PDF(Pubmed)
Abstract：
BACKGROUND: Preeclampsia and eclampsia are among the leading direct causes of maternal death and morbidity worldwide. Up to 34% of maternal deaths in Tanzania are due to preeclampsia/ eclampsia. Magnesium sulfate is recommended for preventing and treating convulsions in women with Preeclampsia or eclampsia. However, evidence suggests limited knowledge of its dosage and proper toxicity assessment after administration among health care providers.
OBJECTIVE: This study explored nurse-midwives\' perspectives on providing MgSO4 to patients with preeclampsia or eclampsia in Tanzania.
METHODS: A descriptive exploratory qualitative study using in-depth interviews was conducted to understand nurse-midwives\' perspectives on providing magnesium sulfate to patients with PE/E. Nineteen nurse-midwives were interviewed from three hospitals in the Dar es Salaam region. We used a semi-structured interview guide in Kiswahili language to collect data. All interviews were digitally recorded and transcribed verbatim. We analyzed data using inductive content analysis.
RESULTS: This study revealed that nurse-midwives provide magnesium sulfate to save the lives of women and their unborn children. Nurse-midwives reasoned that confidence in their skill enhances provision of magnesium sulfate. However, they were concerned about its effect on the progress of labour. Ineffective use of magnesium sulfate emerged from inadequate training, an unsupportive work environment, and underutilization of the existing guidelines.
CONCLUSIONS: Nurse-midwives have clear drive to provide magnesium sulfate to women with preeclampsia or eclampsia. However, inadequate training, underutilization of guidelines and unsupportive work environment lead to ineffective use of magnesium sulfate. Targeted practical training should be emphasized for nurse-midwives mastery of clinical competencies.
OBJECTIVE: This study explored nurse-midwives\' perspectives on providing MgSO4 to patients with preeclampsia or eclampsia in Tanzania.
METHODS: A descriptive exploratory qualitative study using in-depth interviews was conducted to understand nurse-midwives\' perspectives on providing magnesium sulfate to patients with PE/E. Nineteen nurse-midwives were interviewed from three hospitals in the Dar es Salaam region. We used a semi-structured interview guide in Kiswahili language to collect data. All interviews were digitally recorded and transcribed verbatim. We analyzed data using inductive content analysis.
RESULTS: This study revealed that nurse-midwives provide magnesium sulfate to save the lives of women and their unborn children. Nurse-midwives reasoned that confidence in their skill enhances provision of magnesium sulfate. However, they were concerned about its effect on the progress of labour. Ineffective use of magnesium sulfate emerged from inadequate training, an unsupportive work environment, and underutilization of the existing guidelines.
CONCLUSIONS: Nurse-midwives have clear drive to provide magnesium sulfate to women with preeclampsia or eclampsia. However, inadequate training, underutilization of guidelines and unsupportive work environment lead to ineffective use of magnesium sulfate. Targeted practical training should be emphasized for nurse-midwives mastery of clinical competencies.
摘要：
背景：先兆子痫和子痫是全球孕产妇死亡和发病的主要直接原因。坦桑尼亚高达34%的孕产妇死亡是由于先兆子痫/子痫。硫酸镁被推荐用于预防和治疗先兆子痫或子痫妇女的惊厥。然而,有证据表明卫生保健提供者对其剂量和给药后的适当毒性评估的了解有限.
目的：本研究探讨了护士-助产士对坦桑尼亚先兆子痫或子痫患者提供MgSO4的观点。
方法：使用深入访谈进行了描述性探索性定性研究，以了解助产士对PE/E患者提供硫酸镁的观点从达累斯萨拉姆地区的三家医院采访了19名护士助产士。我们使用了斯瓦希里语的半结构化访谈指南来收集数据。所有采访都是数字记录和逐字转录的。我们使用归纳内容分析来分析数据。
结果：这项研究表明，护士助产士提供硫酸镁来挽救妇女及其未出生孩子的生命。护士助产士认为，对自己技能的信心可以增强硫酸镁的供应。然而,他们担心它对劳动进步的影响。由于培训不足，硫酸镁的使用无效，不支持的工作环境,以及对现有准则的利用不足。
结论：护士助产士有明确的意愿为先兆子痫或子痫妇女提供硫酸镁。然而,训练不足,指南的利用不足和不支持的工作环境导致硫酸镁的无效使用。应强调有针对性的实践培训，以使护士助产士掌握临床能力。
目的：本研究探讨了护士-助产士对坦桑尼亚先兆子痫或子痫患者提供MgSO4的观点。
方法：使用深入访谈进行了描述性探索性定性研究，以了解助产士对PE/E患者提供硫酸镁的观点从达累斯萨拉姆地区的三家医院采访了19名护士助产士。我们使用了斯瓦希里语的半结构化访谈指南来收集数据。所有采访都是数字记录和逐字转录的。我们使用归纳内容分析来分析数据。
结果：这项研究表明，护士助产士提供硫酸镁来挽救妇女及其未出生孩子的生命。护士助产士认为，对自己技能的信心可以增强硫酸镁的供应。然而,他们担心它对劳动进步的影响。由于培训不足，硫酸镁的使用无效，不支持的工作环境,以及对现有准则的利用不足。
结论：护士助产士有明确的意愿为先兆子痫或子痫妇女提供硫酸镁。然而,训练不足,指南的利用不足和不支持的工作环境导致硫酸镁的无效使用。应强调有针对性的实践培训，以使护士助产士掌握临床能力。
