives was undertaken to establish their attitudes to research. The results were subjected to factor analysis, using an orthogonal solution, in order to establish whether any coherent source components existed in the sample's attitude responses. The factor analysis yielded four coherent factors, which were (i) other health care professionals' views of the value of midwifery research; (ii) the value of research for midwifery practice; (iii) the research role of the midwife; (iv) midwives' competence to carry out research. On further analysis the first two factors were also found to be significantly related to midwives' likelihood of undertaking research and publishing research findings. These factors could form the basis for future attitude change and staff development and training programmes as a means by which midwifery research output could be increased.
助产士越来越多地被鼓励在各个层面开展研究活动，并将其作为日常工作的一部分。然而，尽管有自上而下的相关指示，但有证据表明，已发表的研究相对较少，有人提出诸如缺乏时间、信心和技能等原因来解释这一不足。虽然这些原因可能是切实存在的障碍，但也可以想象，它们是助产领域对研究的一系列潜在态度的表现。如果态度被认为是行为的预测指标，那么更密切地研究助产士对研究的态度可能会有意义，以便确定这些态度在某种程度上是否是研究产出不足的原因。为此，对397名助产士进行了一项全国性调查，以了解他们对研究的态度。对结果进行了因子分析，采用正交解法，以确定样本的态度反应中是否存在任何连贯的来源成分。因子分析产生了四个连贯的因子，分别是：(i) 其他医疗保健专业人员对助产研究价值的看法；(ii) 研究对助产实践的价值；(iii) 助产士的研究角色；(iv) 助产士开展研究的能力。进一步分析发现，前两个因子也与助产士进行研究和发表研究结果的可能性显著相关。这些因子可以作为未来态度转变以及员工发展和培训计划的基础，以此作为增加助产研究产出的一种手段。
