• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Birth >Nurse-midwives' experiences with planned home birth: impact on attitudes and practice.
【24h】

Nurse-midwives' experiences with planned home birth: impact on attitudes and practice.

机译：助产士计划在家分娩的经历：对态度和行为的影响。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Health care providers' attitudes toward maternity care options influence the nature of informed decision-making discussions and patient choice. A woman's choice of birth site may be affected by her provider's opinion and practice site. The objectives of this study were to describe American nurse-midwives' attitudes toward, and experiences with, planned home birth, and to explore correlates and predictors of their attitudes toward planned home birth as measured by the Provider Attitudes towards Planned Home Birth (PAPHB) scale. METHODS: A survey instrument, which incorporates the PAPHB and assesses demographic, education, practice, personal experience, and external barrier variables that may predict attitudes toward planned home birth practice, was completed by 1,893 nurse-midwives. Bivariate analysis identified associations between variables and attitudes. Linear regression modeling identified predictors of attitudes. RESULTS: Variables that significantly predicted favorable attitudes to planned home birth were increased clinical and educational experiences with planned home birth (p < 0.001), increased exposure to planned home birth (p < 0.001), and younger age (p < 0.001). External barriers that significantly predicted less favorable attitudes included financial (p = 0.03) and time (p < 0.001) constraints, inability to access medical consultation (p < 0.001), and fear of peer censure (p < 0.001). Willingness to practice in the home was correlated with factors related to nurse-midwives' confidence in their management abilities and beliefs about planned home birth safety. CONCLUSIONS: The results suggest that nurse-midwives' choice of practice site and comfort with planned home birth are strongly influenced by the nature and amount of exposure to home birth during professional education or practice experiences, in addition to interprofessional, logistic, and environmental factors. Findings from this research may inform interdisciplinary education and collaborative practice in the area of planned home birth.
机译：背景：医疗保健提供者对孕产保健选择的态度影响了知情的决策讨论和患者选择的性质。妇女选择分娩地点可能会受到其提供者的意见和执业地点的影响。这项研究的目的是描述美国护士助产士对计划生育的态度和经历，并探索他们对供应商计划生育的态度的相关性和预测因素（通过提供者对计划生育的态度（PAPHB）进行衡量）规模。方法：由1893名助产士完成了一项调查工具，该调查工具结合了PAPHB并评估了人口，教育，实践，个人经验以及可以预测对计划的家庭分娩实践态度的外部障碍变量。双变量分析确定了变量和态度之间的关联。线性回归模型确定了态度的预测因子。结果：能够显着预测对计划生育的态度的变量包括计划生育的临床和教育经历的增加（p <0.001），计划生育的暴露水平（p <0.001）和年龄较小（p <0.001）。可以显着预测不良态度的外部障碍包括财务（p = 0.03）和时间（p <0.001）限制，无法进行医疗咨询（p <0.001），以及对同伴的谴责（p <0.001）。在家中练习的意愿与护士-助产士对其管理能力的信心以及对计划中的家庭生育安全的信念有关。结论：研究结果表明，除了专业间，后勤和环境因素外，护士助产士对工作地点的选择以及对计划内分娩的舒适度还受到专业教育或实践经验期间家庭分娩的性质和暴露的强烈影响。 。这项研究的结果可能会为计划中的家庭分娩领域的跨学科教育和协作实践提供参考。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号