关键词: Birth Empathy Midwives Psychological experience Qualitative study Rauma

Mesh : Humans Qualitative Research Empathy Female Adult China Pregnancy Nurse Midwives / psychology Adaptation, Psychological Midwifery Parturition / psychology Middle Aged Interviews as Topic / methods

来  源:   DOI:10.1016/j.nedt.2024.106216

Abstract:
This study aimed to investigate the experiences of Chinese midwives during traumatic birth experiences and their impact. By doing so, we hope to develop effective empathetic educational strategies and provide valuable insights to improve the midwifery support system in China.
This study adopted Colaizzi\'s phenomenological approach, which aimed to understand and explore human experiences from the standpoint of the participants. A purposive sampling method was used to select 16 midwives for semi-structured interviews. The Colaizzi 7-step method was used to analyze the interview data.
Three themes and eight sub-themes were developed by analyzing and integrating the interview data. These included intertwined negative experiences (self-blame and guilt, regurgitated disturbances, intense and persistent physical and psychological discomfort, and low confidence in midwifery decision-making behaviours), the coexistence of positive effects (increased ability to tolerate life uncertainty, increased sense of control in coping with traumatic birth experiences), and needs and expectations (confiding in co-workers, an expectation of professional psychological support interventions).
The experiences of midwives in showing empathy during traumatic birth experiences are complex and multifaceted. It is crucial to recognize and address negative empathic experiences, provide coping strategies, and enhance positive empathic experiences. Midwives\' grief counselling competence education should be strengthened, as should their psychological well-being and the midwifery support system.
摘要:
目的:本研究旨在调查中国助产士在创伤分娩期间的经历及其影响。通过这样做,我们希望制定有效的移情教育策略,并为改善中国的助产支持系统提供有价值的见解。
方法:本研究采用了Colaizzi的现象学方法,旨在从参与者的角度理解和探索人类的经验。采用有目的的抽样方法选择了16名助产士进行半结构化访谈。采用Colaizzi7步方法对访谈数据进行分析。
结果:通过分析和整合访谈数据,开发了三个主题和八个子主题。这些包括交织在一起的负面经历(自责和内疚,反流的紊乱,强烈和持续的身体和心理不适,和对助产决策行为的低信心),积极影响的共存(增加容忍生活不确定性的能力,在应对创伤性分娩经历时增加了控制感),以及需求和期望(向同事倾诉,对专业心理支持干预的期望)。
结论:助产士在创伤性分娩经历中表现出同理心的经历是复杂和多方面的。认识和解决消极的移情经历至关重要,提供应对策略,增强积极的共情体验。应加强助产士悲伤咨询能力教育,他们的心理健康和助产支持系统也是如此。
公众号