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Breast self-examination among community midwife and lady health visitor students in Pakistan 巴基斯坦社区助产士和女保健访视员学生的乳房自我检查
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.364
Afsha Bibi, Aana Khan
Breast self-examination allows women to check their breasts for changes or abnormalities, such as lumps, bumps and other irregularities. The purpose of this study was to evaluate understanding of performing a breast self-examination among lady health visitor and community midwifery students in Pakistan. This descriptive cross-sectional study was conducted from December 2022–April 2023 with 50 students recruited through convenient sampling. Data were collected using a structured questionnaire. Participants' understanding of breast self-examination was categorised as good (>70%), moderate (50–70%) or poor (<50%) based on their score. Only one participant had received any training on breast self-examination, and all participants reported that they would like training in future. Only 10.0% of participants had a moderate understanding of breast self-examination, while the remaining 90.0% had poor understanding. There is a significant lack of knowledge about breast self-examination among lady health visitors and midwifery students in Pakistan. There is a need for education and awareness campaigns on breast self-examination to improve understanding.
乳房自我检查可让妇女检查乳房是否有变化或异常,如肿块、凸起和其他不正常现象。本研究旨在评估巴基斯坦女健康访视员和社区助产士学生对进行乳房自我检查的了解程度。这项描述性横断面研究于 2022 年 12 月至 2023 年 4 月进行,通过方便抽样的方式招募了 50 名学生。采用结构化问卷收集数据。根据参与者的得分,他们对乳房自我检查的了解程度分为良好(>70%)、中等(50-70%)和较差(<50%)。只有一名参与者接受过有关乳房自我检查的培训,所有参与者都表示希望今后能接受培训。只有 10.0%的参与者对乳房自我检查有一定的了解,其余 90.0%的参与者对其了解不深。巴基斯坦的女保健访视员和助产士学生对乳房自我检查的了解严重不足。有必要开展有关乳房自我检查的教育和宣传活动,以提高人们的认识。
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引用次数: 0
The diversity debate: is midwifery higher education addressing the challenges of systemic racism? 多样性辩论:助产士高等教育是否在应对系统性种族主义的挑战?
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.380
Sam Chenery-Morris, Jo Divers
This series of six articles is inspired by themes arising from the Royal College of Midwives State of Midwifery Education report. The series explores the current landscape and challenges in educating the future midwifery workforce, particularly those that pertain to the higher education workforce. This third article highlights the lack of global majority midwifery academics, and charts the decisions and experiences of global majority applicants and students in midwifery higher education. The barriers these students face include systemic and individual racism. These experiences likely impact global majority midwives choosing academic careers, yet greater diversity and representation is needed in the education workforce. This article explores how this might be achieved by examining sources of systemic racism and how to decolonise midwifery curricula in order to tackle inequality not just for educators and professionals, but for women in midwifery care.
本系列文章共六篇,灵感来源于英国皇家助产士学院助产士教育现状报告中的主题。该系列文章探讨了未来助产士队伍教育的现状和挑战,尤其是与高等教育队伍相关的问题。第三篇文章强调了助产士学术界缺乏全球多数群体,并描绘了助产士高等教育中全球多数群体申请者和学生的决定和经历。这些学生面临的障碍包括系统性和个人的种族主义。这些经历可能会影响全球多数族裔助产士选择学术职业,但教育工作者队伍需要更大的多样性和代表性。本文探讨了如何通过研究系统性种族主义的根源以及如何对助产课程进行去殖民化来实现这一目标,从而不仅解决教育工作者和专业人员的不平等问题,而且解决助产护理中妇女的不平等问题。
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引用次数: 0
Supporting the older midwifery workforce 支持老年助产士队伍
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.341
Sadie Geraghty
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引用次数: 0
Cultivating patient safety culture in midwifery practices through incident reporting 通过事故报告在助产实践中培养患者安全文化
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.388
Nor Amal Hazirah Hassan, H. Rahman, Joe Knights, Sarena Hashim, Sharimawati Sharbini, Khadizah H. Abdul-Mumin
This article explores the critical role of incident reporting in enhancing women's safety in midwifery care. Given the inherently dynamic, and often unpredictable, nature of pregnancy and childbirth, midwives are frequently tasked with navigating complex clinical and emotional scenarios. As women place high expectations on midwives for safe and quality care, incident reporting serves as a vital mechanism for ongoing improvement and learning. The discussion highlights the barriers inhibiting effective incident reporting, including fear of reprisal and blame, lack of understanding of incident reporting and perceived futility. By overcoming these barriers, incident reporting not only identifies and rectifies safety concerns but also acts as a catalyst for cultivating a positive safety culture in midwifery.
本文探讨了事件报告在提高助产护理中妇女安全方面的关键作用。鉴于妊娠和分娩本身具有动态性,而且往往是不可预测的,助产士经常需要应对复杂的临床和情感情景。由于妇女对助产士的安全和优质护理寄予厚望,事故报告成为持续改进和学习的重要机制。讨论强调了阻碍有效事件报告的障碍,包括害怕报复和指责、对事件报告缺乏了解以及认为无用。通过克服这些障碍,事故报告不仅能发现和纠正安全问题,还能成为助产士培养积极安全文化的催化剂。
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引用次数: 0
Molar pregnancy: a qualitative study of personal experiences and societal narratives of loss 畸形妊娠:关于个人经历和社会对损失的叙述的定性研究
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.342
Emily Ross, J. Ireson, Kamaljit Singh, Matthew C Winter
Molar pregnancy is a rare complication of pregnancy. Patients face surgery, human chorionic gonadotropin monitoring and potentially systemic treatment, resulting in unique support needs. This study's aim was to explore the impacts of gestational trophoblastic disease on embodied and emotional experience. This qualitative study considered stories of molar pregnancy from 20 women in the UK, US, Canada and Australia. These were drawn from 18 publicly available online blogs and eight semi-structured interviews, and analysed thematically. Three themes were developed: ‘loss’, describing women's responses to their pregnancy ending; ‘isolation’, comprising ‘rarity’, ‘lack of awareness’ and support seeking; and ‘alienation’, capturing the unfamiliarity of diagnosis, ‘failure’ and barriers to ‘moving forward’. Experiences are shaped by wider narratives of ‘typical’ pregnancy. Patient care requires an individualised and responsive approach, and non-specialist practitioners should feel confident in discussing molar pregnancy and have access to up-to-date guidance.
臼齿妊娠是一种罕见的妊娠并发症。患者需要面对手术、人类绒毛膜促性腺激素监测和可能的系统治疗,因此需要独特的支持。本研究的目的是探讨妊娠滋养细胞疾病对体现和情感体验的影响。这项定性研究考虑了来自英国、美国、加拿大和澳大利亚的 20 名妇女有关妊娠恶性滋养细胞疾病的故事。这些故事来自 18 个公开的在线博客和 8 个半结构化访谈,并进行了专题分析。研究形成了三个主题:"失落",描述了妇女对妊娠终止的反应;"孤立",包括 "罕见"、"缺乏认识 "和寻求支持;以及 "疏远",反映了诊断的陌生感、"失败 "和 "继续前进 "的障碍。典型 "妊娠的广泛叙述塑造了患者的经历。对患者的护理需要因人而异、有的放矢的方法,非专业从业人员应该对讨论磨牙妊娠有信心,并能获得最新的指导。
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引用次数: 0
Impact of the midwife-led care model on mode of birth: a systematic review and meta-analysis 助产士主导的护理模式对分娩方式的影响:系统回顾与荟萃分析
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.370
Farida Fitriana, Astika Gita Ningrum, Dwi Izzati, Euvanggelia Dwilda Ferdinandus, Lestari Sudaryanti, Visky Afrina, Nur Anisah Rahmawati, Marilou Pamintuan
Increased rates of caesarean sections globally have potential short- and long-term impacts for mothers and babies. Research on models of care and mode of birth has reported varied results. The aim of this study was to analyse the relationship between the midwife-led model of care and mode of birth. This systematic review and meta-analysis searched PubMed, Scopus and Web of Science. Quantitative full-text open access research articles published between 2010 and 2023 in Indonesian or English were included. Research that assessed the relationship between the model and birth planning were excluded. A total of 16 articles were included. Two were experimental, and the remaining 14 were observational, with a total sample of 125 201 people. The midwife-led model supported spontaneous vaginal birth (odds ratio: 1.64, P=0.01) when compared to other models. Implementing the midwife-led model of care may increase the likelihood of physiological birth and reduce the incidence of caesarean section, especially in low-risk pregnancies.
全球剖腹产率的增加对母亲和婴儿都有潜在的短期和长期影响。有关护理模式和分娩方式的研究报告结果各不相同。本研究旨在分析助产士主导的护理模式与分娩方式之间的关系。本系统综述和荟萃分析检索了 PubMed、Scopus 和 Web of Science。纳入了 2010 年至 2023 年期间用印尼语或英语发表的定量全文开放存取研究文章。排除了评估模式与生育计划之间关系的研究。共纳入 16 篇文章。其中两篇为实验性文章,其余 14 篇为观察性文章,样本总数为 125 201 人。与其他模式相比,助产士主导模式支持自然阴道分娩(几率比:1.64,P=0.01)。实施以助产士为主导的护理模式可增加自然分娩的可能性,降低剖腹产的发生率,尤其是在低风险妊娠中。
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引用次数: 0
An evidence-based nipple care pathway for new breastfeeding mothers: a Delphi study 母乳喂养新妈妈的循证乳头护理路径:德尔菲研究
Q2 Nursing Pub Date : 2024-07-02 DOI: 10.12968/bjom.2024.32.7.352
Oladipupo Olalere, Clare Harley
Only 1% of UK mothers maintain exclusive breastfeeding for the first 6 months, as per global recommendations. Early breastfeeding cessation often involves complex issues, with nipple-related injuries being a common cause. This study aimed to develop an evidence-based tool for early identification and management of breastfeeding-related nipple injuries through expert consensus. A mixed method approach was used, including a 5-stage scoping review and a modified Delphi consensus technique with 26 UK-based maternal health experts and experienced breastfeeding mothers. Consensus (80% agreement) was reached on recommendations, including the provision of realistic information, early peer support engagement and Lanolin use. Some commonly recommended practices, such as letting the nipple air dry, did not reach consensus, highlighting a misalignment between expert consensus and published guidance. This study generated evidence-based, expert-validated self-management guidance, emphasising the need for improved stakeholder engagement in policy development.
根据全球建议,只有 1%的英国母亲在最初 6 个月坚持纯母乳喂养。早期停止母乳喂养往往涉及复杂的问题,与乳头相关的损伤是常见的原因之一。本研究旨在通过专家共识,开发一种循证工具,用于早期识别和管理与母乳喂养相关的乳头损伤。研究采用了混合方法,包括 5 个阶段的范围综述和改良的德尔菲共识技术,共有 26 位英国孕产妇健康专家和经验丰富的母乳喂养母亲参与。就包括提供真实信息、早期同伴支持参与和使用羊毛脂在内的建议达成了共识(80% 的一致意见)。一些普遍推荐的做法,如让乳头风干,没有达成共识,这凸显了专家共识与发布的指南之间的偏差。这项研究产生了以证据为基础、经专家验证的自我管理指南,强调了在政策制定过程中加强利益相关者参与的必要性。
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引用次数: 0
Supporting families with baby loss 为失去婴儿的家庭提供支持
Q2 Nursing Pub Date : 2024-06-02 DOI: 10.12968/bjom.2024.32.6.282
Kirsty Knight
Kirsty Knight, founder of charity 4Louis, discusses the charity's work to support families and train healthcare professionals in the difficult times surrounding baby loss
慈善机构 4Louis 的创始人 Kirsty Knight 谈论了该慈善机构在失去婴儿的困难时期为家庭提供支持和培训医护人员的工作。
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引用次数: 0
Threat to low-risk birth environments 对低风险出生环境的威胁
Q2 Nursing Pub Date : 2024-06-02 DOI: 10.12968/bjom.2024.32.6.328
Emma Smith
Emma Smith discusses the effect of the current staffing crisis on low-risk birth environments, and explores how the challenges that they face may be overcome
艾玛-史密斯讨论了当前的人员危机对低风险分娩环境的影响,并探讨了如何克服这些环境所面临的挑战
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引用次数: 0
Moving talks at the Primary Care Show 初级保健展上的感人讲座
Q2 Nursing Pub Date : 2024-06-02 DOI: 10.12968/bjom.2024.32.6.281
Suzannah Allkins
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引用次数: 0
期刊
British Journal of Midwifery
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