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British Journal of Midwifery最新文献

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Perinatal outcomes in persistent occiput posterior fetal position: a systematic review and meta-analysis 持续枕后位胎儿的围产儿结局:系统回顾和荟萃分析
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.88
Elisa Giallongo, Angela C Webster
Persistent occiput posterior fetal position is the most common fetal malposition during labour. The aim of this study was to measure the magnitude of the effects of this labour dystocia on perinatal outcomes, as compared to anterior position. A systematic review of the literature included prospective and retrospective cohort studies of singleton term pregnancies, comparing the effect of occiput posterior fetal position with occiput anterior fetal position. Random-effect meta-analysis was performed. Overall, eight studies were included, for a total of 140 590 participants. Women with fetuses in occiput posterior position were more likely to give birth via caesarean section (odds ratio: 6.74, P<0.001), based on data from all eight studies. Newborns experienced an increased risk of admission to a neonatal intensive care unit (odds ratio: 1.60, P<0.001), based on data from five of the included studies. Persistent occiput posterior fetal position negatively affects maternal and neonatal outcomes. Future studies should reduce potential bias, include adjusted analysis and investigate the best clinical management for this labour dystocia.
持续枕后位是分娩过程中最常见的胎位不正。本研究的目的是测量与前置胎位相比,这种分娩难产对围产儿结局的影响程度。一项系统性的文献综述包括对单胎足月妊娠的前瞻性和回顾性队列研究,比较了枕后胎位和枕前胎位的影响。进行了随机效应荟萃分析。总共纳入了八项研究,参与人数达 140 590 人。根据所有八项研究的数据,胎儿枕后位的妇女更有可能通过剖腹产分娩(几率比:6.74,P<0.001)。根据五项纳入研究的数据,新生儿入住新生儿重症监护室的风险增加(几率比:1.60,P<0.001)。持续枕后位会对产妇和新生儿的预后产生负面影响。未来的研究应减少潜在的偏倚,纳入调整后的分析,并调查针对这种分娩难产的最佳临床处理方法。
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引用次数: 0
Second UK conviction for FGM 英国第二次因切割女性生殖器官而定罪
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.106
Juliet Albert
Juliet Albert explores what the second UK conviction against female genital mutilation means for midwives, and the legislation surrounding this issue
朱丽叶-艾伯特(Juliet Albert)探讨了英国第二次对切割女性生殖器的定罪对助产士的意义,以及围绕这一问题的立法情况
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引用次数: 0
Second UK conviction for FGM 英国第二次因切割女性生殖器官而定罪
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.106
Juliet Albert
Juliet Albert explores what the second UK conviction against female genital mutilation means for midwives, and the legislation surrounding this issue
朱丽叶-艾伯特(Juliet Albert)探讨了英国第二次对切割女性生殖器的定罪对助产士的意义,以及围绕这一问题的立法情况
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引用次数: 0
Combating female genital mutilation 打击切割女性生殖器的行为
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.46
Saul Beeson, Holly Vincent, Joe Frankland
Saul Beeson, Holly Vincent and Joe Frankland discuss addressing educational needs to combat female genital mutilation
索尔-比森、霍利-文森特和乔-弗兰克兰讨论如何满足教育需求,打击切割女性生殖器的行为
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引用次数: 0
Building strong foundations in leadership and management for midwifery students 为助产士学生打下坚实的领导和管理基础
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.38
Hadi Zulhiqman Abdul-Rahim, Sharimawati H Sharbini, Mursidi Ali, K. H. Abdul-Mumin
This article explores the importance of leadership and management for midwifery students in their preparation to become midwives. The article combines a review of the existing literature, reflection on the authors' experiences and feedback from midwifery students on leadership and management modules at a university in Brunei Darussalam. Leadership and management skills are essential, and a requisite for every midwife to ensure coordination of structured, safe and high-quality midwifery care. Some important leadership and management competencies include decision making, managing resources, teamwork, collaborating effectively with other healthcare professionals, delegating tasks appropriately and efficient time management. Stakeholders in midwifery education, including educational institutions, public and private healthcare systems and women using midwifery services, expect newly graduated midwives to possess these foundational leadership and management proficiencies so that they can immediately perform their duties when they begin their new role as qualified midwives.
本文探讨了助产士学生在准备成为助产士的过程中领导力和管理的重要性。文章结合了对现有文献的回顾、作者的经验反思以及文莱达鲁萨兰国一所大学的助产士学生对领导与管理模块的反馈意见。领导和管理技能是必不可少的,也是每位助产士确保协调有序、安全和高质量助产护理的必要条件。一些重要的领导和管理能力包括决策、资源管理、团队合作、与其他医疗保健专业人员有效协作、适当委派任务以及高效的时间管理。助产教育的利益相关者,包括教育机构、公共和私营医疗保健系统以及使用助产服务的妇女,都希望新毕业的助产士具备这些基本的领导和管理能力,以便她们在开始担任合格助产士的新角色时能够立即履行职责。
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引用次数: 0
Student midwives' experiences of clinical placement and the decision to enter the professional register 助产士学生的临床实习经历和加入专业注册的决定
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.14
Maria McNeill, E. Kitson-Reynolds
In addition to the high rate of attrition among registered midwives, student midwives are increasingly likely to choose to leave their programme, decreasing the projected number of midwives who would join the NHS. The aim of this study was to understand how students experience clinical practice and if these experiences affect their decision to enter the professional register. Seven student midwives who had experienced clinical placement as part of their pre-registration training were invited to attend semi-structured interviews. Data were analysed following an interpretive phenomonology approach, where descriptive, linguistic and conceptual comments on the transcripts were used to identify emergent themes. The 79 identified themes were categorised into five sub-themes within two super-ordinate themes: ‘kindness and compassion grows future midwives and strength’ and ‘resolve through COVID-19 and beyond’. The overarching theme from the participants' interviews was ‘I can be a good midwife when I qualify’. Students want to feel like they will be good midwives, which will be achieved with positive attitudes and behaviours towards them from senior staff during clinical placements. Staff involved with the care of women and newborns should ensure they show students civility and patience while teaching and supporting them. Understanding the level of knowledge that students possess can make it simpler for staff to recognise what each student may or may not have been exposed to.
除了注册助产士的高流失率外,助产士学生也越来越有可能选择离开她们的课程,从而减少了预计加入国家医疗服务体系的助产士人数。本研究旨在了解学生是如何体验临床实践的,以及这些体验是否会影响他们进入专业注册的决定。研究人员邀请了七名在注册前培训中经历过临床实习的助产士学生参加半结构式访谈。我们采用解释表象法对数据进行了分析,通过对记录誊本的描述性、语言性和概念性评论来确定新出现的主题。已确定的 79 个主题被归类为五个次主题,分别属于两个超主主题:"仁慈与同情使未来助产士成长并增强力量 "和 "通过 COVID-19 及以后的决心"。参与者访谈的总主题是 "当我获得资格时,我能成为一名优秀的助产士"。学生们希望自己能成为一名优秀的助产士,而在临床实习期间,资深员工对他们的积极态度和行为将有助于实现这一目标。参与产妇和新生儿护理的工作人员应确保在教导和支持学生时对他们表现出礼貌和耐心。了解学生的知识水平可以让工作人员更容易地认识到每个学生可能接触到或可能没有接触到的知识。
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引用次数: 0
Midwifery higher education: who are we and who do we teach? 助产士高等教育:我们是谁,我们教谁?
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.32
Sam Chenery-Morris, Jo Divers
This is the first article in a series of six inspired by themes arising from the Royal College of Midwives' State of Midwifery Education report. These articles will explore the current landscape and challenges in educating the future midwifery workforce, particularly those that pertain to the higher education workforce. This first article introduces the concept of a profession using sociological theories. It considers who we are individually, as authors, academics and midwives, and collectively considers our identity as a profession alongside those whom we teach. The aim is to ensure that staff and students are supported to succeed and thrive. Education can transform lives, so that current and future midwives can make a difference in providing safe, compassionate care for service users.
英国皇家助产士学院的助产士教育现状报告中提出了一系列主题,本文是该系列六篇文章中的第一篇。这些文章将探讨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。第一篇文章利用社会学理论介绍了职业的概念。文章考虑了我们作为作者、学者和助产士的个人身份,并共同考虑了我们作为一个专业的身份以及我们的教学对象。其目的是确保教职员工和学生都能获得成功和茁壮成长的支持。教育可以改变生活,因此现在和未来的助产士可以在为服务对象提供安全、富有同情心的护理方面有所作为。
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引用次数: 0
Family economic resilience and early childhood parenting practices 家庭经济复原力与幼儿养育实践
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.22
R. Pujihasvuty, Lilestina Nasution, D. N. Fajarningtiyas, M. Naibaho, Oktriyanto, Diah Puspita Sari, Hilma Amrullah, Aditya Rahmadhony, M. Muthmainnah, Y. Devi
A family's economic resilience can impact a child's wellbeing, particularly in relation to parenting practice. This study aimed to identify the effect of family economic resilience on early childhood parenting in Indonesia, for children age 0–6 years old. This study used cross-sectional data from a 2019 Indonesian survey. Simple and multiple logistic regression were used to analyse data for 20 413 families with children 0–6 years old in Indonesia. More than half of families had high economic function (56.2%) and demonstrated strong economic resilience (59.1%), although a similar proportion also demonstrated less effective parenting practices (63.3%). Families with high or moderate economic resilience were more likely to use more effective early childhood parenting practices than families with lower economic resilience (P=0.001 and P<0.001, respectively). Age, family type, number of family members and education significantly affected good parenting. Family economic resilience has a significant impact on early childhood parenting. Interventions should be designed to simultaneously to strengthen family economic resilience and increase engagement with early childhood parenting practices.
家庭的经济适应能力会影响儿童的福祉,尤其是在养育子女方面。本研究旨在确定家庭经济复原力对印度尼西亚0-6岁儿童早期养育的影响。本研究使用了 2019 年印尼调查的横截面数据。简单和多元逻辑回归用于分析印度尼西亚 20 413 个有 0-6 岁儿童的家庭的数据。半数以上的家庭具有较高的经济功能(56.2%),并表现出较强的经济适应能力(59.1%),但也有类似比例的家庭表现出较低的育儿效率(63.3%)。与经济恢复能力较低的家庭相比,经济恢复能力较高或中等的家庭更有可能采用更有效的幼儿养育方法(P=0.001 和 P<0.001)。年龄、家庭类型、家庭成员数量和教育程度对良好的养育方式有显著影响。家庭经济适应能力对幼儿养育有重大影响。在设计干预措施时,应同时加强家庭经济适应能力和提高幼儿养育实践的参与度。
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引用次数: 0
Evaluation of a termination of pregnancy education programme in the Republic of Ireland: part 2 爱尔兰共和国终止妊娠教育计划评估:第二部分
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.6
A. Fletcher, Triona Cowman, Hazel Cazzini, J. Fleming, Niamh P Healy
The extension of termination of pregnancy services in the Republic of Ireland represents a significant change to practice. As a result, education was provided to assist midwives and nurses to fulfil their expanded role. Using Kirkpatrick's framework, this study aimed to conduct an in-depth evaluation to ascertain if knowledge gained at a termination of pregnancy education programme was applied to clinical practice. Semi-structured interviews were conducted with a purposeful sample of seven midwives and nurses, 3 months after attending a termination of pregnancy education programme. Attendance at the programme prompted reflection on practice, with participants providing examples of how they applied the knowledge gained to the care they provide. The complexities of providing a termination of pregnancy service were highlighted, along with additional educational requirements. Knowledge gained from the education programme was applied to practice improving termination of pregnancy care. Additional education and training needs identified will guide the development of future programmes.
在爱尔兰共和国,终止妊娠服务的扩展是实践中的一个重大变化。因此,为帮助助产士和护士履行其扩大后的职责,提供了相关教育。本研究采用柯克帕特里克(Kirkpatrick)框架,旨在进行深入评估,以确定在终止妊娠教育计划中获得的知识是否应用于临床实践。在参加终止妊娠教育项目 3 个月后,我们有目的地对 7 名助产士和护士进行了半结构式访谈。参加该项目促使她们对实践进行反思,并举例说明她们如何将所学知识应用到所提供的护理中。他们强调了提供终止妊娠服务的复杂性,以及额外的教育要求。从教育计划中获得的知识被应用到实践中,改善了终止妊娠护理。所发现的其他教育和培训需求将为未来计划的制定提供指导。
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引用次数: 0
‘Looking forward’ to the new year 期待 "新的一年
Q2 Nursing Pub Date : 2024-01-02 DOI: 10.12968/bjom.2024.32.1.5
Suzannah Allkins
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引用次数: 0
期刊
British Journal of Midwifery
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