PDF(Sci-hub)
Abstract：
In an effort to reduce newborn mortality, a newly developed strap-on electronic fetal heart rate monitor was introduced at several health facilities in Tanzania in 2015. Training sessions were organized to teach staff how to use the device in clinical settings. This study explores skilled birth attendants\' perceptions and experiences acquiring and transferring knowledge about the use of the monitor, also called Moyo. Knowledge about this learning process is crucial to further improve training programs and ensure correct, long-term use. Five Focus group discussions (FGDs) were carried out with doctors and nurse-midwives, who were using the monitor in the labor ward at two health facilities in Tanzania. The FGDs were analyzed using qualitative content analysis. The study revealed that the participants experienced the training about the device as useful but inadequate. Due to high turnover, a frequently mentioned challenge was that many of the birth attendants who were responsible for training others, were no longer working in the labor ward. Many participants expressed a need for refresher trainings, more practical exercises and more theory on labor management. The study highlights the need for frequent trainings sessions over time with focus on increasing overall knowledge in labor management to ensure correct use of the monitor over time.
摘要：
为了降低新生儿死亡率，2015年,坦桑尼亚多家医疗机构推出了一种新开发的捆绑式电子胎儿心率监测器.组织了培训课程，以教导工作人员如何在临床环境中使用该设备。这项研究探讨了熟练的接生员的观念和经验，获取和转移有关使用监护仪的知识，也叫Moyo.有关此学习过程的知识对于进一步改进培训计划并确保正确，长期使用。与医生和护士助产士进行了五次焦点小组讨论（FGD），他们在坦桑尼亚两个医疗机构的劳动病房使用监视器。使用定性内容分析对FGD进行分析。研究表明，参与者经历了有关该设备的培训，虽然有用但不足。由于高营业额，一个经常提到的挑战是，许多负责培训他人的接生员，不再在劳动病房工作。许多与会者表示需要进修培训，更多的实践练习和更多的劳动管理理论。该研究强调了随着时间的推移需要频繁的培训课程，重点是增加劳动力管理的整体知识，以确保随着时间的推移正确使用显示器。
