助产士和护士合作提供产后护理的经验:一项横断面研究。

IF 4.4 2区 医学 Q1 NURSING
Kyle Ernst , Georgia Griffin , Monique S. Rose , Andrew Szabo , Stuart Watson , Zoe Bradfield
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引用次数: 0

摘要

问题:目前尚不清楚部署注册护士协助助产士提供产后护理是否减轻了劳动力短缺的负担。背景:西澳大利亚州最大的公共产科保健服务机构于2022年开始雇用注册护士,以协助助产士在产科病房提供产后护理,以应对因COVID-19而加剧的人员短缺。目的:探讨助产士与注册护士在产房共同提供产后护理的经验。方法:采用描述性横断面设计。使用纸质调查工具收集定量和定性数据。数据分析采用描述性和推断性统计。对定性数据进行内容分析。结果:参与工作人员70人(助产士58人,护士12人)。只有19.2% %的参与者对他们的工作量分配持积极态度。大多数参与者(62.7 %)报告了通常分配6-7个母亲-婴儿的照顾。更倾向于由轮班协调员分配的助产士明显多于护士;与助产士相比,更多的护士更喜欢“团队护理”。讨论:需要采取战略方法,以改善助产士队伍的招聘和保留,使其能够在整个助产实践范围内应对紧急需求。从专业、医学法律、管理和安全的角度来看,关于护士在产后环境中执业范围的指导是必要的。结论:在劳动力短缺的背景下,部署注册护士到产后病房可能对助产士有一定的好处。必须设定参数,概述护士在产后护理环境中的实践范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Midwives’ and nurses’ experiences of providing postnatal care in partnership: A cross-sectional study

Problem

It is unknown whether the deployment of registered nurses to assist midwives in the provision of postnatal care eases the burden of workforce shortages.

Background

The largest public maternity health service in Western Australia began employing registered nurses in 2022 to assist midwives with the provision of postnatal care on maternity wards in response to staffing shortages, exacerbated by COVID-19.

Aim

To explore midwives’ and registered nurses’ experiences of providing postnatal care on maternity wards together.

Methods

A descriptive cross-sectional design was employed. Quantitative and qualitative data were collected using a paper-based survey tool. Data were analysed using descriptive and inferential statistics. Content analysis was conducted on qualitative data.

Results

70 staff participated (n= 58 midwives, n=12 nurses). Only 19.2 % of participants felt positively about their workload allocation. Most participants (62.7 %) reported a usual allocation of 6–7 mother-baby dyads to care for. Significantly more midwives preferred allocation by the shift coordinator than nurses; and significantly more nurses preferred ‘team nursing’ than midwives.

Discussion

Strategic approaches are needed to improve recruitment and retention of midwifery workforce capable of responding to periods of acute demands across the full scope of midwifery practice. Guidance concerning nurses’ scope of practice in the postnatal setting is necessary from a professional, medico-legal, governance and safety standpoint.

Conclusion

The deployment of registered nurses into postnatal wards may be of some benefit to midwives in the context of workforce shortages. Parameters must be set outlining what is within nurses’ scope of practice in the postnatal care setting.
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来源期刊
Women and Birth
Women and Birth NURSING-OBSTETRICS & GYNECOLOGY
CiteScore
7.20
自引率
13.20%
发文量
371
审稿时长
27 days
期刊介绍: Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews. Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.
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