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助产士对研究的态度及研究应用中感知到的障碍探索。

An exploration of midwives' attitudes to research and perceived barriers to research utilisation.

作者信息

Meah S, Luker K A, Cullum N A

出版信息

Midwifery. 1996 Jun;12(2):73-84. doi: 10.1016/s0266-6138(96)90004-2.

Abstract

OBJECTIVE

To explore midwives' views about research and their perceived barriers to research utilisation.

SETTING

Thirty-two midwives from four midwifery units in the north west of England. The units ranged in size from a small district unit (52 midwives, and 1200 deliveries per annum), to a large regional centre (290 midwives, 6500 deliveries per annum).

METHODS

Midwives' opinions concerning research were explored using focus group interviews; within the interviews midwives were asked to discuss how they viewed the relevance of research to midwifery care, the constraints which they felt prevented them from delivering research-based care and existing and potential methods of disseminating research.

FINDINGS

There was a consensus among the midwives that they aspired to deliver research-based care. However, there are clearly a number of barriers preventing this. Research was poorly accessible to most midwives, both in terms of its physical location and complexity. Furthermore, midwives felt they lacked the knowledge and skills to appraise research, and lacked the confidence to judge when research should be implemented.

CONCLUSIONS

The current trend to demedicalise childbirth demands that midwives become proficient users of research. However, the means of disseminating research findings to midwives in the north west of England does not meet their needs.

摘要

目的

探讨助产士对研究的看法及其认为的研究应用障碍。

背景

来自英格兰西北部四个助产单位的32名助产士。这些单位规模各异,从小型地区单位(52名助产士,每年1200例分娩)到大型区域中心(290名助产士,每年6500例分娩)。

方法

通过焦点小组访谈探讨助产士对研究的看法;在访谈中,要求助产士讨论他们如何看待研究与助产护理的相关性、他们认为阻碍提供基于研究的护理的因素以及现有的和潜在的研究传播方法。

结果

助产士们一致认为他们渴望提供基于研究的护理。然而,显然存在一些障碍阻碍了这一点。大多数助产士很难获取研究,无论是在实际获取途径还是研究的复杂性方面。此外,助产士觉得他们缺乏评估研究的知识和技能,也缺乏判断何时应实施研究的信心。

结论

当前分娩去医学化的趋势要求助产士成为研究的熟练使用者。然而,在英格兰西北部向助产士传播研究结果的方式无法满足他们的需求。

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