• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Sociology of health & illness >Renegotiating inter-professional boundaries in maternity care: Implementing a clinical pathway for normal labour
【24h】

Renegotiating inter-professional boundaries in maternity care: Implementing a clinical pathway for normal labour

机译：在产妇保健领域重新协商专业之间的界限：实施正常分娩的临床途径

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

This article presents findings from a study of a clinical pathway for normal labour (Normal Labour Pathway) implemented in Wales, UK. The study was conducted between 2004 and 2006. The pathway aimed to support normal childbirth and reduce unnecessary childbirth interventions by promoting midwife-led care. This article focuses on how the pathway influenced the inter-professional relationships and boundaries between midwives and doctors. Data are drawn from semi-participant observation, focus groups and semi-structured interviews with 41 midwives, and semi-structured interviews with five midwifery managers and six doctors, working in two research sites. Whereas some studies have shown how clinical pathways may act as 'boundary objects', dissolving professional boundaries, promoting interdisciplinary care and de-differentiating professional identities, the 'normal labour pathway' was employed by midwives as an object of demarcation, which legitimised a midwifery model of care, clarified professional boundaries and accentuated differences in professional identities and approaches to childbirth. The pathway represented key characteristics of a professional project: achieving occupational autonomy and closure. Stricter delineation of the boundary between midwifery and obstetric work increased the confidence and professional visibility of midwives but left doctors feeling excluded and undervalued, and paradoxically reduced the scope of midwifery practice through redefining what counted as normal.
机译：本文介绍了在英国威尔士实施的一项关于正常分娩临床途径（Normal Labor Pathway）的研究结果。该研究于2004年至2006年进行。该途径旨在通过助产士主导的护理来支持正常分娩并减少不必要的分娩干预措施。本文重点探讨该途径如何影响助产士和医生之间的专业间关系和界限。数据来自在41个助产士的半参与者观察，焦点小组和半结构式访谈，以及在两个研究地点工作的五名助产士经理和六名医生的半结构式访谈。尽管一些研究表明临床途径如何充当“边界对象”，消除专业界限，促进跨学科护理和消除专业身份差异，但助产士采用“正常劳动途径”作为标界的对象，这使助产士合法化照护模式，明确的专业界限以及专业身份和分娩方式的突出差异。该途径代表了专业项目的关键特征：实现职业自治和结业。严格界定助产士和产科工作之间的界限，增加了助产士的信心和专业知名度，但医生却感到自己被排斥和被低估了，并且反常地通过重新定义正常的职业而缩小了助产士的范围。

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