上海市助产士及产科护士岗位工作内容现状调查
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女,硕士在读,学生

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Task analysis of the job description of midwives and obstetric nurses in Shanghai
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    目的 调查上海市助产士及产科护士的产科护理岗位工作内容现状,为进一步开展高层次助产士人才教育提供依据。方法 采用助产士及产科护士岗位内容调查表,对上海市503名助产士或产科护士进行调查。结果 各岗位“经常做”比例最高的条目分 别为:产科门诊“于产检时评估孕妇心率、血压及体质量变化有无异常”(71.7%);产房“评估宫口扩张情况”(96.3%);产后病房 “进行会阴伤口护理”(93.4%)。各岗位得分均值最高的岗位内容分别为:产科门诊“参与妊娠期疑难重症产妇的多学科会诊”;产 房“修补4度会阴/阴道裂伤”;产后病房“为发生产后精神、心理疾患的产妇和家庭提供心理干预及转诊”。结论 产科岗位内容具 有阶梯性特点,执行频率高的岗位内容为普适性产科护理实践,执行难度大的岗位内容医护职责划分不明确。应以产科高级护理 实践的发展趋势为方向,遵循产科岗位内容的阶梯性特点,培养高层次助产人才。

    Abstract:

    Objective To investigate and analyze the task of midwives and obstetric nurses in Shanghai, and to provide reference for higher education program. Methods A total of 503 midwives and obstetric nurses from Shanghai were recruited to complete the self-designed questionnaire in terms of the frequency of tasks. Results The highest task in frequency was ‘measure and judge abnormalities of heart rates, blood pressure and body weight of the pregnancy’ in obstetric clinic (71.7%), ‘evaluate cervical dilatation’ in labor room (96.3%), and ‘care of perineal wounds’ in post-labor ward (93.4%). The task with high mean score indicating that was performed by the other professionals was ‘participate in multidisciplinary consultation for pregnancy with difficult, complicated or critical illness’ in obstetric clinic, ‘repair stage 4 perineal/vaginal lacerations’ in labor room, and ‘provide psychological interventions and referral for puerpera and family with mental disorders’ in post-labor ward. Conclusion Task of job description in obstetrics shows ladder-like feature that the tasks with high frequency are general practice and those performed by senior professionals are unclear for medical and nursing personnel. High-level midwifery education should be taken following the direction of advanced obstetric practice and ladder-like feature of obstetric tasks to cultivate higher midwifery talents.

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闫迪,夏海鸥,丁焱.上海市助产士及产科护士岗位工作内容现状调查[J].护理学杂志,2019,34(22):6-9

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  • 收稿日期:2019-06-21
  • 最后修改日期:2019-08-12
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  • 在线发布日期: 2022-08-09