助产士28名心理健康影响因素调查分析与对策

目的:调查助产士职业压力原因进行分析,提出有效的应对措施.方法:对28名助产士进行问卷调查,采用自行设计的调查表进行压力源问卷调查分析.结果:助产士所感压力源依次为:高风险职业压力,工作量太大,感觉社会地位低、晋升及深造机会少,职业暴露机会大,专业局限发展空间少,专业知识技能缺乏,噪声影响.结论:要缓解助产士的心理压力和社会压力,保障助产士的身心健康,改善助产士工作环境,调动其心理健康自我调节防御机制,帮助助产士减轻心理压力,从容面对职业压力.     

助产士工作压力源调查分析与对策研究

目的 了解助产士工作压力,探讨其心理健康状况并提出相应对策.方法 采用问卷和国内常用的护士工作压力源量表,对120名助产士进行调查,并对结果进行分析.结果 助产士工作压力源主要来自职业风险、工作量和时间.结论 助产士的心理健康问题比较突出,应针对助产士的职业特点,积极采取有效措施减轻助产士工作压力,保障助产士的身心健康.     

助产士工作压力分析及对策

目的:了解助产士的工作压力并分析影响其心理健康的因素,以采取有效的应对措施,提高助产士的综合素质。方法:对12名助产士进行自行设计压力源问卷调查。结果:所感压力源大小依次为担心环境对健康的威胁,工作量大、怕引起纠纷,竞争压力大,感到社会地位低,专业知识、技能缺乏,人际关系紧张。结论:改善助产士工作环境,调动其心理健康自我维护防御机制,正确看待竞争,树立敬业爱岗思想,提高助产专业知识技能及与孕产妇家属沟通技能,可帮助助产士从容面对工作压力。     

助产士心理健康状况与工作压力源及应对方式的相关性分析

助产士是产科护理工作的中心环节,其工作直接关系到母婴安全.传统的助产士工作主要是观察产程进展和正常分娩的接生工作,工作专业性较强.随着现代医学模式的转变,要求助产士在工作中进行多角度转化,不仅要做好本专业的工作,还要不断学习新技能和边缘学科知识应对各种高危孕产妇的抢救护理,特殊的工作对象和不断提高的工作要求对助产士造成的工作压力源将不同于病区护士.因此对30名助产士进行问卷调查,分析助产士身心健康、压力源及应对方式的相关性.现介绍如下.     

职业风险对助产士身心健康的影响及防护

探讨医院分娩室护理工作中职业风险对助产士身心健康的影响及防护措施。通过调查,查阅有关的文献,结合工作中实践经验,对助产士职业风险进行分析。采取相应防护对策,有利于扬长避短,达到身心健康、工作愉悦。     

助产士在优质护理服务中的情绪压力感知及相关因素研究

[目的]了解助产士在优质护理服务中的压力体验及影响产房优质护理工作开展的相关因素。[方法]采用一般自我效能感量表和工作压力应激源量表对176名产房助产士进行调查。[结果]助产士一般自我效能感总分为(2.55±0.43)分,低于常模水平;助产士工作压力影响因素前10位依次为:工作的责任,工作量及工作技术要求,上级领导不支持专业发展,家庭生活的需要,考核的公正性,医院管理模式的影响,医院有不合理的规定、政策,有不同上级领导不一致的工作要求,医院其他相关部门的协调性导致工作效率低下,个人的职业生涯规划发展缺失,助产士认为对工作压力没有影响的因素有:工作的趣味性,同事之间关系的融洽,团体工作的协调性,工作环境中的温度和光线,工作单调,没有价值。[结论]在优质护理工作中助产士的情绪体验和自我影响因素值得重视,需要制定有针对性地培训计划,找到正确的助产岗位管理途径。     

产房助产人员心理压力因素分析与缓解对策

目的分析产房助产人员心理压力现状,探讨相关影响因素,总结因素缓解对策。方法选择2017年4月至2019年4月在我院产房工作的19名助产人员为研究对象,采取问卷调查量表方式调查其心理状况、影响因素、应对策略。结果产房助产人员心理压力各维度得分:时间分配及工作量引起的压力维度(2.87±0.89)分、产妇/家属纠纷带来的压力(2.46±0.85)分、护理专业及工作(2.79±0.56)分、管理和人际关系(2.56±0.75)分、不良工作环境及仪器设备问题(2.91±0.83)分。多元线性回归分析显示,应对方式是产房助产人员心理压力的独立影响因素(P 0.05)。结论助产士心理健康水平低于普通人群,其心理压力受多因素影响,医院应当通过多种途径降低压力源,如定期对助产士职业素养、专业技能进行培训,提高助产士的工作环境及待遇;采取正念减压干预,以缓解其心理压力,增强心理弹性与应对能力,有效维护其身心健康。     

产房助产士职业性压力及应对措施

SS社会的发展,时代的进步, 护士较其他行业自有它的特殊性,已被公认为是一种高风险性职业。而产房作为一个特殊的工作环境,助产士工作所面对的又是一类特殊的群体,其压力来源于自身的工作性质;工作量、工作强度;特殊的工作环境;心理卫生知识缺乏;社会支持不定等各个方面,因此,如何应对排解职业压力,提高心理承受能力,促进身心健康,已成为当前助产士所面临的首要解决问题。S     

职业风险对助产士身心健康的影响及防护

探讨医院分娩室护理工作中职业风险对助产士身心健康的影响及防护措施。通过调查，查阅有关的文献，结合工作中实践经验．对助产士职业风险进行分析。采取相应防护对策，有利于扬长避短，达到身心健康、工作愉悦。     

妇幼保健院助产士的心理健康状况调查

目的 探讨助产士的心理健康状况,调查工作压力源,并寻找相应对策,为助产士的心理保健工作提供依据.方法 选择惠州市第二妇幼保健院助产士100名作为观察对象,采用问卷调查的模式对100名助产士的心理健康、一般状况、工作压力做调查分析,采用症状自评量表(SCL-90)评估助产士的心理健康情况,应用工作压力源表评价助产士的工作压力情况.结果 SCL-90评分比较,助产士的评分明显高于女性常模,差异有统计学意义(P<0.01);年龄、护龄及助产年限是躯体化因子的主要影响因素,差异有统计学意义(P<0.01);工作压力源前4位与SCL-90各因子呈正相关,差异有统计学意义(P<0.01).结论 助产士的心理健康状况堪忧,寻找相应对策并做好助产士的心理保健工作十分重要.     

The primacy of the good midwife in midwifery services: an evolving theory of professionalism in midwifery

Theory is the acknowledged foundation to practise methodology, professional identity and growth of formalized knowledge. It has been noted that practice must not only be evidence-based but also theory-based. Hence, midwifery must be theory based because theories serve as a broad framework for practice and may also articulate the goals of a profession and core values. In this paper, an evolving theory on the empowerment of childbearing women is introduced, where the midwife's professionalism is central. The theory is synthesized from nine datasets and scholarly work, and then more than three hundred studies were reviewed for clarification and confirmation. According to the theory, the midwife's professionalism is constructed from five main aspects: The professional midwife cares for the childbearing woman and her family. This caring within the professional domain is seen as the core of midwifery. The professional midwife is professionally competent. This professional competence must always have primacy for the sake of safety of woman and child. The professional midwife has professional wisdom and knows how to apply it. Professional wisdom is a new concept used to denote the interplay of knowledge and experience. The professional midwife has interpersonal competence, is capable of empowering communication and positive partnership with the woman and her family. The professional midwife develops herself both personally and professionally, which is the prerequisite for true professionalism. This evolving theory must be regularly reconstructed in the light of current knowledge within midwifery. It is an attempt to identify and articulate the processes and components of the art and science of midwifery practice in an endeavour of continuing the discipline's development by assisting in the understanding and practice of creating further theoretical discourse, processes and products for midwifery practice. The theory has implications for midwifery education and practice.     

Reflections on the practice of facilitating group‐based antenatal education: Should a midwife wear a uniform in the hospital setting?

Wisanskoonwong P, Fahy K, Hastie C. International Journal of Nursing Practice 2011; 17 : 628–635 Reflections on the practice of facilitating group‐based antenatal education: Should a midwife wear a uniform in the hospital setting? The first author of this paper, a Thai midwife, conducted a feminist action research project aimed at collaboratively developing a model for group‐based antenatal education in Thailand. Should a midwife wear a uniform when facilitating midwife‐led group‐based antenatal education sessions in the hospital setting? This paper reports on a single example of reflection in and on midwifery practice that aimed to answer the guiding question. The practice and reflection occurred over a number of months at the beginning of the feminist action research project. The midwife should wear normal clothes when facilitating group‐based antenatal education as a symbol of equality in power relationships within the group. When power relationships between women and the midwife are equalized, women are more able to take responsibility for their health as they are less likely to defer to the ‘expert’. Reflection in and on practice is a powerful tool to allow the midwife to understand and change her own practice as required to meet those goals. Self‐change is a critical first step because there can be no change in the way maternity care is provided without each midwife being willing to be self‐aware and open to appropriate self‐change.     

Nurse and midwifery prescribing in Ireland: A scope‐of‐practice development for worldwide consideration

For 10 years, select Irish nurses and midwives who pass a rigorous 6 month theory and practical program can prescribe medications and other medicinal products. Given the need for timely, accessible, and affordable health‐care services in all countries, this nursing/midwifery education and practice development is worthy of examination. Irish nurse/midwife prescribing occurred following long‐term deliberative nursing profession advocacy, nursing education planning, nursing administration and practice planning, interdisciplinary health‐care team support and complementary efforts, and government action. A review of documents, research, and other articles was undertaken to examine this development process and report evaluative information for consideration by other countries seeking to improve their health‐care systems. Nurse/midwife prescribing was accomplished successfully in Ireland, with the steps taken there to initiate and establish nurse/midwife prescribing of value internationally.     

我国助产士专业体系构建的质性研究

目的：探讨我国助产士专业体系的构建,为我国制定助产士制度、规范助产士任职资格和岗位任务提供参考意见,推动我国助产学科向更规范化、更合理的方向发展。方法应用半结构访谈法对8个省市26家不同级别的综合医院妇产科、妇幼保健院、妇产医院的业务院长、产科主任、产科医生、助产士及产科护士41名专业人员,进行访谈,对助产士专业体系构建进行研究。结果经过深入访谈和分析,提炼出4个主题：目前从事助产工作的人员结构;助产士岗位任务现状;构建我国助产士专业体系重要性、必要性以及应包括哪些内容;助产士的岗位任务和任职资格应该包括哪些。结论我国应尽快发展助产士制度,加强助产士培训和教育,制定助产士准入制度及相应的助产士法律法规,规范助产士管理,明确助产士任职资格和岗位任务,制定规范的助产士晋升制度,实现助产专业科学管理,促进助产学科发展,从而促进母婴健康,保障母婴安全。     

围产期产妇护理服务需求的调查分析

目的了解产妇在围产期对护理服务的需求。方法采用方便抽样的方法,对本院共302名产妇进行问卷调查。结果产前需求较高的项目为保健及自然分娩知识（需要人数≥88％）;产时以分娩技巧指导、产程中给以安慰、进行交谈、有舒适的产床、待产时医护人员不断地鼓励和表扬、随时告知产妇和家属产程进展、提供饮水、鼓励并协助进食、予以个人清洁护理等需求较高（需要人数≥90％）;产后以告知新生儿健康、指导产后康复及医护人员良好的服务态度需求较高（需要人数≥90％）。结论加强围产期健康教育,强化助产士在助产过程中的角色功能,注重产时产妇的心理体验,满足产妇分娩时的基本生理需求,进一步改善专业人员的服务态度。     

A review and comparison of midwifery management and education in five representative countries

Midwives play an important role in guaranteeing mothers and babies' good health. However, standardisation and systematic management of midwifery are insufficient in China. This study reviews and compares the present situation of midwifery management and education in five representative countries located in North America, Europe and Oceania. Based on the experience of these countries, Midwifery development in China should continue to explore and develop midwifery university education, form a midwife professional title system, standardize midwife certification and management. And a quality midwifery environment should be created in order to enhance career attractiveness.     

助产士咨询门诊的建立与规范化管理措施的实施

<正>产科服务医疗化已成为世界范围内面临的普遍问题,如何使健康妇女的妊娠回归到自然分娩这一完美结局、保护妇女身体的完整性,是产科工作者和助产士面临的挑战。分娩是自然的生理过程,助产士应思考如何走出产房,为孕产妇提供产前、产时、产后的连续性个体化服务、减少不必要的干预、满足孕产妇身心需求,从而保护、支持和促进自然分娩[1]。我院从2011年起,建立了助产士咨询门诊,经过3年的实践,取得     

军队医院住院患者健康教育需求调查分析

目的：了解军队医院不同年龄、不同层次住院患者对健康教育的需求情况，以便为患者制定出合理的差异化健康教育方案，提高护理服务水平。方法：设计调查问卷，对住院患者进行问卷调查并统计分析调查结果。结果：患者对疾病治疗方法的健康教育需求率最高，其次是合理用药常识。结论：实际工作中应重点介绍疾病治疗方法和合理用药常识，有针对性地调整健康教育的方式和内容，将提高健康教育的效果，军人和地方人员对健康教育需求有较显著差异。