Re-discussing the content of the prescription rights of midwives under certain circumstances using the Delphi method

Frontiers of Nursing Pub Date : 2017-09-01 DOI:10.1016/j.cnre.2017.07.001

Shi-Fan Han , Rui-Fang Zhu , Jin-Lian Cheng , Xiao-Ding Yue

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引用次数: 2

Abstract

Objective

This study sought to investigate the content of the prescription rights and the prescription types of midwives under certain circumstances in China.

Methods

The Delphi method was used to consult 18 nursing experts and 14 medical experts. A total of 30 experts finished the consulting. The reliability of the expert opinions was analyzed to determine the specific situations in which midwives may write prescriptions, the content of the prescription rights and the prescription types.

Results

In six specific circumstances (uterine contraction fatigue, uterine contractions that are too strong, postpartum hemorrhage, premature rupture of the membranes, normal delivery and neonatal asphyxia), midwives have the right to prescribe and administer medication, including 20 drugs and 13 auxiliary examinations. Of these drugs and examinations, 51.5% of the drugs and adjuvant examination prescriptions tend to be independent prescriptions, 30.3% tend to be protocol prescriptions, and 18.2% are similar to both types.

Conclusions

The midwives should be granted some prescription rights to enhance their autonomy and the professionalism of midwifery.

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用德尔菲法重新探讨特定情况下助产士处方权的内容

目的了解中国特定情况下助产士处方权的内容及处方种类。方法采用德尔菲法对18名护理专家和14名医学专家进行咨询。共有30名专家完成了咨询工作。对专家意见的信度进行分析，确定助产士开处方的具体情况、处方权的内容和处方种类。结果在子宫收缩疲劳、子宫收缩过猛、产后出血、胎膜早破、分娩正常、新生儿窒息等6种特殊情况下，助产士有权开药，包括20种药物和13种辅助检查。在这些药物和检查中，51.5%的药物和辅助检查处方倾向于独立处方，30.3%倾向于方案处方，18.2%两者相似。结论应赋予助产士一定的处方权，以增强助产士的自主性和专业性。

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来源期刊

Frontiers of Nursing

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353