产妇经血传播疾病检测对助产士职业暴露预防的意义

目的探讨产妇产前经血传播疾病检测对助产士职业暴露在医院感染控制中的意义。方法对2007年10月至2009年10月间的产妇进行乙型肝炎表面抗原（HBsAg）、丙型肝炎抗体（抗HCV）、艾滋病抗体（抗HIV）、甲苯胺红不加热血清试验（TRUST）检测,并对助产士在这两年间所发生的职业暴露进行统计分析。结果检出HBsAg阳性521例,阳性牢16．35％抗-HCV阳性4例,阳性率0．13％;抗-HIV阳性1例,阳性率0．03％;TRUST阳性12例,阳性率0．38％;助产士发生职业暴露5例,暴露率7．9％;经过随防一年,未发生医院院内感染。结论产前检测经血传播性疾病可事先知晓产妇经血传播疾病的感染情况,使助产士更严格遵循安全的操作流程,规范操作,自觉加强防护,对助产士职业暴露防治、对医院感染控制、对提高职业防护的依从性和执行率有着重要意义,大大降低助产士职业暴露的风险。     

助产士全程陪护联合家庭化分娩的效果观察

目的 探讨助产士全程陪护联合家庭化分娩模式的临床应用效果.方法 选择2010年1月至2010年12月本院住院分娩的孕妇500例,其中施行助产士全程陪护联合家庭化分娩的孕产妇275例为观察组,225例非家庭化分娩孕产妇为对照组.结果 观察组顺产率高于对照组,产后出血率低于对照组,产程时间明显缩短,满意度明显高于对照组,两组间比较差异均具有统计学意义(P＜0.05).结论 助产士全程陪护联合家庭化分娩模式可提高自然分娩率,减少产后出血,提高产科服务满意度.     

如何提高教学医院产房助产士实习生教学质量

目的：探讨如何提高教学医院产房助产士实习生教学质量。方法：严格带教老师准入制度,明确带教老师职责,实行实习生岗前培训及考核,制定产房实习助产士培训规范。结果：实习助产士的理论和实操能力及对老师的满意度明显提高,对待工作的态度更加严谨。结论：实习培训规范和内容的制定要切合实际,带教老师要与学生展开教学互动,采纳合理化建议,及时修正带教的计划和内容,更新带教的理念,改变带教的思路,才能全方位的提高助产士实习生教学质量。     

Perceptions and experiences of female genital mutilation after immigration to Sweden: An explorative study

AimThe aim of this study is to explore how women from part of the world where female genital mutilation (FGM) is normative perceive and experience FGM after immigrating to Sweden.MethodInterviews were conducted with eight women from Djibouti, Eritrea, Ethiopia and Somalia. The data were analyzed using qualitative content analysis.ResultsThe women’s feelings were ambivalent: though they opposed FGM, on the one hand, because of its negative effects on health, they acknowledged the practice’s positive cultural aspects on the other hand. The themes that emerged from the interviews are the role of FGM in ensuring virginity and protecting a family’s honor, its role in avoiding shame and enhancing purity, social pressure experienced after immigration, an understanding of FGM as a symbol of the country of origin, and support for changing the tradition.ConclusionThese findings indicate that women originating from communities where FGM is normative live in a context in which the practice is viewed as an important aspect of life even after immigration. More research concerning this complex and deeply rooted cultural issue is recommended.     

The lady with the lamp: Amid the COVID-19 haze

The COVID-19 pandemic is currently the dominant public health topic across every nation. The world of health care is shrouded in the haze of the COVID-19 pandemic and is experiencing unprecedented patient loads arising from this complicated and unfamiliar viral disease. No one was prepared for this. Unsurprisingly, there are shortages of supplies and equipment, treatment space and people with the skills to respond to the containment, treatment and prevention of COVID-19. Nurses are at the front line of every nation’s response, trying to provide assessment, protection, treatment and prevention as being part of the overwhelming care demand that is occurring. Across every nation, the ongoing policy implications of the pandemic should be considered, as well as for those pandemics in the future. This includes, but is not limited to, investing in emergency systems and nurses, health research, and preparing for, managing and researching nursing practice.     

Global challenges in health and health care for nurses and midwives everywhere

The next decade is likely to produce any number of global challenges that will affect health and health care, including pan-national infections such as the new coronavirus COVID-19 and others that will be related to global warming. Nurses will be required to react to these events, even though they will also be affected as ordinary citizens. The future resilience of healthcare services will depend on having sufficient numbers of nurses who are adequately resourced to face the coming challenges.     

Swedish women’s experiences of menopausal transition: A focus group study

ObjectiveThe aim of this study was to examine women’s experience of menopausal transition and their expectations and wishes for support from healthcare. Further, to examine their knowledge about menopause and thoughts about current attitudes in healthcare and in society generally.MethodsData was collected through three focus group interviews with 14 women experiencing menopausal symptoms. The qualitative analysis was transacted through systematic text condensation, where categories were derived from data.ResultsThe women in this study told us about being inadequately prepared for menopause through having insufficient knowledge of the menopausal transition. They experienced lack of clarity about where in the health care system they could get help and that knowledge of menopause varied among healthcare staff. The attitudes to menopause experienced by women in this study were both positive and negative, but they often equated menopause with getting old. To be better prepared for the climacteric transition, the women wanted information from health care professionals and they wanted menopausal care to be easily accessible and local. If needed, it should be possible to access clinics providing specialist care.ConclusionThis work indicates that women want more and improved information about menopause in order to be better prepared. Advice and treatment for menopausal healthcare care should be easily accessible for women. Improved education and care guidelines for menopausal problems can be helpful for healthcare staff.     

Maternity care provider acceptance of a future Group B Streptococcus vaccine – A qualitative study in three countries

IntroductionThere are vaccines in clinical trials that target the bacterium Group B Streptococcus (GBS). When approved, GBS vaccines will be intended for administration to pregnant women to prevent infection in their infants. The success of any vaccine will depend on its’ uptake in the population. Experience with prior maternal vaccines, e.g. influenza, Tdap and COVID-19 vaccines, teaches us that acceptance of vaccines, especially if novel, is challenging for pregnant women, and that provider recommendation is a key driver of vaccine uptake.MethodsThis study investigated attitudes of maternity care providers towards the introduction of a GBS vaccine in three countries (the United States (US), Ireland, and the Dominican Republic (DR)) with different GBS prevalence and prevention practices. Semi-structured interviews with maternity care providers were transcribed and coded for themes. The constant comparative method, and inductive theory building were used to develop conclusions.ResultsThirty-eight obstetricians, 18 general practitioners and 14 midwives participated. There was variability in provider attitudes towards a hypothetical GBS vaccine. Responses ranged from enthusiasm to doubts over the need for a vaccine. Attitudes were influenced by perceived additional benefits of a vaccine over current strategy and confidence in the safety of vaccines during pregnancy. Knowledge, experience and approaches to GBS prevention differed geographically and according to provider type, and influenced how participants assessed the risks and benefits of a GBS vaccine.ConclusionMaternity care providers are engaged in the topic of GBS management and there is opportunity to leverage attitudes and beliefs that will support a strong recommendation for a GBS vaccine. However, knowledge of GBS, and of the limitations of current prevention strategies vary among providers in different regions, and between different provider types. Targeted educational efforts with antenatal providers should focus on highlighting safety data the potential benefits of vaccination over current strategies.