摘要
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。
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.
作者
闫迪
夏海鸥
丁焱
Yan Di;Xia Hai′ou;Ding Yan(Nursing School of Fudan University,Shanghai 200032,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第22期6-9,共4页
Journal of Nursing Science
