Prospects of safe motherhood in Botswana: midwifery training and nurses' ability to complete the Botswana obstetric record
Prospects of safe motherhood in Botswana: midwifery training and nurses' ability to complete the Botswana obstetric record
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DOI：
10.1016/s0277-9536(03)00281-8
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发表时间：
2004-03-01
影响因子：
5.4
通讯作者：
Ncube, E
中科院分区：
文献类型：
--
作者：
Fako, TT;Forcheh, N;Ncube, E
本文探讨了几个关键因素，确定护士的能力，以完成博茨瓦纳产科记录（BOR），一种工具，应有助于早期诊断的问题，在怀孕，分娩，分娩和产褥期。这项研究使用了在博茨瓦纳地方政府当局下属的医院、诊所和卫生站工作的309名护士的全国样本，发现护士完成《人权法案》的能力与助产士培训、基本护理培训水平、年龄组、收入水平、工作满意度、设备是否充足、参加进修课程、在职培训的总体水平、依靠讲习班和研讨会，同侪依靠和自力更生的新的护理实践的信息。多变量分析表明，在完成人权法案的最有能力的护士是一个训练有素的助产士，在一个设备齐全的卫生设施工作，谁经常咨询同行以及参加讲习班和研讨会。研究结论认为，如果要推进安全孕产计划，培训所有护士成为助产士比将登记护士提升为注册护士更为重要。需要进一步的研究，以建立客观的能力，护士谁声称是舒适的完成BOR。(C)2003 Elsevier Ltd.保留所有权利。
This paper examines several key factors that determine nurses' ability to complete the Botswana Obstetric Record (BOR), an instrument that should help with early diagnosis of problems during pregnancy, labour, delivery and the puerperium. Using a national sample of 309 nurses working in hospitals, clinics and health posts under the local government authority in Botswana, the study found that a nurse's ability to complete the BOR was significantly related to midwifery training, level of basic nursing training, age group, level of income, job satisfaction, adequacy of equipment, attendance of refresher courses, overall level of in-service training, reliance on workshops and seminars, peer reliance and self-reliance for information on new nursing practices. Multivariate analyses indicated that the most competent nurse in completing the BOR was one trained as a midwife, working in an adequately equipped health facility, and who often consulted with peers as well as attended workshops and seminars. The study concludes that it is more important to train all nurses to become midwives than to upgrade enrolled nurses to become registered nurses if the plan for safe motherhood is to be advanced. Further research is needed to establish the objective competence of nurses who claim to be comfortable completing the BOR. (C) 2003 Elsevier Ltd. All rights reserved.