Provision of information by midwives for pregnant women in England on guidance on foods/drinks to avoid or limit.
Provision of information by midwives for pregnant women in England on guidance on foods/drinks to avoid or limit.
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DOI：
10.1186/s12884-023-05441-8
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发表时间：
2023-03-08
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
英国国家卫生服务（NHS）网站为英国孕妇提供了关于避免或限制因微生物、毒理学或致畸危害而摄入的食物/饮料的指导。这些包括，例如，某些类型的软奶酪，鱼/海鲜和肉制品。本网站和助产士是孕妇可信赖的信息来源，但助产士如何获得支持以提供明确和准确的信息尚不清楚。其目的是：（1）确定助产士对资料的准确记忆，以及向妇女提供指引的信心;（2）找出提供指引的障碍;（3）找出助产士向妇女提供这些资料的方法。在英格兰执业的注册助产士完成了一份在线问卷。问题包括他们提供了哪些信息以及他们对提供这些信息的信心，他们提供有关避免/限制食品信息的方式，他们对一些指导的回忆以及他们使用了哪些资源。布里斯托大学给予伦理学批准。超过10%的助产士（n = 122）在提供关于十个项目的建议时“完全不自信/不知道”，包括野味/野味（分别为42%和43%），草药茶（14%）和腌肉（12%）。只有32%的人能正确回忆起吃鱼的建议，只有38%的人能正确回忆起金枪鱼罐头的建议。提供服务的主要障碍是缺乏任命时间和缺乏培训。最常见的信息传播方式是口头传播（79%）和网站导航（55%）。助产士往往对自己提供准确指导的能力没有信心，对测试项目的回忆经常出错。助产士在提供关于避免或限制食物的指导时，需要得到适当培训和获得资源的支持，并有足够的预约时间。需要进一步研究提供和实施NHS指南的障碍。
The National Health Service (NHS) website gives guidance for pregnant women in England on foods/drinks to avoid or limit because of microbiological, toxicological or teratogenic hazards. These include, for example, some types of soft cheeses, fish/seafood and meat products. This website and midwives are trusted sources of information for pregnant women, but the ways in which midwives can be supported to provide clear and accurate information are unknown. The aims were to: (1) determine midwives’ accuracy of recall of information and confidence in delivering the guidance to women; (2) identify barriers to provision; (3) identify the ways in which midwives provide this information to women. Registered Midwives practicing in England completed an online questionnaire. Questions included those on what information they provided and their confidence in delivering it, the ways they provided information on foods to avoid/limit, their recall of some of the guidance, and what resources they used. Ethics approval was given by the University of Bristol. More than 10% of midwives (n = 122) were ‘Not at all confident/Don't know’ in providing advice about ten items, including game meat/gamebirds (42% and 43%, respectively), herbal teas (14%) and cured meats (12%). Only 32% correctly recalled overall advice on eating fish, and only 38% the advice on tinned tuna. The main barriers to provision were lack of time in appointments and lack of training. The most usual methods of disseminating information were verbal (79%) and signposting to websites (55%). Midwives were often unconfident about their ability to provide accurate guidance, and recall on items tested was frequently mistaken. Delivery of guidance by midwives on foods to avoid or limit needs to be supported by appropriate training and access to resources, and sufficient time in appointments. Further research on barriers to the delivery and implementation of the NHS guidance is needed.
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DOI：
10.3945/jn.109.109579
发表时间：
2009-10
期刊：
The Journal of nutrition
影响因子：
--
作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
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发表时间：
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期刊：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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DOI：
10.1111/ajo.12523
发表时间：
2017-06-01
影响因子：
1.7
作者：
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通讯作者：
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