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Maternity care in the Brussels Capital Region: Towards a paradigm shift? 布鲁塞尔首都大区的产妇护理:实现模式转变?
IF 1.9 Q2 Nursing Pub Date : 2024-05-21 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/186405
Joeri Vermeulen, Maaike Fobelets, Aline Schoentjes, Laura Boucher, Laure Depuydt, Florence D'haenens
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引用次数: 0
The knowledge of and educational interest in sexual medicine among Finnish medical and midwifery students: A web-based study. 芬兰医学和助产士专业学生对性医学的了解和教育兴趣:一项基于网络的研究。
IF 1.9 Q2 Nursing Pub Date : 2024-05-15 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/186401
Sanna-Mari Manninen, Päivi Polo-Kantola, Markus Riskumäki, Tero Vahlberg, Katja Kero

Introduction: Many elements of life can affect sexual health; thus, healthcare professionals require good knowledge of sexual medicine to encounter patients with these issues. We aimed to study final-year medical and midwifery students' self-reported knowledge of factors associated with sexuality and their knowledge of how to evaluate and treat/counsel patients with sexual problems. In addition, educational interests regarding sexual medicine were assessed.

Methods: In a cross-sectional study, a web-based questionnaire was distributed to final-year medical (n=233) and midwifery (n=131) students graduating between December 2018 and May 2019 in Finland.

Results: Both student groups self-reported insufficient knowledge of how to consider sexuality in mentally ill patients, how to encounter victims of domestic violence/sexual abuse, and how multiculturalism affects sexuality. In addition, compared to the midwifery students, the medical students were more likely to self-report insufficient knowledge of the basics of sexual pleasure and treating the lack of it (p<0.001), including how to treat sexual problems due to relationship problems (p<0.001) or chronic diseases (p=0.015). Although several educational areas of interest arose, both student groups had two mutual most desirable educational interests: 1) reasons for dyspareunia and its treatment, n=117/233 (50.2%) for medical students, and n=60/131 (45.8%) for midwifery students; and 2) lack of sexual desire and its treatment, n=100/233 (42.9%) for medical students, and n=55/131 (42.0%) for midwifery students.

Conclusions: In both student groups, the self-reported knowledge of sexual medicine was insufficient. Thus, more education on sexual medicine should be included in the curricula of medical and midwifery education.

简介生活中的许多因素都会影响性健康;因此,医护人员需要具备良好的性医学知识,才能遇到有这些问题的病人。我们的目的是研究医学和助产士专业毕业班学生对性相关因素的自述知识,以及他们对如何评估和治疗/咨询有性问题的病人的知识。此外,还评估了学生对性医学的教育兴趣:在一项横断面研究中,我们向2018年12月至2019年5月期间毕业的芬兰医学(n=233)和助产士(n=131)专业应届生发放了一份网络问卷:两组学生均自称对如何考虑精神病患者的性行为、如何与家庭暴力/性虐待受害者接触以及多元文化如何影响性行为等方面的知识不足。此外,与助产专业学生相比,医科学生更有可能自述对性快感和治疗性快感缺乏的基础知识了解不足(p 结论:两组学生自我报告的性医学知识都不足。因此,应在医学和助产士教育课程中加入更多有关性医学的教育内容。
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引用次数: 0
Midwives' practices on perineal protection and episiotomy decision-making: A qualitative and descriptive study. 助产士在会阴保护和外阴切开术决策方面的做法:定性和描述性研究。
IF 1.9 Q2 Nursing Pub Date : 2024-05-10 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/174126
Silvia Rodrigues, Paulo Silva, Rosa Vieira, Ana Duarte, Ramon Escuriet

Introduction: Perineal trauma is associated with both short- and long-term morbidity which in turn relates to the degree of trauma. The objective of this study was to understand midwives' practices regarding perineal protection during the second phase of labor, emphasizing decision-making to perform an episiotomy.

Methods: A descriptive and explanatory study was conducted with an intentional sample of twenty-two midwives working in the labor ward of a tertiary hospital in a metropolitan location and in the public service, in Portugal. A semi-open interview was applied to collect the data from 5 to 15 January 2019. The computer software package, NVivo version 10, was used to perform the thematic analysis.

Results: Four main themes arose from the midwives' data: 1) Factors affecting the application of perineal protection techniques', 2) Birth position, 3) Techniques for perineal protection, and 4) Episiotomy. The reasons for performing an episiotomy were the presence of tense perineum, large weight baby, previous obstetric anal sphincter injury, and Kristeller maneuver.

Conclusions: Midwives' practices regarding perineal protection techniques and reasons for performing an episiotomy were not all in line with the evidence. Perineal massage was not mentioned as a perineal protection technique.

简介会阴创伤与短期和长期发病率有关,而短期和长期发病率又与创伤程度有关。本研究的目的是了解助产士在第二产程中保护会阴的做法,重点是决定是否进行会阴切开术:方法:本研究采用描述性和解释性的方法,有意抽取了 22 名在葡萄牙大都市一家三甲医院产房工作的助产士作为样本。从 2019 年 1 月 5 日至 15 日,采用半开放式访谈收集数据。采用NVivo 10版计算机软件包进行专题分析:从助产士的数据中产生了四大主题:1) 影响会阴保护技术应用的因素;2) 分娩体位;3) 会阴保护技术;4) 会阴切开术。进行会阴切开术的原因包括会阴紧张、婴儿体重过大、产科肛门括约肌损伤和克里斯泰勒手法:助产士在会阴保护技术和进行会阴切开术的原因方面的做法与证据并不完全一致。会阴按摩没有作为会阴保护技术被提及。
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引用次数: 0
Care of women and application of the principle of informed consent to interventions during birth in the COVID-19 pandemic period. 在 COVID-19 大流行期间,对妇女的护理以及在分娩期间对干预措施适用知情同意原则。
IF 1.9 Q2 Nursing Pub Date : 2024-05-01 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/186069
Alina Liepinaitienė, Izabelė Bujaitė, Aurimas Galkontas, Vaidas Jotautis, Audrius Dėdelė

Introduction: In the early phases of the COVID-19 pandemic, inadequate intrapartum care protocols were in place. Many organizations have responded promptly and recognized the importance of adherence to appropriate guidelines. The International Confederation of Midwives issued an official statement on 29 March 2020, which states that every woman has the right to information, to give consent, to refuse consent, and to have her choices and decisions respected and upheld. No research has been conducted in Lithuania to reveal the care of women who gave birth during the COVID-19 pandemic and the application of informed consent to interventions.

Methods: This study is quantitative of cross-sectional design. An anonymous questionnaire survey method was used. One hundred fifty-two women who gave birth in Lithuania during the COVID-19 pandemic (March 2020 - May 2022) and had COVID-19 infection during childbirth, participated in the study. Statistical data analysis was performed.

Results: During the COVID-19 pandemic, women's care was characterized by always or almost always adequate information from health professionals on all issues to minimize the stress of new procedures necessitated by the COVID-19 pandemic and allowing them to stay with newborns as long as possible. The application of the principle of informed consent to interventions during the COVID-19 pandemic was not always applied to the performance of transvaginal examination manual compression of the uterine fundus to facilitate the expulsion period.

Conclusions: Most women said that they were properly informed by healthcare professionals about all questions related to the new procedures that became necessary due to the COVID-19 pandemic and felt included in their own choice. However, mothers felt the need of relatives during childbirth, and consent was often not asked for vaginal examination.

导言:在 COVID-19 大流行的早期阶段,产前护理规程不够完善。许多组织迅速做出反应,并认识到遵守适当准则的重要性。国际助产士联合会于 2020 年 3 月 29 日发表了一份正式声明,指出每位妇女都有知情权、同意权、拒绝同意权,以及其选择和决定得到尊重和维护的权利。立陶宛尚未开展任何研究来揭示在 COVID-19 大流行期间分娩妇女的护理情况,以及对干预措施适用知情同意的情况:本研究采用横断面定量设计。采用匿名问卷调查法。152 名在 COVID-19 大流行期间(2020 年 3 月至 2022 年 5 月)在立陶宛分娩并在分娩过程中感染 COVID-19 的妇女参与了研究。研究进行了统计数据分析:结果:在 COVID-19 大流行期间,妇女护理的特点是医疗专业人员总是或几乎总是就所有问题提供充分的信息,以尽量减少 COVID-19 大流行所需的新程序带来的压力,并让她们尽可能长时间地与新生儿待在一起。在 COVID-19 大流行期间,经阴道检查人工压迫宫底以促进排出期的干预措施并不总是适用知情同意原则:大多数妇女表示,医护人员已适当告知她们与 COVID-19 大流行期间必须采取的新程序有关的所有问题,并让她们自己做出选择。然而,母亲们认为在分娩过程中需要亲属的帮助,因此在进行阴道检查时往往没有征得她们的同意。
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引用次数: 0
Women’s experiences of childbirth during the COVID-19 pandemic in Lithuania 立陶宛 COVID-19 大流行期间妇女的分娩经历
IF 1.9 Q2 Nursing Pub Date : 2024-04-24 DOI: 10.18332/ejm/185750
Alina Liepinaitienė, Gabija Čirbaitė, Julijana Stepanova, Vaidas Jotautis, A. Dėdelė
INTRODUCTION Childbirth experiences depend on environmental factors, the provision of qualified medical and non-medical care, and the woman's psychological well-being. Stress experienced during pregnancy and childbirth affects a woman's psychological well-being. The aim of this study was to determine the care of women who gave birth during the COVID-19 pandemic in Lithuania. METHODS This qualitative study used an interview method to reveal women's childbirth experiences during and before the pandemic in Lithuania. The data obtained during the interview were analyzed using qualitative content analysis. Interviews were taken from 15 women who gave birth at least twice, i.e. the first time until March 2020 (but not earlier than March 2019) and gave birth again during the COVID-19 pandemic (March 2020 – January 2021). RESULTS A total of 15 women participanted in the interviews. The experience of childbirth before the COVID-19 pandemic was seen as largely positive by women, but childbirth during the COVID-19 pandemic was mentioned as more complex and negative because of the challenges posed by the pandemic, but easier for other reasons not affected by the pandemic. The results of our study show that a higher proportion of women were satisfied with delivery care in hospitals, were happy, and praised the work of midwives and other staff, which mainly contributed to a positive experience. CONCLUSIONS The COVID-19 pandemic posed particular challenges to women's childbirth experiences, and not enough attention was paid to mental health. The stress that was exacerbated during the pandemic period had a profound impact on the pregnant woman in Lithuania.
导言 分娩经历取决于环境因素、合格医疗和非医疗护理的提供以及妇女的心理健康。怀孕和分娩期间所经历的压力会影响妇女的心理健康。本研究旨在了解在 COVID-19 大流行期间立陶宛产妇的护理情况。方法 本定性研究采用访谈法揭示立陶宛大流行期间和之前妇女的分娩经历。我们采用定性内容分析法对访谈中获得的数据进行了分析。访谈对象为至少分娩过两次的 15 名妇女,即第一次分娩至 2020 年 3 月(但不早于 2019 年 3 月),并在 COVID-19 大流行期间(2020 年 3 月至 2021 年 1 月)再次分娩。结果 共有 15 名妇女参加了访谈。妇女们认为,在 COVID-19 大流行之前的分娩经历大多是积极的,但在 COVID-19 大流行期间的分娩经历则更为复杂和消极,这是因为大流行带来的挑战,但由于不受大流行影响的其他原因,分娩则更为容易。我们的研究结果表明,较高比例的产妇对医院的分娩护理感到满意、高兴,并对助产士和其他工作人员的工作表示赞赏,这主要促成了积极的分娩体验。结论 COVID-19 大流行给妇女的分娩经历带来了特殊的挑战,而对心理健康的关注却不够。大流行期间加剧的压力对立陶宛孕妇产生了深远的影响。
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引用次数: 0
Advanced Midwifery Practice in Switzerland: Development and challenges 瑞士的高级助产实践:发展与挑战
IF 1.9 Q2 Nursing Pub Date : 2024-04-22 DOI: 10.18332/ejm/185648
Eva Cignacco, Anja Schlenker, Silvia Amman-Fiechter, Therese Damke, C. de Labrusse, Astrid Krahl, Barbara Stocker Kalberer, Andrea Weber-Käser
Midwifery is undergoing increasing complexity attributed to global epidemiological, socio-economic and technological shifts. Coupled with a shortage of workforce and the imperative for cost-effectiveness and high-quality care, there is an ongoing international discourse and establishment of new care models and specialized roles, notably Advanced Midwifery Practice (AMP). While countries like the UK and Ireland have embraced AMP roles, Switzerland lags behind with only a few pioneering roles. The absence of regulatory frameworks for AMP within the Swiss legal and healthcare system, hinders the evolution of APM roles necessary to address contemporary needs in perinatal healthcare provision. To effectively harness the midwifery workforce and mitigate premature attrition, Switzerland must formulate distinct career trajectories for postgraduate midwives, particularly for Advanced Practice Midwives (APM). This involves establishing legal standards for educational and clinical prerequisites, delineating guidelines for APM responsibilities and competencies, and devising compensation schemes that mirror the autonomy and leadership competencies integral to these advanced roles within inpatient and outpatient perinatal care models. The incorporation of evaluation and research into AMP is indispensable, contributing to improved patient outcomes and the ongoing professionalization of midwifery. In conjunction with the Swiss Federation of Midwives, all Universities of Applied Sciences in Switzerland have collaboratively drafted a national position paper underscoring the significance of developing APM roles to ensure the provision of high-quality perinatal care. This article aims to elucidate current developments in perinatal care within the Swiss context, providing a comprehensive definition for AMP, delineating its contribution to enhancing and sustaining the quality of care.
由于全球流行病、社会经济和技术的变化,助产服务正变得越来越复杂。再加上劳动力短缺、成本效益和高质量护理的必要性,国际上正在讨论和建立新的护理模式和专业角色,特别是高级助产实践(AMP)。虽然英国和爱尔兰等国已经接受了高级助产士的角色,但瑞士却落在后面,只有少数几个开创性的角色。瑞士的法律和医疗保健体系中缺乏针对 AMP 的监管框架,这阻碍了 APM 角色的发展,而 APM 是满足围产期医疗保健服务当代需求所必需的。为了有效利用助产士队伍并减少过早流失,瑞士必须为助产士研究生,特别是高级助产士(APM)制定独特的职业发展轨迹。这包括制定教育和临床先决条件的法律标准,划定高级实践助产士的责任和能力准则,以及制定补偿计划,以反映这些高级角色在住院和门诊围产期护理模式中不可或缺的自主性和领导能力。将评估和研究纳入助产士管理计划是不可或缺的,这有助于改善患者的治疗效果,并不断推进助产士的专业化进程。瑞士所有应用科学大学与瑞士助产士联合会合作起草了一份国家立场文件,强调了发展APM角色以确保提供高质量围产期护理的重要性。本文旨在阐明瑞士围产期护理的当前发展情况,为助产士管理计划提供一个全面的定义,阐明其对提高和维持护理质量的贡献。
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引用次数: 0
Slovenian midwifery students and their self-estimation of mindfulness: A cross-sectional study with modified MAAS 斯洛文尼亚助产士学生及其对正念的自我评估:使用修改后的 MAAS 进行横截面研究
IF 1.9 Q2 Nursing Pub Date : 2024-04-22 DOI: 10.18332/ejm/185649
Laura Turin, P. Mivšek
INTRODUCTION We investigate the level of mindfulness among midwifery students, as mindfulness can have a major impact on their perception of stress and can increase the quality of their work after graduation. METHODS A causal, non-experimental method of a cross-sectional study was used. We collected data using an online questionnaire that included a valid modified Mindful Attention Awareness Scale - MAAS. The sample consisted of Slovenian midwifery students in academic year 2022–2023. RESULTS Fifty-five Slovenian midwifery students (82% response rate) participated in the study. The average score of all midwifery students on the 5-Likert modified MAAS was 3.2, with the lowest average score among second-year students. Those students who practiced mindfulness techniques in their free time had higher average scores than those who did not. CONCLUSIONS The average MAAS score of our midwifery students was lower than in other foreign studies among nursing students. The study program should promote student mindfulness. This would benefit the graduates also later, when employed, as investing in midwives' well-being improves both their job satisfaction and women's experience of care. The Slovenian curriculum is often perceived as overwhelming by students. This might be the reason for their low mindfulness scores. Further analysis of the curriculum is needed to find solutions on how to integrate mindfulness techniques into the undergraduate curriculum.
引言 我们对助产士学生的正念水平进行了调查,因为正念会对他们的压力感知产生重大影响,并能提高他们毕业后的工作质量。方法 采用因果关系、非实验性的横断面研究方法。我们使用在线问卷收集数据,其中包括有效的改良正念意识量表(MAAS)。样本包括斯洛文尼亚 2022-2023 学年的助产士学生。结果 55 名斯洛文尼亚助产学生(回复率为 82%)参与了研究。所有助产专业学生在 5 利克特改良 MAAS 中的平均得分为 3.2 分,其中二年级学生的平均得分最低。在空闲时间练习正念技巧的学生的平均得分高于没有练习的学生。结论 我国助产专业学生的 MAAS 平均得分低于国外其他护理专业学生。学习计划应促进学生的正念。这对毕业生日后就业也有好处,因为投资于助产士的身心健康既能提高他们的工作满意度,也能改善妇女的护理体验。斯洛文尼亚的课程往往被学生认为是难以承受的。这可能是他们的心态得分较低的原因。需要对课程进行进一步分析,以找到如何将正念技术融入本科课程的解决方案。
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引用次数: 0
The importance of online childbirth preparation courses 在线分娩准备课程的重要性
IF 1.9 Q2 Nursing Pub Date : 2024-04-09 DOI: 10.18332/ejm/185867
Vicentia C. Harizopoulou, Evangelia Saranti, A. Antonakou, Victoria Vivilaki
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引用次数: 0
A survey examining the relationship between burnout, professional empowerment, and personality traits of midwives of an inner London NHS Trust 一项调查,研究伦敦内城一家国民医疗服务托管机构助产士的职业倦怠、专业能力和个性特征之间的关系
IF 1.9 Q2 Nursing Pub Date : 2024-04-02 DOI: 10.18332/ejm/184208
Juan Soria, Karyofyllis Zervoulis, Angeliki Bolou
INTRODUCTION Besides the well-known negative effects on physical and psychological well-being, burnout has been associated with high attrition and absenteeism in the midwifery profession. This study explores whether burnout in midwifery can be explained by the midwives’ type of personality and the sense of empowerment they experience at work. Moreover, the study identifies areas of improvement in relation to these topics and elements that can be conducive to strengthening the midwifery workforce. METHODS A cross-sectional exploratory study design was used, including an online survey completed by 120 midwives working for an NHS Trust in London. The response rate was 24%. Three validated questionnaires were used: the Copenhagen Burnout Inventory (CBI), the Perception of Empowerment in Midwifery Scale (PEMS), and the Big Five Personality Trait Short Questionnaire (BFPTSQ). RESULTS A multiple linear regression analysis indicated empowerment and personality traits are significant predictors of levels of burnout. Furthermore, emotional stability was shown to partially mediate the relationship between empowerment and burnout. The study also examined the midwifery burnout levels of this NHS Trust, which were found to be significantly high and similar to a previous study conducted by the Royal College of Midwives. CONCLUSIONS The empowerment experienced by midwives and their personality traits significantly predict the levels of burnout in the midwifery workforce. Only empowerment and emotional stability were significant contributors to the regression model. Multiple strategies can be implemented to support midwives in these two areas. These interventions could also be of great help to reinforce the role of the midwife, making it more appealing to society and, in particular, younger generations with an interest in human-orientated professions.
引言 除了众所周知的对身心健康的负面影响外,职业倦怠还与助产士行业的高减员率和缺勤率有关。本研究探讨了助产士的职业倦怠是否可以用助产士的性格类型和工作中的授权感来解释。此外,本研究还确定了与这些主题相关的需要改进之处,以及有助于加强助产士队伍的要素。方法 采用横断面探索性研究设计,包括一项在线调查,由 120 名在伦敦一家 NHS 信托公司工作的助产士完成。回复率为 24%。调查使用了三份经过验证的问卷:哥本哈根职业倦怠量表(CBI)、助产士赋权感量表(PEMS)和大五人格特质简易问卷(BFPTSQ)。结果 多元线性回归分析表明,授权和人格特质是预测职业倦怠水平的重要因素。此外,情绪稳定性被证明可以部分调节授权与职业倦怠之间的关系。研究还考察了该英国国家医疗服务系统信托基金的助产士职业倦怠水平,结果发现该信托基金的助产士职业倦怠水平明显偏高,与英国皇家助产士学院之前进行的一项研究结果相似。结论 助产士所经历的授权及其人格特质可显著预测助产士队伍的职业倦怠水平。只有赋权和情绪稳定对回归模型有重要影响。可以实施多种策略在这两个方面为助产士提供支持。这些干预措施也可大大有助于强化助产士的角色,使其对社会,尤其是对以人为本的职业感兴趣的年轻一代更具吸引力。
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引用次数: 0
Erratum: How do professional connections and relationships impact midwives' well-being and career sustainability? A Grounded Theory study protocol. 勘误:职业联系和关系如何影响助产士的幸福感和职业可持续性?基础理论研究方案。
IF 1.9 Q2 Nursing Pub Date : 2024-03-28 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/186079

[This corrects the article DOI: 10.18332/ejm/178385.].

[This corrects the article DOI: 10.18332/ejm/178385.].
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引用次数: 0
期刊
European Journal of Midwifery
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