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1.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 921-924, jul.-set. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005399

RESUMO

Objetivo: avaliar o impacto da sensibilização no setor e a adesão ao protocolo de sepse em unidade de tocoginecologia. Método: Trata-se de uma pesquisa-ação no período de janeiro a março de 2016, com 63 profissionais que trabalham em unidade de tocoginecologia de um hospital de alta complexidade. Resultados: 51% dos profissionais receberam o treinamento sobre o protocolo de sepse e, após, 50% dos pacientes que tinham critérios de Síndrome da resposta inflamatória Sistêmica (SIRS) foram incluídos no protocolo de sepse, sendo que o desfecho de três destes foi alta hospitalar e dois foram transferidos para UTI devido sepse grave. O tempo médio de administração do antibiótico foi cinquenta minutos, da solicitação do hemograma foi 46,25 minutos e do resultado do lactato foi acima de trinta minutos. Conclusão: Ainda há necessidade de melhoria em relação à adesão pela equipe de enfermagem para implantação de medidas de combate à sepse


Objetivo: evaluar el impacto de la sensibilización en el sector y la adhesión al protocolo de sepsis en unidad de tocoginecología. Método: Se trata de una investigación-acción en el período de enero a marzo/2016, con 63 profesionales que trabajan en unidad de tocoginecología de un hospital de alta complejidad. Resultados: 51% de los profesionales recibieron el entrenamiento sobre el protocolo de sepsis y después, 50% de los pacientes que tenían criterios de SIRS fueron incluidos en el protocolo de sepsis, siendo el desenlace de 03 de ellas, fue alta hospitalaria y 02 fueron transferidas a UTI Debido a la sepse grave. El tiempo promedio de administración del antibiótico fue de 50 minutos, de la solicitud del hemograma fue 46,25 minutos y el resultado del lactato fue de más de 30 minutos. Conclusión: Aún hay necesidad de mejora en relación a la adhesión por el equipo de Enfermería para implantación de medidas de combate a la sepsis


Objective: to evaluate the impact of the sensitization in the sector and adherence to the protocol of sepsis in a unit of tocoginecology. Method: This is an action research from January to March/2016, with 63 professionals working in a tocoginecology unit of a highly complex hospital. Results: 51% of the professionals received training on the sepsis protocol and after that, 50% of the patients who had SIRS criteria were included in the sepsis protocol, and the outcome of 03 of these was hospital discharge and 02 were transferred to the ICU Due to severe sepsis. The mean time of administration of the antibiotic was 50 minutes, the request of the blood count was 46.25 minutes and the result of the lactate was over 30 minutes. Conclusion: There is still a need for improvement regarding adherence by the Nursing team to implement measures to combat sepsis


Assuntos
Humanos , Masculino , Feminino , Gravidez , Adulto , Complicações Infecciosas na Gravidez/prevenção & controle , Tecnologia Educacional/instrumentação , Tecnologia Educacional/estatística & dados numéricos , Equipe de Assistência ao Paciente , Protocolos Clínicos , Sepse/diagnóstico , Sepse/terapia , Tocologia/normas
2.
Nurse Educ Today ; 79: 188-193, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31153089

RESUMO

BACKGROUND: There is a lack of research on resilience in midwifery, yet this may be a factor that can help prevent burnout and intention to leave the profession. OBJECTIVES: To explore the relationship between perceived stress, resilience and burnout and the intention to leave midwifery within Midwifery students. DESIGN: A Quantitative study with a cross-sectional survey design. SETTING: A London University in the UK. PARTICIPANTS: 150 BSc student midwives, aged between 18 and 44, studying at University participated in this study. This included 72 students in year one, 26 in year two and 52 in year three. METHODS: Participants completed the Perceived Stress Scale, the Oldenburg Burnout Inventory and the Resilience Scale-14 to examine their self-reported stress levels, burnout (emotional exhaustion and disengagement) and level of resilience. Intentions to quit the profession were also measured. RESULTS: All variables were significantly correlated but in multiple regression analyses only stress predicted disengagement, and stress and year of study predicted emotional exhaustion. High stress and reduced resilience predicted intentions to quit midwifery. Resilience did not act as a moderator. Thus the findings suggest that resilience did not protect students from high levels of stress leading to burnout or wanting to quit, although resilience did help to reduce intentions to quit. CONCLUSION: Student stress levels are not moderated by resilience and resilience played no role in reducing burnout. However, resilience may help students to persevere in the profession rather than leaving their studies. In order to minimise burnout and stress we need to consider alternative ways of enhancing the current workforce to reduce the decline in midwives entering the profession.


Assuntos
Esgotamento Psicológico , Tocologia/educação , Resiliência Psicológica , Estresse Psicológico/psicologia , Estudantes de Enfermagem/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Londres , Reorganização de Recursos Humanos , Inquéritos e Questionários , Adulto Jovem
3.
Lancet ; 393(10187): 2192-2193, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31162071
4.
Implement Sci ; 14(1): 64, 2019 06 18.
Artigo em Inglês | MEDLINE | ID: mdl-31215450

RESUMO

BACKGROUND: In addition to their more traditional clinical role, midwives are expected to perform various health promotion practice behaviours (HePPBes) such as informing pregnant women about the benefits of physical activity during pregnancy and asking women about their alcohol consumption. There is evidence to suggest several barriers exist to performing HePPBes. The aim of the study was to investigate the barriers and facilitators midwives perceive to undertaking HePPBes. METHODS: The research compromised of two studies. Study 1: midwives based in a community setting (N = 11) took part in semi-structured interviews underpinned by the theoretical domains framework (TDF). Interviews were analysed using a direct content analysis approach to identify important barriers or facilitators to undertaking HePPBes. Study 2: midwives (N = 505) completed an online questionnaire assessing views on their HePPBes including free text responses (n = 61) which were coded into TDF domains. Study 2 confirmed and supplemented the barriers and facilitators identified in study 1. RESULTS: Midwives' perceived a multitude of barriers and facilitators to carrying out HePPBes. Key barriers were requirements to perform an increasing amount of HePPBes on top of existing clinical work load, midwives' cognitive resources, the quality of relationships with pregnant women, a lack of continuity of care and difficulty accessing appropriate training. Key facilitators included midwives' motivation to support pregnant women to address their health. Study 1 highlighted strategies that midwives use to overcome the barriers they face in carrying out their HePPBes. CONCLUSIONS: Despite high levels of motivation to carry out their health promotion practice, midwives perceive numerous barriers to carrying out these tasks in a timely and effective manner. Interventions that support midwives by addressing key barriers and facilitators to help pregnant women address their health behaviours are urgently needed.


Assuntos
Consumo de Bebidas Alcoólicas , Exercício , Promoção da Saúde/organização & administração , Tocologia , Cuidado Pré-Natal/organização & administração , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Entrevistas como Assunto , Gravidez , Escócia , Inquéritos e Questionários
5.
Reprod Health ; 16(1): 50, 2019 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-31072399

RESUMO

BACKGROUND: Health workers in many low-income countries are not adequately trained to deliver pregnant women safely. In response to this, the Safe Delivery App (SDA) has been developed, which provides animated clinical instruction videos in basic emergency obstetric and neonatal care. The SDA aims to improve knowledge and skills of health workers located in the periphery of the health system in order to improve quality of care and potentially save the lives of mothers and newborns. The objective of this qualitative study was to explore the users' experiences with using the SDA and in which ways the SDA influences their work situation and their perceived ability to conduct safe deliveries. METHODS: Eleven focus group discussions and four individual interviews were conducted with a total of 56 midwives, nurses and health extension workers from five districts in West Wollega Zone, Oromiya region of Ethiopia. The data further include observations and informal conversations. All interviews were recorded, transcribed verbatim, checked for corrections and analysed using systematic text condensation. RESULTS: The findings indicate that health workers perceive the SDA as a useful tool, which helps them memorize and update knowledge and skills, and improves their confidence. User patterns follow the relevancy of the tool to the health workers' work situation - those who conduct many deliveries have more often used the app in emergency situations, whereas those who conduct few deliveries more often use it to improve their knowledge and to provide health education to pregnant women. Thus, the SDA is used in varying ways depending on internal and external factors such as own competencies, availability of equipment and frequency of births attended. Health workers experienced that community members showed more recognition and trust in their abilities and ascribed this to their increased confidence in assisting in deliveries. The increased recognition from communities may also be associated to a medical technology. CONCLUSION: The health workers perceive the SDA as having improved their ability to manage complications during childbirth and have gained increased recognition and trust from the communities.


Assuntos
Saúde do Lactente , Saúde Materna , Aplicativos Móveis , Complicações do Trabalho de Parto/terapia , Competência Clínica , Etiópia , Feminino , Humanos , Tocologia , Enfermeiras e Enfermeiros , Gravidez , Pesquisa Qualitativa , Qualidade da Assistência à Saúde
6.
Int J Gynaecol Obstet ; 146(1): 126-131, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31058318

RESUMO

After the declaration of the Millennium Development Goals in 2000 by the United Nations, many stakeholders allocated financial resources to "global maternal health." Research to expand care and improve delivery of maternal health services has exponentially increased. The present article highlights an overview, namely 10 of the health system, clinical, and technology-based advancements that have occurred in the past three decades in the field of global maternal health. The list of topics has been selected through the cumulative clinical and public health expertise of the authors and is certainly not exhaustive. Rather, the list is intended to provide a mapping of key topics arranged from broad to specific that span from the global policy level to the level of individual care. The list of health system, clinical, and technology-based advancements include: (10) Millennium Development Goals and Sustainable Development Goals; (9) Development of clinical training programs, including the potential for subspecialty development; (8) Prenatal care expansion and potential; (7) Decentralized health systems, including the use of skilled birth attendants; (6) Antiretroviral therapy for HIV; (5) Essential medicines; (4) Vaccines; (3) mHealth/eHealth; (2) Ultrasonography; and (1) Obstetric hemorrhage management. With the Sustainable Development Goals now underway, the field must build upon past successes to sustain maternal and neonatal well-being in the future global health agenda.


Assuntos
Saúde Global/normas , Saúde Materna/normas , Cuidado Pré-Natal/organização & administração , Feminino , Humanos , Mortalidade Materna , Tocologia/organização & administração , Mortalidade Perinatal , Gravidez , Desenvolvimento Sustentável , Nações Unidas
8.
Nurse Educ Today ; 79: 14-19, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31078869

RESUMO

BACKGROUND: Immersive virtual reality is an advancing technology that has the potential to change the traditional pedagogical approaches to teaching tertiary nursing and midwifery students. The application of immersive virtual reality in nursing and midwifery education may be a novel, accessible method for information provision and skill acquisition, however little is known of the extent of immersive virtual reality technology integration into tertiary nursing and midwifery programs. OBJECTIVES: The purpose of this review is to identify the application and integration of immersive virtual reality within nursing and midwifery tertiary education programs. DESIGN: A scoping review based on the Joanna Briggs Institute methodology for scoping reviews was undertaken. An a priori review protocol and eligibility criterion was developed with the protocol subject to review a posteriori following first round screening. An electronic search of ten databases was conducted in January 2018. RESULTS: A total of n = 506 non-duplicate records were identified and subjected to level one and level two screening. The search strategy and screening process identified n = 2 articles that were quality checked and included for review. CONCLUSIONS: There is currently a paucity of quality published literature on the application and/or integration of immersive virtual reality into nursing and midwifery tertiary education. Immersive virtual reality has the potential to increase competence and confidence for students providing accessible and repeatable learning opportunities in a fail-safe environment. There is a need for educators to be involved in the conceptualisation, design, integration and research of immersive virtual reality technology into undergraduate nursing and midwifery programs.


Assuntos
Competência Clínica , Bacharelado em Enfermagem/métodos , Tocologia/educação , Estudantes de Enfermagem/psicologia , Realidade Virtual , Feminino , Humanos , Aprendizagem
10.
Rev Lat Am Enfermagem ; 27: e3139, 2019 Apr 29.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31038633

RESUMO

OBJECTIVE: to compare, after four years of the implementation of the Stork Network, the obstetric practices developed in a university hospital according to the classification of the World Health Organization. METHOD: cross-sectional study carried out in the year of adherence to the Stork Network (377 women) and replicated four years later (586 women). Data were obtained through medical records and a structured questionnaire. The Chi-square test was used in the analysis. RESULTS: four years after the implementation of the Stork Network, in Category A practices (demonstrably useful practices/good practices), there was increased frequency of companions, non-pharmacological methods, skin-to-skin contact and breastfeeding stimulation, and decreased freedom of position/movement. In Category B (harmful practices), there was reduction of trichotomy and increased venoclysis. In Category C (practices with no sufficient evidence), there was increase of Kristeller's maneuver. In Category D (improperly used practices), the percentage of digital examinations above the recommended level increased, as well as of analgesics and analgesia, and there was decrease of episiotomy. CONCLUSION: these findings indicate the maintenance of a technocratic and interventionist assistance and address the need for changes in the obstetric care model. A globally consolidated path is the incorporation of midwife nurses into childbirth for the appropriate use of technologies and the reduction of unnecessary interventions.


Assuntos
Parto Obstétrico/enfermagem , Promoção da Saúde/organização & administração , Tocologia/organização & administração , Parto , Adulto , Brasil , Aleitamento Materno , Estudos Transversais , Parto Obstétrico/normas , Prática Clínica Baseada em Evidências , Feminino , Promoção da Saúde/normas , Hospitais Universitários , Humanos , Trabalho de Parto , Serviços de Saúde Materna , Tocologia/métodos , Tocologia/normas , Gravidez , Desenvolvimento de Programas , Fatores Socioeconômicos , Adulto Jovem
11.
BMC Public Health ; 19(1): 583, 2019 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-31096959

RESUMO

BACKGROUND: With Bangladesh's adoption of the third Sustainable Development Goal to reduce maternal mortality, the impetus for Bangladesh to continue to improve uptake of maternal healthcare is strong. METHODS: Using a propensity-score matched analysis, the present study utilized data from the 2014 Bangladesh Demographic Health survey to examine the impact of four or more antenatal care visits on skilled birth attendant use and institutional delivery. RESULTS: The results revealed a significant and positive impact of four or more antenatal care visits on skilled birth attendant use and institutional delivery after matching treated and untreated mothers on included socio-demographic characteristics. CONCLUSIONS: Implementation of policies to provide at least four antenatal care visits may serve as an effective strategy to increase SBA use and institutional delivery in Bangladesh, which could contribute to the reduction of maternal mortality.


Assuntos
Parto Obstétrico/estatística & dados numéricos , Instalações de Saúde/estatística & dados numéricos , Tocologia/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Cuidado Pré-Natal/estatística & dados numéricos , Adulto , Bangladesh , Parto Obstétrico/métodos , Feminino , Inquéritos Epidemiológicos , Humanos , Mortalidade Materna , Gravidez , Pontuação de Propensão
12.
Artigo em Inglês | PAHO-IRIS | ID: phr-50917

RESUMO

The Nursing Now campaign, which will end in 2020, involves a collaborative partnership of the United Kingdom’s Burdett Trust for Nursing, the World Health Organization (WHO), and the International Council of Nurses. The campaign aims to improve health around the world by raising the profile and status of nurses globally, influencing policymakers, and supporting nurses to lead, learn, and build a worldwide movement. The campaign advocates for more nurses in positions of leadership and for enhancing their influence on national and international policies to address the current social issues that affect health care systems. Nurses have direct interaction and build trust with the general public. They are involved in all levels of health care delivery and can serve as instrumental leaders in transforming the health care system.


Assuntos
Enfermagem , Conselho Internacional de Enfermagem , Enfermeiras e Enfermeiros , Formulação de Políticas , Pessoal de Saúde , Tocologia
13.
BMC Health Serv Res ; 19(1): 340, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31138250

RESUMO

BACKGROUND: Nursing and midwifery research activity is an important indicator of the quality of healthcare services and the status of nursing profession. The main aim of this study was to assess the research activity in nursing and midwifery field in Arab countries. METHOD: The current study implemented bibliometric method using Scopus database. The search strategy used country affiliation or journal name or keywords as a strategy to retrieve the required documents. The study period was from 1950 to2017. Analysis included a presentation of bibliometric indicators and VOSviewer mapping of the retrieved data. RESULT: 2935 documents were retrieved making up less than 1% of global nursing and midwifery research output. Of the retrieved documents, 25% were published in high rank (first quartile = Q1) journals. The majority (56.7%) of the retrieved documents were published in the last five years of the study period. The retrieved documents received an average of 6.9 citations per document with an h-index of 47. The total number of authors who took part in publishing the retrieved documents was 10,572, giving an average of 3.6 authors per article. Jordan ranked first in research output. Researchers from Jordan took part in over than one third (1023; 34.9%) of the retrieved documents. Lebanon (35.5%) ranked first in the percentage of documents published in Q1 journals. The United Arab Emirates ranked first in the percentage (67.4%) of publications with international authors. The most active journal involved in publishing nursing research from Arab countries was Life Science Journal (158; 5.4%). The University of Jordan was the most productive institution while the American University of Beirut ranked first in the percentage (36.9%) of documents published in Q1 journals. Author keyword analysis and10 most cited articles showed that non-communicable diseases and nursing education were the focus of nursing research in Arab countries. CONCLUSIONS: Nursing and midwifery research activity in Arab countries has dramatically increased especially over the past five years. Despite this, nursing research is still in its infancy, lagging in quantity and quality compared to developed countries.


Assuntos
Tocologia/estatística & dados numéricos , Enfermagem/estatística & dados numéricos , Árabes , Bibliometria , Bases de Dados Factuais/estatística & dados numéricos , Feminino , Humanos , Jordânia , Líbano , Gravidez , Publicações/estatística & dados numéricos , Pesquisa , Emirados Árabes Unidos
14.
Bull Hist Med ; 93(1): 82-113, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30956237

RESUMO

Set in rural Georgia, the 1953 health film All My Babies: A Midwife's Own Story was a government-sponsored project intended as a training tool for midwives. The film was unique to feature a black midwife and a live birth at a time when southern health officials blamed midwives for the region's infant mortality rates. Produced by the young filmmaker George Stoney, All My Babies was praised for its educational value and, as this article demonstrates, was a popular feature in postwar medical education. Yet as it drew acclaim, the film also sparked debates within and beyond medical settings concerning its portrayal of midwifery, birth, and health care for African Americans. In tracing the controversies over the film's messages and representations, this article argues that All My Babies exemplified the power and limits of health films to address the complexities of race and health during an era of Jim Crow segregation.


Assuntos
Educação Médica/história , Medicina nas Artes/história , Tocologia/história , Filmes Cinematográficos/história , Afro-Americanos , Georgia , História do Século XX , Humanos , Parto , Estados Unidos
15.
Nurse Educ Pract ; 37: 9-14, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31031207

RESUMO

BACKGROUND: The training of midwives is critical in order to acquire the professional skills necessary in the support of breastfeeding. The use of tools that demonstrate student competency in the field of midwifery is fundamental. OBJECTIVES: The aim for this study was to translate and apply a questionnaire to an Italian cohort of students - determining their self-efficacy and establishing the validity of the tool collectively. DESIGN: This study was a descriptive cross-sectional study. SETTING: The study was conducted at a large university in northern Italy. PARTICIPANTS: Seventy-six female students from the Midwifery Degree Course. METHODS: The questionnaire translated into Italian was administered to students participating in a Midwifery Degree Course. Rasch analysis was applied using ConQuest software, version 4. RESULTS: Seventy-six questionnaires were collected. Fifty-six questionnaires have modal value 3 of the Likert response scale (It's easy for me to do it), 17 have a mode of 4 (It's very easy for me to do it), 3 of 2 (It's difficult for me to do it) and no questionnaire of 1 (It's very difficult for me to do it). A questionnaire identified the perception of self-efficacy of midwifery students in assisting breastfeeding mothers. CONCLUSION: The results of this research demonstrate that students of midwifery consider themselves competent when assisting breast feeding mothers.


Assuntos
Aleitamento Materno , Competência Clínica/normas , Tocologia/educação , Autoeficácia , Estudantes de Enfermagem , Inquéritos e Questionários , Adulto , Estudos Transversais , Bacharelado em Enfermagem , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Itália , Gravidez , Inquéritos e Questionários/normas
16.
Nurse Educ Pract ; 37: 22-28, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31035076

RESUMO

Resilience is considered a vital characteristic and has gained attention in midwifery practice and education. In particular, midwifery students face challenges during their education in both academic and clinical components of the program. There is need for greater understanding and strategies to develop resilience in the midwifery student population. The aim of this study is to gain insight into how midwifery students conceptualise resilience, and explore how education might support the development of resilience. A focus group was conducted as part of a broader study underpinned by a concept analysis methodology to explore the students understanding of resilience. Participants included six third year midwifery students from one university. Thematic analysis was used to analyse the data. Four key themes were identified. Resilience contextualised to midwifery was triggered by exposure to adversity; resilience was identified as the ability to bounce back and move forward, and was seen to be important for midwifery students. The concept of resilience appears to play an important role in student success. Evidence suggests resilience can be developed and education providers have a role to foster student's resilience. Findings offer strategies to strengthen resilient behaviour for the midwifery student population and provide a basis for further research.


Assuntos
Tocologia/educação , Resiliência Psicológica , Estudantes de Enfermagem , Bacharelado em Enfermagem , Feminino , Grupos Focais , Humanos , Pesquisa Qualitativa
17.
Women Birth ; 32(2): e173-e181, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31007207

RESUMO

BACKGROUND: Pregnancy and childbirth hold broader cultural and societal implications and entail more than simply a natural event. Today, these otherwise natural phenomena are driven by the development of surveillance medicine in a risk-averse society. This affects how both healthcare professionals and women perceive medicalisation and is influencing changes in clinical practice surrounding childbirth. AIM: The aim of the study was to explore the phenomenon of the medicalisation of pregnancy and childbirth in Slovenia as perceived and experienced by healthcare professionals, namely midwives and obstetricians. METHODS: A descriptive phenomenological approach was used. A purposive sample included 16 midwives and 4 obstetricians working in perinatal healthcare. The data were collected using in-depth, semi-structured, one-to-one interviews and analysed using the phenomenological methodology approach proposed by Colaizzi. FINDINGS: The two professional groups are well aware of the medicalisation of pregnancy and childbirth, yet there are some differences in experiencing these phenomena. This is revealed with respect to three identified themes: (1) medicalisation as a social construct; (2) unrecognised importance of evidence-based practice in changing medicalised care; and (3) the dimensionalities of the Caesarean section. CONCLUSION: Our study suggests woman-centred care that supports autonomy should be more strongly promoted and strategies supporting women with different childbirth preferences developed. The findings also show interprofessional collaboration should be further explored since midwives' autonomy and participatory decision-making in clinical settings is encountering some unresolved issues within the scope of midwifery practice that affect their professionalism.


Assuntos
Parto Obstétrico/psicologia , Medicalização , Enfermeiras Obstétricas/psicologia , Obstetrícia , Parto/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Tocologia , Percepção , Gravidez , Adulto Jovem
18.
BMC Res Notes ; 12(1): 205, 2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-30944037

RESUMO

OBJECTIVE: The aim of this study was to assess the attitude of Nursing and Midwifery students towards clinical practice and its associated factors at University of Gondar, Northwest Ethiopia. 2018. RESULT: The prevalence of a favorable attitude towards clinical practice was found to be 42.9% in this study. The odds of having favorable attitude were found to be 2 times higher among students who prepared well for clinical practice [AOR = 2.07, 95%, CI (1.25, 3.44)] compared with counterparts. Similarly students who communicate well with clinical staffs [AOR = 1.89, 95%, CI (1.05, 3.41)], practiced in well-equipped hospital [AOR = 1.76, 95%, CI (1.01, 3.06)], and accompanying frequently by a clinical supervisor [AOR = 1.69, 95%, CI (1.02, 2.81)] were more likely to have favorable attitude compared with counterparts.


Assuntos
Atitude do Pessoal de Saúde , Tocologia , Padrões de Prática Médica , Estudantes de Enfermagem/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Etiópia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Estudantes/psicologia , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários , Adulto Jovem
19.
Sex Reprod Healthc ; 19: 24-30, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30928131

RESUMO

OBJECTIVE: Fear of childbirth is a well-known problem affecting women's wellbeing and health. The prevalence of intense fear varies across countries from 4.8 to 14.8%. During the past 25 years in Sweden women with intense fear of childbirth have been offered counselling at specialised clinics staffed by midwives. Although the counselling demonstrates positive results, the training, education, supervision and organisation differ between clinics. It is still unclear which approaches and practices are the most beneficial. The aim was to explore and describe the counselling of women with intense fear of childbirth from the viewpoint of midwives who provide counselling in specialised fear of childbirth clinics in one region of Sweden. METHODS: A qualitative study of 13 midwives using focus group interviews and inductive content analysis. RESULTS: The midwives' counselling of women with intense fear of childbirth is described as 'striving to create a safe place for exploring fear of childbirth', comprising the following categories: Providing a reliable relationship; Investigating previous and present fears; and A strong dedication to the women. CONCLUSION: Although there are no guidelines for the counselling the midwives described similar frameworks. Some approaches were general, while others were specific and related to the individual woman's parity. The midwives achieved professional and personal development through counselling experiences. The findings add to the existing literature on counselling and can be used to inform the development of midwife-led interventions for women with intense fear of childbirth and previous traumatic births, as well as for the formal education of midwives.


Assuntos
Aconselhamento Diretivo/métodos , Medo/psicologia , Tocologia/métodos , Parto/psicologia , Aconselhamento Diretivo/organização & administração , Feminino , Grupos Focais , Humanos , Entrevistas como Assunto , Tocologia/educação , Planejamento de Assistência ao Paciente , Educação de Pacientes como Assunto , Relações Profissional-Paciente , Pesquisa Qualitativa , Confiança
20.
Anaesthesia ; 74(9): 1095-1100, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30973191

RESUMO

Audio recording consent discussions, and giving a copy of the recording to the patient to keep, might improve the consent process and reduce the risk of misunderstandings, complaints or medicolegal claims. However, there may be concerns over confidentiality and how being recorded could affect the consent discussion. We ascertained the views of 50 postnatal women and 100 maternity staff (25 anaesthetists, 25 obstetricians and 50 midwives) on making audio recordings of consent discussions. There was a wide range of opinions, with women and staff similarly supportive of audio recording overall, but the women were more supportive of recording than the staff when asked if they were against it, or whether they would support recording the discussion if the patient requested it; and less concerned than the staff regarding the potential disadvantages of audio recording. There were no significant differences in the views between anaesthetists, obstetricians and midwives.


Assuntos
Atitude do Pessoal de Saúde , Consentimento Livre e Esclarecido , Unidade Hospitalar de Ginecologia e Obstetrícia , Participação do Paciente/estatística & dados numéricos , Recursos Humanos em Hospital/psicologia , Gravação de Fita , Adulto , Anestesiologistas/psicologia , Anestesiologistas/estatística & dados numéricos , Feminino , Humanos , Masculino , Tocologia/estatística & dados numéricos , Participação do Paciente/psicologia , Médicos/psicologia , Médicos/estatística & dados numéricos , Período Pós-Parto , Inquéritos e Questionários
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