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Readiness of midwives for management of acute and critical states on labour ward
LEVECOVÁ, Štěpánka
Basic theoretical premises Currently, we are exposed to stressful situations not only in private life but also in professional life. Huge stress and stressful situations that cause acute and critical states in the field of health care may have adverse impact on the psyche and the entire human organism. At Delivery Rooms Department, all members of a medical team are daily exposed to such stress; these Bachelor theses are focused on these stressful situations and their managing in acute medicine. The theses are specialized in stressful situations being dealt by midwives working at Delivery Rooms Department who daily experience these situations. The theses are aimed at determination of perceiving and managing stressful situations in the delivery room seen in the eyes of midwives, and at the comparison of readiness of midwives to deal with acute and critical states in the delivery room in accordance with attained education, length of professional experience, and experience in the given field. Three research questions were put. Utilized methods Data collection technique in qualitative research survey utilized structured interviews. Interviewees employed their own opinions, insights, experiences, and feelings. The research included six midwives working in the delivery room of Department of Gynecology and Obstetrics, University Hospital in Pilsen. Results The most common problem stated by the interviewed midwives was that there are certain gaps in educational systems in obstetrics related to practical training of readiness for managing stressful situations. The midwives agreed on sufficiency of overall extent of curriculum. As a problematic part they pointed out the field of theoretical education in the subjects of communication, medical communication and psychological communication where the education did not prepare them sufficiently for managing stressful situations. Furthermore, the research showed that the interviewees perceived negatively the absence of teachers of professional experience in a hospital during practice training. On the contrary, the midwives would welcome the presence of teachers at students? practice training or reduction of the number of students at shifts. The students? impossibility to record given matters in the medical documents was stated as a significant problem, since the logical view of students at a group care system at the respective department is limited. In acute and critical situation occurred in the delivery room, the midwives often reported feelings of fear, increased stress, anxiety and worries whether they will be able to manage the given situation. The midwives identically reported that they are trying to fight such stress but they all fail. Regarding this issue, they said it would be beneficial to increase the number of nursing staff and thereby prevent overstretching medical staff. One of the research questions was how midwives deal with stressful situations. The majority of midwives answered that through relaxing at home or in the company. In overall, the midwives assessed that the age of midwives and their professional experience play an important role in managing stressful situations. During their practice training, they learnt to act more promptly and prudently which has a positive effect on solving acute and critical situations in the delivery room. When querying the perception of the adaptation process, all midwives were satisfied with the length of adaptation and their midwife trainer. Regarding managing stressful situations, after termination of the adaptation process, the midwives reported this period as a time of increased strain towards their person both mentally and physically. The research survey identified a need to put more classes of theoretical education regarding communication and communication techniques.
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