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强调妇女健康的重要性

The Continuum of Care

不可否认的是,妇女已经获得了过去不存在的独立感 - 甚至在三十年前。妇女正在从事通常被视为“男性工作”的职业,她们以不同的方式优先考虑自己的野心。不过,我们是否认为这是理所当然的,尤其是在遇到困难的出生情况之前为学习奠定基础吗?

Women are now having babies later than they have historically.The average age of a mother at the time of her first birth is 26 years old1To compare, in 1970 first-time mothers were 21 years old.2And, the number of women having their first child after they turn 35 years old is also increasing, leading to an uptick in fertility treatments.3

许多人(尤其是女性)选择发展自己的职业,他们有很大的机会。因此,他们中的许多人在生孩子之前就变老了,他们需要更多的IVF服务。

Charles Coddington III, OB-GYN, Former President, Society for Assisted Reproductive Technology*

Women over 35 years old who are pregnant for the first time are more likely to encounter complications, including an increased chance of a miscarriage or having a baby with genetic abnormalities.4年龄较大的年龄会自动导致高风险怀孕,很少有人会认为healthcare professionals need to be prepared for the worst – for the mother and the babyJust giving learners the age of the patient prior to a simulation should encourage them to consider a host of potential patient risk associated with that age.

除此之外,知道患者的年龄可以鼓励学习者表现出年龄和人口统计学特定的患者同理心。妇女希望感到安全和舒适,以向其医疗保健提供者表达任何担忧。更重要的是,他们想感受到他们的病人的关系是基于公开对话和相互尊重的- 基于对患者的背景和情况的理解。。为了发展以其条款治疗孕妇所需的敏感性和沟通能力,模拟可能非常有益。专家建议模拟培训来教授沟通和移情技能,并促进以患者为中心的护理的整体方法。5

Simulation training can increase a learner’s knowledge and confidence in procedures – and it can increase a learner’s interest in women’s health fields.6

除了帮助发展人际交往能力外,模拟还可以培养能力和合规的医疗保健实践。在症状指向威胁生命的情况下,这一点尤其重要。随着孕产妇模拟的进步和增加超声培训解决方案,学习者能够练习治疗怀孕的患者并培养其评估和诊断技能。模拟可以增加学习者对优质护理的理解,并提高他或她将来对待真正的患者时保持敏捷的能力。

护士在[产科]紧急情况下为妇女提供关怀的第一道防线,并从培训和实践这些情况下受益匪浅。

林恩·埃德曼(Lynn Erdman)

健康的怀孕是在受孕之前开始的,并继续进行高质量的产前护理和早期认识并发症。确保学习者了解当前的妇女健康统计数据可以帮助学习者获得更丰富和富有成果的模拟经验。对妇女健康的统计数据的关注可以使学习者为并发症和紧急情况做好准备。在模拟过程中对此进行测试可以帮助学习者充分利用他们的模拟体验,既可以发展他们的批判性思维能力和患者的同理心技巧。模拟培训可以帮助确保他们准备解决出现的任何问题,并使患者感到安全。

Readthe next article in this seriesto see how these and other demographic factors might be considered as you set the stage for your learners in their labor and delivery simulations.

18-16709_Infographic.png

Download Continuum of Care Infographic

A woman's lifestyle decisions impact her own health, the chance of a healthy pregnancy, and the health of her baby. Download this infographic to learn how simulation can help.

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References

  1. U.S. Department of Health & Human Services. (2016).Births: Final data for 2016。从...获得https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_01.pdf
  2. Leonard, K. (2016). Moms are older than they used to be.美国新闻与世界报告。从...获得https://www.usnews.com/news/blogs/data-mine/2016/01/14/cdc-the-median-age-of-first-time-motherhood-is-increasing
  3. Doucleff, M. (2014). IVF baby boom: Births from fertility procedures hit new high.NPR。从...获得https://www.npr.org/sections/health-shots/2014/02/18/279035110/ivf-baby-boom-births-from-fertility-procedure-hit-new-high
  4. Centers for Disease Control & Prevention. (2018).Infertility FAQs。从...获得https://www.cdc.gov/reproductivehealth/infertility/index.htm
  5. Editorial. (2016). Communication and empathy in the patient-centered care model – Why simulation-based training is not optional.Clinical Simulation in Nursing, 12(8), 356-359. Retrieved fromhttps://www.nursingsimulation.org/article/s1876-1399(16)30019-6/pdf
  6. Nitschmann,C.,Bartz,D。和Johnson,N.R。(2014)。妇科模拟培训增加了医学学生对妇女健康的信心和兴趣。医学教学和学习,26(2),160-163。doi:10.1080/10401334.2014.883984

* Doucleff,M。(2014)。请参阅参考#3。

**Duggan, C. (2015). Nurses’ confidence and competence during obstetric emergencies improves with training.AWHONN.从...获得http://www.awhonn.org/news/261745/Nurses-Confidence-and-Competence-during-Obstetric-Emergencies-Improves-with-Training.htm

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