关键词: 西藏；助产士；规范化培训；岗位胜任力

Abstract: Objective: To construct a standardized training system for midwives meeting local needs and characteristics of Tibet Autonomous Region through group-type assistance to Tibet, and to evaluate the improvement of job competency of trained midwives before and after the training. Methods: The standardized training system of midwives in Tibet was established and was applied as the standardized training base in Tibet Autonomous Region and was approved. By using the self-designed midwife core competency self-assessment and other evaluation tools, 68 midwives who participated in the training in the base from 2017 to 2019 were evaluated on baseline and 2-year after returning to work to evaluate the effects of the systematic training on job competency of the trained midwives. Results: After the training, midwives' professional literacy, competency for pregnancy health care, delivery health care, postpartum health care, neonatal health care, women's health care, public health care and comprehensive ability were all improved. Among the 47 core competencies, more than 90% participants were "significantly improved" and "greatly improved" in 21 items, 80%-90% participants were "significantly improved" and "greatly improved" in 23 items. The results of self-evaluation of midwives were basically consistent with the results from supervisors’ evaluation (P>0.05). Conclusion: Through the group-type assistance to Tibet, we have explored and implemented the standardized training of Tibetan midwives, and ultimately achieved remarkable results. However, a long-term mechanism is still needed to support and improve the coverage of training areas, hospitals and nurses, the accuracy of the training content, the base evaluation, the abilities of teacher training, and the training fund.

Key words: Tibet; midwife; standardized training; job competency