Farmer E, Chipperfield C
Centre for Midwifery Practice, Hammersmith Hospitals NHS Trust.
Mod Midwife. 1996 Apr;6(4):19-21.
Key elements: Problems of One-to-One midwifery developing a caseload relationships with other staff--perceived 'elitism' boundaries of care for high-risk mothers long hours isolation women's unrealistic expectations of midwife, including overdependence Solutions maintain dialogue with other professionals hospital midwives invited to join OTO midwives on community visits clarify roles and responsibilities direct referral to on-call registrar partnerships with teams peer support weekly group meeting empowering women, reducing overdependence
一对一助产模式在与其他工作人员建立个案量关系方面存在的问题——被视为“精英主义” 高危产妇护理界限 长时间工作 孤立状态 女性对助产士不切实际的期望，包括过度依赖 解决方案 与其他专业人员保持对话 邀请医院助产士加入一对一助产士进行社区探访 明确角色和职责 直接转介给随叫随到的注册员 与团队建立伙伴关系 同伴支持 每周小组会议 增强女性能力，减少过度依赖
