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- A Survey of Obstetricians' Willingness to Practice Collaboratively with Midwives in Taiwan
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頁籤選單縮合
題名 | A Survey of Obstetricians' Willingness to Practice Collaboratively with Midwives in Taiwan=產科醫師與助產士合作執業之意願調查 |
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作者 | 高美玲; 鍾聿琳; 高千惠; 吳祥鳳; 郭素珍; Gau, Meei-ling; Chung, Ue-lin; Kao, Chen-hui; Wu, Shian-feng; Kuo, Su-chen; Long,Ann; |
期刊 | The Journal of Nursing Research |
出版日期 | 20020900 |
卷期 | 10:3 2002.09[民91.09] |
頁次 | 頁205-216 |
分類號 | 419.95、419.95 |
語文 | eng |
關鍵詞 | 產科醫師; 助產士; 共同執業; 助產教育與訓練; Obstetrician; Midwife; Collaborative practice; Midwifery education and training; |
中文摘要 | 本文旨在探討產科醫師與助產士合作執業的意願。運用系統性隨機抽樣法,自中華民國婦產科醫學會的醫師名冊中抽取500名婦產科醫師,以自擬式問卷及4個開放性問題了解產科醫師與助產士合作執業的意願及其相關的影響因素。共回收78份有效問卷,回收率為15.6%。研究對象的平均年齡為47.1歲 (SD = 1.1),多半為診所醫師 (n = 36, 46.2%)、具有十年以上之接生經驗 (n = 62, 79.5%)、39位服務於每月出生數小於50人之醫院 (50%)。本研究發現:78位醫師對所列的7項助產士業務皆不贊同共同合作,但若助產士的教育提昇至大學程度以上,則有五項執業內容明顯地提昇 (t > 1.96, p < .05),且有44位產科醫師願意與助產士共同合作執業;但仍有34位醫師不願意與助產士合作,其理由有:不願意承擔風險、擔心助產士的能力、擔心影響醫師的形象、不願意分擔權益。針對本研究結果,研究者們認為助產教育制度的改進與提昇乃為首要之務,俾能改進孕產婦及嬰兒的服務品質,進而促進下一代的健康。 |
英文摘要 | This study was designed to investigate obstetricians' willingness to practice collaboratively with midwives in Taiwan. Systematic random sampling was used to access the 500 participants from the 2,256 registered members of the Association of Obstetrics and Gynecology of the Republic of China. A questionnaire and four open-ended questions were designed to examine obstetricians' willingness to work collaboratively with midwives and other related factors. A total of 78 physicians returned the questionnaires, providing a response rate of 15.6%. Thirty-six (46.2%) of subjects worked as private obstetricians, with a mean age of 47.1 years. About 79.5% (n = 62) had over 10 years of experiences in their role. Fifty percent (n = 39) worked in areas with birth rats less than 50 infants per month. The findings of the current study demonstrate, regarding the seven midwifery practice items on the questionnaire, that all 78 obstetricians were unwilling to work collaboratively with midwives. However, results showed that if midwifery education were to be advanced to college level, the degree of willingness to work collaboratively with midwives improved significantly (t > 1.96, p < .05). Furthermore, 56.4% (n = 44) obstetricians would then agree to work collaboratively with midwives. However, 43.6% (n = 34) were unwilling to accept midwives as independent practitioners. Reasons included: unwillingness to share risks, worry about the incapability of midwives, worry that it would impair the professional image of physicians, and unwillingness to share interests. The authors conclude that advancing and enhancing midwifery education in Taiwan should be the first step to negotiate in order to raise the profile of midwives specifically and the midwifery profession generally. Ultimately, such a strategy would improve the quality of care provided to women and their infants and consequently improve the health and social well-being of present and future generations. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。