在家分娩情境下的转型学习：对助产学学生经验的反思性专题分析

IF 4.4 2区医学 Q1 NURSING

Women and Birth Pub Date : 2025-04-23 DOI:10.1016/j.wombi.2025.101912

Kate Buchanan, Sara Morris, Sara Bayes, Clare Davison

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引用次数: 0

摘要

家庭分娩环境为助产学学生提供了自主助产实践的机会，但这些经验是有限的。限制在家庭分娩环境中实习的因素要么是后勤方面的，在澳大利亚只有不到1%的女性在家分娩，要么是与大学管理有关，因此不允许助产学学生在家分娩。目的探讨助产专业学生在家分娩的经历，并确定这对助产士的角色和实践范围的理解有何影响。方法采用定性方法进行研究。一所提供本科和研究生预注册助产学课程的大学。来自两门课程的六名最后一年级的学生接受了深入的采访。数据收集和分析访谈由前两位作者进行。数据分析采用自反主题分析。结果本研究确定了四个中心主题，说明助产学学生在家分娩的转变经历：在分娩过程中锚定信任；遭遇的全部范围和作用；生育空间视角的转变；是希望的灯塔。总的来说，这些主题阐明了在家分娩经历对塑造学生对助产实践和专业的理解的重要性。结论家庭分娩经历使学生对正常生理有了更深入的了解，对助产士的作用和范围有了更深入的了解，更好地理解了妇女的分娩经历，强化了助产哲学。这样的经历对于留住学生来说至关重要。

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Transformative learning in homebirth settings: A reflexive thematic analysis of midwifery students' experiences

Background

The homebirth setting provides opportunities for midwifery students to witness autonomous midwifery practice, but these experiences are limited. Factors that limit practicum placement in the home birth setting are either logistical, with less than one percent of women having a homebirth in Australia or related to university governance, whereby approval is not granted for midwifery students attending homebirth.

Objectives

To explore midwifery students' experiences in the homebirth setting and to determine how this has influenced understandings of the role and scope of practice the midwife.

Methods

Qualitative methods were chosen to inform this study.

Setting

A University that offers undergraduate and post graduate pre-registration midwifery programs.

Participants

Six final year students, from both courses, were interviewed for in-depth interviews.

Data collection and analysis

Interviews were conducted by the first two authors. Data were analysed using Reflexive Thematic analysis.

Results

The study identified four central themes illustrating the transformative experiences of midwifery students attending homebirths: Anchoring trust in the birth process; Encountering the full scope and role; Shifting perspectives on birth space; and A profound beacon of hope. Collectively, these themes elucidate the importance of homebirth experiences as shaping the students' understanding of midwifery practice and profession.

Conclusions

Exposure to homebirth experiences resulted in students achieving a deeper understanding of normal physiology, gained greater insights into the role and scope of midwives, better comprehended the women's birthing experiences, and reinforced midwifery philosophy. Such experiences are crucial for retaining students within the profession.

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来源期刊

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.