OBJECTIVE--To assess obstetricians' and midwives' knowledge of routine prenatal screening tests for fetal abnormality and factors associated with such knowledge. DESIGN--Questionnaire assessment of antenatal clinic staff. SETTING--Six hospitals within the United Kingdom (four district general hospitals in London, one district general hospital in Wales, and one teaching hospital in Wales), offering routine prenatal screening tests. SUBJECTS--29 obstetricians and 97 midwives were invited to participate, of whom 21 and 70 respectively responded to the questionnaire. MAIN MEASURES--Knowledge of prenatal tests, according to 19 item multiple choice questionnaire, reluctance to disclose uncertainty, and clinical experience. RESULTS--The overall response rate was 72% (91/126). In all, 43% of midwives and 14% of obstetricians obtained correct responses on fewer than half the items. Reluctance to disclose uncertainty to patients was associated in obstetricians with having less knowledge about prenatal testing (r = -0.50; p < 0.025, Pearson product moment correlation) and in midwives with more clinical experience (r = 0.43; p < 0.001). CONCLUSIONS--Lack of knowledge and greater clinical experience seem to be important barriers to providing patients with information about prenatal screening tests.
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机译:目的-评估产科医生和助产士对常规产前筛查测试的胎儿异常知识以及与之相关的因素。设计-产前门诊人员问卷调查评估。地点-英国的六家医院(伦敦的四家地区综合医院,威尔士的一家地区综合医院和威尔士的一家教学医院)提供常规的产前筛查测试。主题-邀请29位妇产科医生和97位助产士参加,其中分别有21位和70位回答了问卷。主要指标-根据19项多项选择问卷调查表,了解产前检查,不愿透露不确定性和临床经验。结果-总回应率为72%(91/126)。总共有43%的助产士和14%的妇产科医生对不到一半的物品做出了正确的反应。产科医生对产前检查的了解较少(r = -0.50; p <0.025,皮尔逊积矩相关性),而助产士则有更多的临床经验(r = 0.43; p <0.001),因此不愿向患者透露不确定性。结论-缺乏知识和丰富的临床经验似乎是向患者提供有关产前筛查测试信息的重要障碍。
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机译:Litchfield心理咨询模型以哲学为基础,将精神健康服务应用程序Lift Up UP,旨在提供简单,实用的建议,以帮助个人和员工应对日常的精神健康挑战,并将用户与现有的精神健康专业人员联系起来。 Lift me UP将使用先进的技术来:•协助患者评估过程•监控和支持日常工作•将用户推荐给可用的心理健康专家•与市场上的任何产品相比,创造独特的定制体验。