Phase model for the acquisition of practice-based knowledge by midwives from experience in labor and delivery care

本研究的目的是阐明阶段模型的获取实践为基础的知识，助产士从他们的经验，在劳动和分娩护理。通过访谈和问卷调查的方式，对在医院或妇产之家工作的助产士进行数据收集。从选定的475名受访者的数据进行统计分析，以检查是否有在助产年数和获得的实践为基础的知识类型之间的关系。在如何判断产程是否正常、如何尊重孕妇的情绪并保持其情绪稳定等方面，有十年以上经验的孕妇所掌握的知识和技能明显多于有十年以上经验的孕妇。他们从通过触诊评估胎儿体重和在没有会阴保护的情况下协助分娩的经验中获得了这些知识和技能。经验不足10年的妇女在了解确保自然分娩和与孕妇保持良好沟通的重要性方面得分明显较高。他们从目睹高级助产士工作的经验中获得了这些知识，并养成了反映自己表现的习惯。

The purpose of this study was to articulate the phase model for the acquisition of practice-based knowledge by midwives from their experience in labor and delivery care. Data were collected from midwives working at hospital or maternity home through interview and questionnaire survey. Data from selected 475 respondents were statistically analyzed to examine if there was relationship between the number of years in midwifery and the types of practice-based knowledge acquired. Knowledge and skills acquired significantly more by those with at least ten years of experience related to how to determine if the labor progress was normal or not and how to respect the pregnant woman’s emotions and keep her emotionally stable. They acquired these knowledge and skills from the experience of assessing the fetal weight by palpation and assisti ng delivery without perineal protection. Those under ten years of experience had significantly higher scores in learning the importance of ensuring that the delivery should take its natural course and of maintaining good communication with the pregnant woman. They acquired this knowledge from the experience of witnessing the work of senior midwives and having a habit of reflecting own performance.