How can midwives utilise the teachable moment in pregnancy for women: A focus on the role of language

助产士如何利用女性怀孕期间的教育时刻：关注语言的作用

• 批准号: 2775286
• 金额: --
• 依托单位: University of Manchester
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2775286
• 关键词: How; midwives; utilise; teachable; moment

Interactions with healthcare professionals in pregnancy can create high levels of motivation in women which can lead to changes to health behaviours, labelled a 'teachable moment' (Lawson & Flocke, 2009). Healthcare services have clear care pathways during pregnancy meaning an increase in frequency of contact and first interactions with healthcare professionals for some women. Changes to behaviour can see the adoption of healthy behaviours such as physical activity and also the reduction in risk behaviours. Thus, pregnancy offers an opportunity to have short and long term impact on the physical and mental health of mother and baby. Language used by healthcare professionals is central to the relationship and must be respectful and enable women to feel comfortable to share their mental and physical health experiences and concerns. Research has suggested that healthcare professionals training should include communication (Vermeir, et al., 2015). The Royal College of Midwives have recently launched a project looking at language used by midwives in practice, with a focus on the use of terms such as 'normal birth' (https://www.rcm.org.uk/what-is-the-rebirth-project/). Health Psychology provides evidence-based theories and techniques to inform good practice and the inclusion of health psychology theory and techniques (e.g., behaviour change techniques) has been found to be acceptable to student midwives (Hart et al., 2018).This programme of PhD work will take an interdisciplinary approach from health psychology and midwifery with the aim of designing and testing an intervention following the Medical Research Council guidelines (MRC, 2006). This PhD builds on the existing work of the supervisors and previous PhD students. The intervention will be for midwives and will focus on the use of language. Following the intervention, midwives will be able to actively detect and diagnose health behaviours that require change to support women/birthing peoples' short and long term mental and physical health. The work will start with a systematic review and take a mixed method approach employing qualitative methods to develop theory and investigate acceptability of the intervention, and quantitative techniques to investigate efficacy. The programme will involve key stakeholder input throughout with several public engagement events planned to inform the programme of work and disseminate findings.

孕期与医疗保健专业人员的互动可以为女性创造高水平的动机，这可能会导致健康行为的变化，这被称为“可教的时刻”(Lawson&Floke，2009)。医疗保健服务在怀孕期间有明确的护理路径，这意味着对一些妇女来说，与医疗保健专业人员接触和首次互动的频率增加。行为的改变可以看到采取健康的行为，如体力活动，也可以减少危险行为。因此，怀孕提供了对母婴的身心健康产生短期和长期影响的机会。医疗保健专业人员使用的语言是两人关系的核心，必须是尊重的，并使女性感到舒服地分享她们的心理和身体健康经历和担忧。研究表明，医疗保健专业人员的培训应包括沟通(Vermeir等人，2015年)。英国皇家助产士学会最近发起了一项研究助产士在实践中使用的语言的项目，重点是(https://www.rcm.org.uk/what-is-the-rebirth-project/).等术语的使用健康心理学提供以证据为基础的理论和技术，为良好做法提供信息，纳入健康心理学理论和技术(例如，行为改变技术)已被发现是学生助产士可以接受的(Hart等人，2018年)。这项博士工作方案将采取健康心理学和助产士的跨学科方法，目的是按照医学研究理事会的指导方针(MRC，2006年)设计和测试干预措施。这个博士学位建立在导师和以前的博士生现有工作的基础上。干预将针对助产士，并将重点放在语言的使用上。在干预之后，助产士将能够积极地检测和诊断需要改变的健康行为，以支持妇女/分娩者的短期和长期心理和身体健康。这项工作将从系统的审查开始，并采取混合方法，使用定性的方法来发展理论和调查干预的可接受性，并使用定量的技术来调查疗效。该方案将让主要利益攸关方全程参与，并计划开展若干公共参与活动，为工作方案提供信息并传播调查结果。