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Kranz A, Schulz AA, Weinert K, Abele H, Wirtz MA. A narrative review of Master's programs in midwifery across selected OECD countries: Organizational aspects, competence goals and learning outcomes. Eur J Midwifery 2024; 8:EJM-8-30. [PMID: 38873232 PMCID: PMC11171422 DOI: 10.18332/ejm/188195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 04/30/2024] [Accepted: 05/10/2024] [Indexed: 06/15/2024] Open
Abstract
Shifting midwifery education to a university level is of great importance for healthcare systems worldwide by preparing graduates for current and future challenges. Some of them referring to management, research and teaching tasks as well as advanced practitioner roles, require competences that can only be acquired in a Master's program. The objectives of this narrative review are to outline the differences and commonalities of organizational aspects of Master's programs in selected OECD countries and to point out the competence goals and learning outcomes they are based on. Fifteen Master's programs in twelve OECD countries were identified and analyzed. Considering the organizational characteristics, differences are found in admission requirements and qualification levels, while similarities relate to the awarded title (MSc). All programs aim to develop abilities for research to advance midwifery practice. Leadership and management abilities are addressed through effective teamwork and communication. The programs' aims are to develop abilities for midwifery education tasks. Whereas competence goals mostly align across the programs, they are addressed differently through various learning outcomes. Development and enhancement of Master's programs in midwifery are needed by focusing on core elements, such as common competence goals. It is equally important to adapt them to national healthcare and educational systems.
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Affiliation(s)
- Angela Kranz
- Section of Midwifery Science, Institute of Health Sciences, University of Tübingen, Tübingen, Germany
| | - Anja A. Schulz
- Research Methods in the Health Sciences, University of Education Freiburg, Freiburg, Germany
| | - Konstanze Weinert
- Section of Midwifery Science, Institute of Health Sciences, University of Tübingen, Tübingen, Germany
| | - Harald Abele
- Section of Midwifery Science, Institute of Health Sciences, University of Tübingen, Tübingen, Germany
- Department for Women’s Health, University Hospital Tübingen, Tübingen, Germany
| | - Markus Antonious Wirtz
- Research Methods in the Health Sciences, University of Education Freiburg, Freiburg, Germany
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Souto SP, Prata AP, Albuquerque RS, Caldeira S. Discussing the midwifery scope of practice within the NANDA-I taxonomy. Int J Nurs Knowl 2024. [PMID: 38829159 DOI: 10.1111/2047-3095.12473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 05/14/2024] [Indexed: 06/05/2024]
Abstract
PURPOSE To discuss the midwifery scope of practice within the NANDA-I taxonomy. METHODS Review of the NANDA-I taxonomy followed by critical analysis of the nursing diagnoses (NDs) within the scope of midwifery practice. Search terms were defined. Two authors independently analyzed all diagnoses, and another author validated the results. FINDINGS Of the 267 NDs in the NANDA-I taxonomy, 39 (14.6%) perceived a relationship with midwifery's scope of practice, and among these, 15 (5.6%) guaranteed greater specificity and accuracy for clinical reasoning. CONCLUSIONS The suitability of NDs for the broad spectrum of the midwifery scope of practice may need to be completed. Women's responses to life events and health conditions are simultaneously complex and specific, and many NDs in the NANDA-I terminology may be far from fully identified and developed to represent these responses. IMPLICATIONS FOR NURSING PRACTICE Improvements in NANDA-I diagnosis would contribute to advanced terminology and increased specificity and accuracy of the diagnostic process. This is important in achieving appropriate outcomes and safe and effective interventions for which the nurses and nurse-midwives are accountable. Many NDs would not necessarily be used in any other context since they are specific to midwifery; however, it would help to develop a NANDA-I taxonomy that is more inclusive and comprehensive internationally.
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Affiliation(s)
- Sandra P Souto
- Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Porto, Portugal
| | - Ana Paula Prata
- CINTESIS@RISE-Centre for Health Technology and Services Research, Nursing School of Porto, Porto, Portugal
| | | | - Sílvia Caldeira
- Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health, Universidade Católica Portuguesa, Lisbon, Portugal
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Alcaraz-Vidal L, Velasco I, Pascual M, I Gomez RG, Escuriet R, Comas C. First alongside midwifery led unit in a high complexity public hospital in Spain: Maternal and neonatal outcomes. Women Birth 2024; 37:101577. [PMID: 38296744 DOI: 10.1016/j.wombi.2024.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 12/23/2023] [Accepted: 01/08/2024] [Indexed: 02/02/2024]
Abstract
PROBLEM Midwifery led units are rare in Spain. BACKGROUND Midwife-Led Care (MLC) is a widely extended model of care and, within this, the alongside midwifery-led units (AMLU) are those hospital-based and located in close connection with obstetric units. In Spain, CL is the first center belonging to the National Health System of these characteristics. AIM To evaluate the first year of activity of this pioneering unit. METHODS An observational cross-sectional study was carried out to assess maternal and neonatal outcomes of births facilitated at CL by comparing with those births that fulfilled the criteria to be admitted at the AMLU but were assisted at the standard obstetric care unit of the hospital. FINDINGS 174 (20,3%) women and birthing people decided to give birth at CL, whereas 684 (79,7%) gave birth at the Obstetric Unit of the Hospital. Women assisted at the AMLU had lower intervention rates (episiotomy, epidural analgesia) and a higher rate of breastfeeding practice. There were no statistical differences in maternal outcomes (postpartum hemorrhage, third-or-four-degree laceration) or neonatal outcomes (Apgar< 7 at 5 min; birth weight < 2500 gr; macrosomia; shoulder dystocia, neonatal care transfer). DISCUSSION There were differences in transfers from MLU to OU between nulliparous and multiparous; the main reason for transfer is the request for analgesia. Epidural analgesia should be considered when analyzing maternal outcomes. CONCLUSION An alongside midwifery-led unit is a safe option with a low incidence of complications. This model of care can be positively implemented at the Public Healthcare System.
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Affiliation(s)
- Lucía Alcaraz-Vidal
- Department of Gender and Social Determinants in Health, Sevilla University. Sevilla. Spain; Department of Obstetrics and Gynecology, University Hospital Germans Trias i Pujol, Badalona, Spain; Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2021-SGR-01489), 08007 Barcelona, Spain
| | - Inés Velasco
- Department of Obstetrics and Gynecology, University Hospital Germans Trias i Pujol, Badalona, Spain; Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain.
| | - Montse Pascual
- Management of Organization and Management Systems, Metropolitana North Region. Catalan Health Institute, Barcelona. Spain
| | - Roser Gol I Gomez
- Research Group on Sexual and Reproductive Healthcare (GRASSIR) (2021-SGR-01489), 08007 Barcelona, Spain; Primary Care Management in Sexual and Reproductive Healthcare, Metropolitana North Region, Catalan Health Institute, Barcelona. Spain
| | - Ramón Escuriet
- Head of the Affective, Sexual and Reproductive Health Plan of the Ministry of Health, Government of Catalonia, Spain; Global Health, Gender and Society Research Group, Facultat de Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | - Carmina Comas
- Department of Obstetrics and Gynecology, University Hospital Germans Trias i Pujol, Badalona, Spain
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Wyrębek A, Klimanek J, Misztal A, Szlendak B, Bączek G. Knowledge of women in Poland on the profession and competencies of a midwife. Eur J Midwifery 2024; 8:EJM-8-11. [PMID: 38500491 PMCID: PMC10945433 DOI: 10.18332/ejm/183910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 02/05/2024] [Accepted: 02/19/2024] [Indexed: 03/20/2024] Open
Abstract
INTRODUCTION The profession of a midwife, despite its long tradition in Poland, is still not widely known in the society. Both in terms of the competencies and roles, it is often confused with other medical professions such as nurses or gynecologists. In this study, we assessed the knowledge of women in Poland on the profession of a midwife. The aim of the research project was to obtain detailed data on the knowledge of women regarding the specific professional competencies of midwives. METHODS The study used the method of a cross-sectional survey. A survey of 1134 adult Polish women was conducted. A 20-item questionnaire was developed with fourteen of the questions being based on the midwife's professional competencies. The study was conducted in 2019 and the questionnaire was distributed through various social groups for Polish women. RESULTS Knowledge about the professional competencies of midwives increases proportionally to the level of the education of the respondents, their age and the scope of cooperation with midwives. The most well-known forms of midwifery were those related to lactation education (78.7%) and puerperal care (78.9%). The lowest rates, among other results, were prescribing drugs (23.1%) and collecting samples for cervical cytology (24.4%). CONCLUSIONS The profession of a midwife in Poland is insufficiently popularized. Competencies shared with doctors require more dissemination. It is worth paying particular attention to the promotion of the profession in younger age groups, so that women can use their knowledge at subsequent stages of their lives.
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Affiliation(s)
- Agnieszka Wyrębek
- Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
| | - Julia Klimanek
- Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
| | - Alicja Misztal
- Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
| | - Beata Szlendak
- Department of Midwifery, Center of Postgraduate Medical Education in Warsaw, Warsaw, Poland
| | - Grażyna Bączek
- Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
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Cagetti MG, Salerno C, Ionescu AC, La Rocca S, Camoni N, Cirio S, Campus G. Knowledge and attitudes on oral health of women during pregnancy and their children: an online survey. BMC Oral Health 2024; 24:85. [PMID: 38229165 DOI: 10.1186/s12903-023-03732-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 12/01/2023] [Indexed: 01/18/2024] Open
Abstract
BACKGROUND Life-long healthy behaviors are established during pregnancy and the first years of life. In this cross-sectional survey, new mothers with a high level of schooling living in Northern Italy (Lombardy Region) were interviewed to assess their knowledge and attitudes towards their and child oral health. METHODS A questionnaire (27 items) was developed to assess socio-demographic factors, knowledge, and attitudes towards maternal and child oral health. The questionnaire was disseminated in perinatal courses, private gynecological clinics, and via social media. Mothers aged ≥18 years, with at least a child aged 0-36 months, with a high school diploma or higher, were included in the survey. RESULTS A total of 1340 women completed the questionnaire, 1297 of whom had a child aged 0-36 months, 792 lived in Lombardy, and 600 had a high level of education and were finally included. About half of the sample (44.67%) was aged between 31 and 35 years, 76.50% were employed, and the majority had only one child (81.50%). During pregnancy, 28.33% of the sample reported problems with teeth and gums, while only 36.00% visited a dentist. More than 40% of the sample said they were not aware of a possible link between oral health and pregnancy, and 73.17% had not received any advice about their oral health or the future health of their baby's mouth. Less than 20% of women were aware of the increased caries risk associated with prolonged or night-time breastfeeding. Better knowledge/attitude was associated with the age of the child (p < 0.05), the number of children (p < 0.05) and whether the mother had received advice during pregnancy (p < 0.05). CONCLUSIONS The results of this survey show a lack of dental care during pregnancy, a lack of information about oral health from health professionals during and after pregnancy, and consequently gaps in the knowledge needed to care for the oral health of the woman and her child. There is a need for training in oral health for pregnant women and new mothers, but also a need for behavioural change among health professionals who care for pregnant women.
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Affiliation(s)
- Maria Grazia Cagetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Beldiletto 1, 20142, Milan, Milan, Italy
| | - Claudia Salerno
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Freiburgstrasse 7, 3012, Bern, Switzerland.
| | - Andrei Cristian Ionescu
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Pascal 36, 20133, Milan, Milan, Italy
| | - Serena La Rocca
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Beldiletto 1, 20142, Milan, Milan, Italy
| | - Nicole Camoni
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Beldiletto 1, 20142, Milan, Milan, Italy
| | - Silvia Cirio
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Beldiletto 1, 20142, Milan, Milan, Italy
| | - Guglielmo Campus
- Department of Surgery, Microsurgery and Medicine Sciences - School of Dentistry University of Sassari, Sassari, Italy. Viale San Pietro, 43. Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Freiburgstrasse 7, 3012, Bern, Switzerland
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Kim K, Kim Y, Park J. A comparison of the perceived importance and performance of midwives' roles between midwives and nurses in Korea: a cross-sectional study. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2023; 29:263-273. [PMID: 38204387 PMCID: PMC10788394 DOI: 10.4069/kjwhn.2023.11.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/01/2023] [Accepted: 11/13/2023] [Indexed: 01/12/2024] Open
Abstract
PURPOSE This study aimed to identify the perceptions, importance, and performance of midwives' roles among midwives and nurses in Korea. METHODS A descriptive correlational design was employed. Data were collected from 164 nurses and 79 midwives from April 1 to June 25, 2021. Midwives enrolled in the Korean Midwifery Association and nurses and midwives from two hospitals each Daegu and Gyeonggi Province in Korea were invited to participate. The independent t-test, chi-square test, the Welch-Aspin test, and Pearson correlation coefficient were used for analysis. RESULTS The midwives' role perception score (3.47±1.46) was lower than that of nurses (3.95±0.85), and the midwives' role performance score (2.98±0.83) was also lower than that of nurses (3.34±0.89). Significant differences were observed between midwives and nurses in their perception and performance of roles related to prenatal management, childbirth management, management of psychological changes, postpartum management, and newborn care. Higher role perception and performance among midwives were linked to the management of psychological changes and women's health, indicating potential areas for future development. CONCLUSION The study results suggest directions for developing new roles for midwives. It is necessary to find a way to expand the field of midwives in public health by benchmarking the roles of midwives in various countries.
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Affiliation(s)
- Kyungwon Kim
- Department of Nursing, Daegu Haany University, Daegu, Korea
| | - Yunmi Kim
- College of Nursing, Gachon University, Incheon, Korea
| | - Jummi Park
- Department of Nursing, Namseoul University, Cheonan, Korea
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Vermeulen J, Buyl R, Fobelets M. Exploring and enhancing midwives' professional autonomy: Embarking on a journey of empowerment for midwives globally. Eur J Midwifery 2023; 7:28. [PMID: 37881404 PMCID: PMC10594748 DOI: 10.18332/ejm/172426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 09/14/2023] [Accepted: 09/16/2023] [Indexed: 10/27/2023] Open
Affiliation(s)
- Joeri Vermeulen
- Department of Health Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel, Brussels, Belgium
| | - Ronald Buyl
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel, Brussels, Belgium
| | - Maaike Fobelets
- Department of Health Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel, Brussels, Belgium
- Brussels Institute for Teacher Education, Vrije Universiteit Brussel, Brussels, Belgium
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Chiba Y, Hayashi R, Kita Y, Takeshita M. Care provided by midwives and the unmet needs of pregnant and postpartum women: A qualitative study of Japanese mothers. Heliyon 2023; 9:e18747. [PMID: 37576280 PMCID: PMC10415878 DOI: 10.1016/j.heliyon.2023.e18747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 08/15/2023] Open
Abstract
Objectives We aimed to clarify the content of care provided by midwives working in hospitals and clinics in Japan and the unmet needs in midwifery care from mothers' perspectives. Design This study employed a qualitative approach through semi-structured interviews. Setting Fifteen Japanese women, whose youngest singleton children were aged 12-18 months, were asked to recall their experiences with midwives, from pregnancy through the first postpartum year. Verbatim records were analyzed using thematic analysis. Results Seven themes regarding the care provided by midwives were generated: confirmation of physical condition, maintenance and promotion of perinatal physiological process, support for better preparation for childbirth, assistance in labour and childbirth, support for a new life with a baby at home, support for the family, and care for comfort and confidence as a mother. Unmet needs were identified in all themes, except for 'confirmation of physical condition' and 'support for the family'. Ten subthemes, under the five themes of unmet needs, were integrated into three categories: midwives' responses to potential concerns, lack of continuity of care, and lack of personalised care. Key conclusions and implications for practice Midwives in hospitals and clinics in Japan mainly provided care from pregnancy to one-month postpartum, in line with global core competencies. However, they could respond more effectively to the potential concerns of women, and provide continuous, personalised care more sufficiently. Improving working environments for midwives and collaborating with postpartum public health services are key to addressing these unmet needs of women, leading to women-centred care.
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Affiliation(s)
- Yoko Chiba
- Department of Nursing, Kyoto College of Nursing, 1-21 Mibu-higashitakada-cho Nakagyo-ku Kyoto, 604-8845, Japan
| | - Risako Hayashi
- Department of Nursing, Kyoto College of Nursing, 1-21 Mibu-higashitakada-cho Nakagyo-ku Kyoto, 604-8845, Japan
| | - Yuri Kita
- Department of Nursing, Kyoto College of Nursing, 1-21 Mibu-higashitakada-cho Nakagyo-ku Kyoto, 604-8845, Japan
| | - Mai Takeshita
- Department of Nursing, Kyoto College of Nursing, 1-21 Mibu-higashitakada-cho Nakagyo-ku Kyoto, 604-8845, Japan
- Department of Health Informatics, School of Public Health, Kyoto University, Yoshida-konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan
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Iwuagwu AO. "Ọmụgwọ" As Unpaid Labor? The Perceptions of Postpartum Caregiving Among Older Grandmothers in Southeast Nigeria. Innov Aging 2023; 8:igad069. [PMID: 38577519 PMCID: PMC10993719 DOI: 10.1093/geroni/igad069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Indexed: 04/06/2024] Open
Abstract
Background and Objectives In Nigeria and many Sub-Saharan African countries where the majority are poor and cannot afford formal postpartum care, nursing mothers rely primarily on their mothers or older female relatives for postpartum care. Despite their invaluable contributions, such grandmothers often operate in a reality of inadequate social and institutional support. Yet, little is known about how women perceive this form of traditional care in Sub-Saharan Africa. This study explored the views of older grandmothers in Southeast Nigeria about postpartum caregiving, called "Ọmụgwọ." Research Design and Methods Using a qualitative descriptive inquiry, the author employed criterion-purposive sampling and snowballing to recruit 17 older grandmothers who participated in the interviews, and data were analyzed in themes. Results Three themes and eight subthemes emerged. The themes cover perceptions supporting the continuity of Ọmụgwọ practice irrespective, the influence of culture on Ọmụgwọ practice, and the indirect rewards of the practice. Discussion and Implications The findings of this study could potentially influence postpartum caregiving policies for female older adults in Sub-Saharan Africa and further advance the quality of informal care during postpartum periods in Africa.
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González-de la Torre H, Hernández-Rodríguez MI, Moreno-Canino AM, Portela-Lomba AM, Berenguer-Pérez M, Verdú-Soriano J. Cross-Cultural Adaptation and Validation of the Perceptions of Empowerment in Midwifery Scale in the Spanish Context (PEMS-e). Healthcare (Basel) 2023; 11:healthcare11101464. [PMID: 37239750 DOI: 10.3390/healthcare11101464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 05/13/2023] [Accepted: 05/16/2023] [Indexed: 05/28/2023] Open
Abstract
Midwifery empowerment is an important topic. The most widely used instrument to measure the perceived empowerment of midwives is the Perceptions of Empowerment in Midwifery Scale (PEMS), which has not been validated in Spain. The aim of this study was to translate and adapt the PEMS to the Spanish context. This research was carried out in two phases; Phase 1: Methodological study; translation, backtranslation and cross-cultural adaptation of the PEMS and pilot study on the target population (10 midwives) for evaluation of face validity. Phase 2: Cross-sectional observational study to obtain a sample for construct validation by Exploratory Factor Analysis and measurement of PEMS-e reliability. Additionally, an inferential analysis was carried out to study the possible association between several collected variables and PEMS-e subscale-scores. A total of 410 midwives from 18 Spanish regions participated in the study through an online questionnaire. An initial Spanish version of the PEMS scale was produced, demonstrating adequate face validity. A final model was produced for the PEMS-e, which included 17 items classified into two subscales ("Organizational support" and "Own skills and teamwork") with fit indexes RMSEA = 0.062 (95%CI: 0.048-0.065) and AGFI = 0.985 (95%CI: 0.983-0.989) and Cronbach's alpha 0.922 for the total scale. Results showed that one in four midwives had considered abandoning the profession in the last 6 months (p ≤ 0.001). This research suggests that Spanish midwives perceive their empowerment level as low. The PEMS-e is a valid tool with solid psychometric properties that can be used in future research to identify factors that contribute to increased empowerment among Spanish midwives and inform strategies to improve job satisfaction and retention in the profession.
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Affiliation(s)
- Héctor González-de la Torre
- Research Support Unit of Insular Maternal and Child University Hospital Complex of Gran Canaria, Canary Health Service, Avda Marítima del Sur S/N, 35016 Las Palmas de Gran Canaria-Canary Islands, Spain
- Department of Nursing, University of Las Palmas de Gran Canaria, Edificio Ciencias de la Salud, C/Blas Cabrera Felipe s/n, 35016 Las Palmas de Gran Canaria-Canary Islands, Spain
| | - María-Isabel Hernández-Rodríguez
- Department of Obstetrics and Gynaecology, Insular Maternal and Child University Hospital Complex of Gran Canaria, Canary Health Service, Avda Marítima del Sur S/N, 35016 Las Palmas de Gran Canaria-Canary Islands, Spain
| | - Alba-María Moreno-Canino
- Department of Obstetrics and Gynaecology, Insular Maternal and Child University Hospital Complex of Gran Canaria, Canary Health Service, Avda Marítima del Sur S/N, 35016 Las Palmas de Gran Canaria-Canary Islands, Spain
| | - Ana-María Portela-Lomba
- Department of Obstetrics and Gynaecology, Insular Maternal and Child University Hospital Complex of Gran Canaria, Canary Health Service, Avda Marítima del Sur S/N, 35016 Las Palmas de Gran Canaria-Canary Islands, Spain
| | - Miriam Berenguer-Pérez
- Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences, University of Alicante (UA), 03690 Alicante, Spain
| | - José Verdú-Soriano
- Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences, University of Alicante (UA), 03690 Alicante, Spain
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Vermeulen J, Buyl R, Luyben A, Fleming V, Fobelets M. Key Maternity Care Stakeholders' Views on Midwives' Professional Autonomy. Healthcare (Basel) 2023; 11:healthcare11091231. [PMID: 37174773 PMCID: PMC10177750 DOI: 10.3390/healthcare11091231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 04/22/2023] [Accepted: 04/24/2023] [Indexed: 05/15/2023] Open
Abstract
Advancement towards the professionalism of midwifery is closely linked to midwives' professional autonomy. Although the perspectives of Belgian midwives on their professional autonomy have been studied, the views of other maternity care stakeholders are a blind spot. The aim of this study, therefore, was to explore maternity care stakeholders' views on Belgian midwives' professional autonomy. A qualitative exploratory study was performed using focus group interviews. A heterogenous group of 27 maternity care stakeholders participated. The variation between midwives, with different levels of autonomy, was reported. The analysis of the data resulted in five themes: (1) The autonomous midwife is adequately educated and committed to continuous professional further education, (2) The autonomous midwife is competent, (3) The autonomous midwife is experienced, (4) The autonomous midwife assures safe and qualitative care, and (5) The autonomous midwife collaborates with all stakeholders in maternity care. A maternity collaborative framework, where all maternity care professionals respect each other's competences and autonomy, is crucial for providing safe and quality care. To achieve this, it is recommended to implement interprofessional education to establish strong foundations for interprofessional collaboration. Additionally, a regulatory body with supervisory powers can help ensure safe and quality care, while also supporting midwives' professional autonomy and professionalisation.
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Affiliation(s)
- Joeri Vermeulen
- Department Health Care, Brussels Centre for Healthcare Innovation, Erasmus Brussels University of Applied Sciences and Arts, 1090 Brussels, Belgium
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
| | - Ronald Buyl
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
| | - Ans Luyben
- Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University, Bournemouth BH1 3LH, UK
- Frauenzentrum (Centre for Women's Health), Lindenhofgruppe, 3012 Bern, Switzerland
| | - Valerie Fleming
- Faculty of Health, Liverpool John Moores University, Liverpool L3 5UX, UK
| | - Maaike Fobelets
- Department Health Care, Brussels Centre for Healthcare Innovation, Erasmus Brussels University of Applied Sciences and Arts, 1090 Brussels, Belgium
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
- Department of Teacher Education, Vrije Universiteit Brussel (VUB), 1040 Brussels, Belgium
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Mivšek AP, Vermeulen J. How do Slovenian women perceive midwifery competencies - Pilot study using the Slovenian version of midwifery profiling questionnaire (MidProQ). Midwifery 2023; 118:103601. [PMID: 36680961 DOI: 10.1016/j.midw.2023.103601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 12/12/2022] [Accepted: 01/11/2023] [Indexed: 01/15/2023]
Abstract
OBJECTIVE The role of the midwife is well defined and midwifery education is precisely prescribed in order that students gain all competencies that derive from the definition of midwifery profession. However in Slovenia, midwives do not practice the full scope midwifery, therefore the aim of the study was to explore whether women are aware of the role that midwives have. DESIGN In order to study the lay people awareness of midwives' role and competencies, a quanitative survey was performed using the validated Midwifery Profiling Questionnaire (MidProQ), designed by a Belgium research team of midwives, adapted to Slovenian circumstances. SETTING An online survey was performed, using the software 1KA. The link to the survey was distributed amongst groups of women via social media. PARTICIPANTS Snow-ball sampling was used, recruiting women via gynaecology and obstetric forums. MEASUREMENTS The MidProQ is measuring the agreement of women with statements that describe competencies of midwives for prenatal, intrapartum and postnatal period. 228 fully fulfilled questionnaire were analysed with SPSS programme. FINDINGS Only 43% of participants felt that midwives were capable of managing an uncomplicated pregnancy independently, however they clearly state their role in uncomplicated labour (93%). Most clearly recognised role of midwives in the postnatal period was breastfeeding counselling (89%). The role of the midwife is intertwined with the competencies of the obstetrician, who majority of participants still consider more competent for managing an uncomplicated pregnancy. KEY CONCLUSIONS Participants were not aware of all the fields where midwife could practice. IMPLICATIONS FOR PRACTICE More has to be done that lay public will recognize the potential of full scope midwifery practice, like promoting the profession via social media.
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Affiliation(s)
- Ana Polona Mivšek
- University of Ljuljana, Faculty of health sciences, midwifery department, Zdravstvena pot 5, 1000 Ljubljana, Slovenia.
| | - Joeri Vermeulen
- Department Health Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium; Belgium and Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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13
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Lokugamage AU, Robinson N, Pathberiya SDC, Wong S, Douglass C. Respectful maternity care in the UK using a decolonial lens. SN SOCIAL SCIENCES 2022; 2:267. [PMID: 36531139 PMCID: PMC9734803 DOI: 10.1007/s43545-022-00576-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 11/23/2022] [Indexed: 06/17/2023]
Abstract
Respectful maternity care (RMC) is part of a global movement addressing the previous absence of human rights in global safe maternal care guidance. RMC is grounded in kindness, compassion, dignity and respectful working conditions. The decolonisation movement in healthcare seeks to dismantle structural biases set up from a historically white, male, heteronormative Eurocentric medical system. This article applies a decolonising lens to the RMC agenda and examines barriers to its implementation in UK healthcare systems. Searches of peer-reviewed journals about decolonising maternity care in the UK revealed little. Drawing from wider information bases, we examine power imbalances constructed throughout a history of various colonial biases yet lingering in maternity care. The overarching findings of our analysis revealed 3 areas of focus: professional structures and institutional biases; power imbalances between types of staff and stakeholders of care; and person-centred care through a decolonial lens. To uproot inequity and create fairer and more respectful maternity care for women, birthing people and staff, it is vital that contemporary maternity institutions understand the decolonial perspective. This novel enquiry offers a scaffolding to undertake this process. Due to significant differences in colonial history between Western colonising powers, it is important to decolonise with respect to these different territories, histories and challenges.
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Affiliation(s)
| | - Nathan Robinson
- Present Address: UCL Medical School, University College London, 74 Huntley St, London, WC1E 6DE UK
| | | | - Sarah Wong
- Present Address: UCL Medical School, University College London, 74 Huntley St, London, WC1E 6DE UK
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14
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Vogt L, Stoyanov S, Bergs J, Schröder H, Drachsler H, Klasen M, Sopka S. Are the World Health Organization's Patient Safety Learning Objectives Still Up-to-Date: A Group Concept Mapping Study. J Patient Saf 2022; 18:731-737. [PMID: 35175234 PMCID: PMC9698154 DOI: 10.1097/pts.0000000000000993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND The World Health Organization (WHO) Patient Safety Curriculum Guide defines learning objectives for patient safety. Current implementation in healthcare education is insufficient. Possible explanations may be obsolescence and/or a shift in needs. We investigated whether overarching topics and specific learning objectives of the WHO Patient Safety Curriculum Guide are still up-to-date, their attributed importance, and their perceived difficulty to achieve. METHODS Experts on patient safety and medical education from 3 European countries were asked to suggest learning objectives concerning patient safety using group concept mapping. Following 3 successive steps, experts rated ideas by importance and difficulty to achieve. Correlation analyses investigated the relationship between those. Overarching topics of the learning goals (clusters) were identified with multivariate analysis. RESULTS A total of 119 statements about intended learning objectives on patient safety were generated, of which 86 remained for sorting and rating. Based on multivariate analyses, 10 overarching topics (clusters) emerged. Both the learning objectives and the overarching topics showed high correspondence with the WHO Patient Safety Curriculum Guide. Strong correlations emerged between importance and difficulty ratings for learning objectives and overarching topics. CONCLUSIONS The WHO Patient Safety Curriculum Guide's learning goals are still relevant and up-to-date. Remarkably, learning objectives categorized as highly important are also perceived as difficult to achieve. In summary, the insufficient implementation in medical curricula cannot be attributed to the content of the learning goals. The future focus should be on how the WHO learning goals can be implemented in existing curricular courses.
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Affiliation(s)
- Lina Vogt
- From the AIXTRA—Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen
- Clinic for Anaesthesiology, University Hospital RWTH Aachen, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | | | - Jochen Bergs
- Faculty of Medicine and Life Science, Hasselt University, Hasselt, Belgium
| | - Hanna Schröder
- Clinic for Anaesthesiology, University Hospital RWTH Aachen, Medical Faculty, RWTH Aachen University, Aachen, Germany
- Aachen Institute for Rescue Management and Public Safety (ARS), Medical Faculty, RWTH Aachen, Aachen
| | - Hendrik Drachsler
- Open Universiteit, Heerlen, the Netherlands
- Goethe University, Frankfurt am Main
- DIPF I Leibniz Institute for Research and Information in Education, Frankfurt, Germany
| | - Martin Klasen
- From the AIXTRA—Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen
- Clinic for Anaesthesiology, University Hospital RWTH Aachen, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - Saša Sopka
- From the AIXTRA—Competence Center for Training and Patient Safety, Medical Faculty, RWTH Aachen
- Clinic for Anaesthesiology, University Hospital RWTH Aachen, Medical Faculty, RWTH Aachen University, Aachen, Germany
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Susanti AI, Ali M, Hernawan AH, Rinawan FR, Purnama WG, Puspitasari IW, Stellata AG. Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives' Competency and Service Needs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192113893. [PMID: 36360772 PMCID: PMC9653760 DOI: 10.3390/ijerph192113893] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 10/21/2022] [Accepted: 10/23/2022] [Indexed: 05/25/2023]
Abstract
Midwives' competence in providing continuity of care using mobile health (mHealth) applications is limited in developing countries. This study identified and explored midwives' competency and service needs to develop mHealth in Midwifery Continuity of Care (MCOC) education and training. It used an explanatory sequential mixed method, and was conducted from August to December 2021. A cross-sectional approach was used to find the characteristics and competency scope of 373 midwives in West Java, and continued with a qualitative design through a Focus Group Discussion (FGD) of 13 midwives. Descriptive data analysis (frequency, mean, deviation standard) and qualitative data analysis (coding, sub-themes, and theme) were conducted. In terms of the midwives who participated in this study, more than half were aged ≤ 35 years (58.98%), with a working period > 10 years (56.30%), had diploma degrees (71.12%), and used smartphones on average 1-12 h/day (78.28%). Most midwives needed to develop competency in the MCOC scope, including its early detection of the risk factor of complications and treatment management. They were concerned about the purposes, benefits, and design of mHealth. In summary, midwives' competency indicators for early detection are more needed in MCOC using mHealth. Further research is required to evaluate midwives' competence in MCOC using mHealth.
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Affiliation(s)
- Ari Indra Susanti
- Faculty of Education Science, Indonesia University of Education, Jl. Dr. Setiabudi No. 229, Isola, Bandung 40154, Indonesia
- Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang 45363, Indonesia
- Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
| | - Mohammad Ali
- Faculty of Education Science, Indonesia University of Education, Jl. Dr. Setiabudi No. 229, Isola, Bandung 40154, Indonesia
| | - Asep Herry Hernawan
- Faculty of Education Science, Indonesia University of Education, Jl. Dr. Setiabudi No. 229, Isola, Bandung 40154, Indonesia
| | - Fedri Ruluwedrata Rinawan
- Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang 45363, Indonesia
- Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
- Indonesian Society for Remote Sensing branch West Java, Gedung 2, Fakultas Perikanan dan Ilmu Kelau-tan, Universitas Padjadjaran, Jl. Ir. Soekarno KM. 21, Jatinangor, Sumedang 45363, Indonesia
| | - Wanda Gusdya Purnama
- Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
- Informatics Engineering Study Program, Faculty of Engineering, Universitas Pasundan, Jl. Dr. Setiabudi No.193, Bandung 40153, Indonesia
| | - Indriana Widya Puspitasari
- Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
| | - Alyxia Gita Stellata
- Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
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Grundström H, Malmquist A, Nieminen K, Alehagen S. Supporting women's reproductive capabilities in the context of childbirth: Empirical validation of a midwifery theory synthesis. Midwifery 2022; 110:103320. [DOI: 10.1016/j.midw.2022.103320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 03/01/2022] [Accepted: 03/20/2022] [Indexed: 11/24/2022]
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17
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Midwifery Now: Narratives about Motivations for Career Choice. EDUCATION SCIENCES 2022. [DOI: 10.3390/educsci12040243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The objective of this study was to analyse nursing students’ motivation to choose the midwifery career. This is a cross-sectional study with a qualitatively driven mixed-methods approach. The settings are three higher education institutions located in Portugal. The study was conducted between September 2019 and November 2021, with the participation of 74 midwifery master’s students, through convenience sampling. The data were collected through the LimeSurvey software and were subsequently analysed in the SPSS and IRaMuTeQ software programs. The emerging thematic areas were as follows: (1) building a professional identity and (2) knowledge construction. From these two thematic areas, six classes emerged that revealed commitment to the profession. It is in Class 6 that the ancestral essence of the profession lies, revealing the meanings of competence and care perpetuation linked to gender. Midwifery is a first-line profession, and the career choice reflects a commitment to support the mother/newborn dyad in view of the inevitability of human care for the preservation of the species. Midwives with a Socratic inspiration are the model for the profession. Given the development of professional identity, it can be interesting to have an educational curriculum where human values are reinforced. A woman-centred birth environment and birth territory are elementary for midwifery education.
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18
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Vermeulen J, Buyl R, Luyben A, Fleming V, Fobelets M. Defining midwifery autonomy in Belgium: Consensus of a modified Delphi study. J Adv Nurs 2022; 78:2849-2860. [PMID: 35266191 DOI: 10.1111/jan.15209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 01/10/2022] [Accepted: 01/31/2022] [Indexed: 11/26/2022]
Abstract
AIMS Although there is substantial literature on autonomy of midwifery, the concept remains vague, and what it exactly constitutes is little clear. Attempts to define this have been carried out, but did not result in a communal understanding. The aim of this study therefore was to define a consistent definition of midwifery autonomy in Belgium. DESIGN A modified Delphi survey with content experts. METHODS Critical components of the available definitions on midwifery autonomy were retrieved from the literature, and translated into Dutch and French. An online Delphi panel of content expert assessed components of autonomy in midwifery on clarity and relevance between June and October 2021. From the validated components, a preliminary consolidated definition was generated, which was validated in a final Delphi round. RESULTS After round one, content experts (n = 27) evaluated 10 out of 17 components to be clear and relevant. Two components were judged inappropriate and therefore removed. After further adaptation four additional components were identified appropriate after the second round, and one component after a third Delphi round. Experts' suggestions for improving the clarity and relevance were taken into account. Finally, experts assessed the preliminary definition. After minor modifications the definition of midwifery autonomy in Belgium was confirmed valid. CONCLUSION We established a communal definition of midwifery autonomy in Belgium, the creation of such a definition results in a joint understanding of the concept of midwifery autonomy. IMPACT If midwives internationally want to successfully achieve autonomy, a clear understanding of the concept of midwifery autonomy is needed. The consensus definition of midwifery autonomy in Belgium comprises 15 components related to midwives' work content, professionalism and relationship with others. Our definition of midwifery autonomy has the potential to encourage an international dialogue, grounded in a common understanding of autonomy, enabling stakeholders in maternity care to strengthen professional midwifery autonomy.
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Affiliation(s)
- Joeri Vermeulen
- Department Health Care, Brussels Centre for Healthcare Innovation, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium.,Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Ronald Buyl
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Ans Luyben
- Bournemouth University, Bournemouth, UK.,Lindenhofgruppe, Bern, Switzerland
| | | | - Maaike Fobelets
- Department Health Care, Brussels Centre for Healthcare Innovation, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium.,Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research group, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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19
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Vermeulen J, Vivilaki V. A value-based philosophy debate on academic midwifery education in Europe. Eur J Midwifery 2021. [DOI: 10.18332/ejm/143528] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Mivšek PA, Hundley V, van Teijlingen E, Pahor M, Hlebec V. Slovenian midwifery professionalization: Perception of midwives and related health professions. Eur J Midwifery 2021; 5:30. [PMID: 34316548 PMCID: PMC8290859 DOI: 10.18332/ejm/137664] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 03/22/2021] [Accepted: 05/18/2021] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION This article presents research into the professionalization of midwifery in Slovenia. Since recognition by related occupations is important for professions, this comparative study asked doctors and nurses in Slovenia about their perceptions of the status of midwifery. METHODS A questionnaire survey was conducted with 300 Slovenian midwives, 666 nurses and 416 obstetricians. The questionnaire included statements covering traditional sociological notions of the profession (ethics, theory, power), and three notions based on new elements of professionalism (reflective practice, interdisciplinary working, and partnership with clients). RESULTS Findings suggest that nurses perceived themselves to be less autonomous than midwives, and this partly explains why most nurses thought that midwifery should be a specialized course of study, after the general nursing diploma. Obstetricians claimed to support midwives, however, they did not give midwives credit for basic midwifery competencies and did not feel midwifery to be equal to their profession. Midwives revealed not to feel autonomous; they felt that nursing and obstetrics is jeopardizing independent midwifery practice. CONCLUSIONS Slovenian midwifery was poorly evaluated in some attributes of professionalism, especially knowledge and autonomy. Even midwives themselves consider midwifery more occupation than profession. The autonomy of midwifery will be hard to achieve in the institutions of medical dominance. The study revealed that participants of all three groups are in a competitive relation and are poorly aware of the roles and competencies of the other two professions. Therefore, partially joined education might be beneficial in order to promote interprofessional collaboration in the future.
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Affiliation(s)
- Polona A Mivšek
- Midwifery Department, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Vanora Hundley
- Centre for Midwifery, Maternal and Perinatal Health, Department of Midwifery and Health Sciences, Faculty of Health and Social Sciences, University of Bournemouth, Bournemouth, United Kingdom
| | - Edwin van Teijlingen
- Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, United Kingdom
| | - Majda Pahor
- Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Valentina Hlebec
- Centre for Welfare Studies, Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia
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21
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Kriebs J, Alspaugh A, Van Hoover C. Midwives and Universal Health Care: A Call to Action. J Midwifery Womens Health 2021; 66:437-440. [PMID: 34165222 DOI: 10.1111/jmwh.13232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 02/18/2021] [Accepted: 02/26/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Jan Kriebs
- Midwifery Institute, Jefferson College of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania
| | - Amy Alspaugh
- Family Health Care Nursing, School of Nursing, University of California, San Francisco, San Francisco, California
| | - Cheri Van Hoover
- Midwifery Institute, Jefferson College of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania
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22
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Fladeby LKL, Raunedokken M, Fonkalsrud HE, Hvidtjørn D, Lukasse M. Midwives' experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national cross-sectional study. Eur J Midwifery 2021; 5:10. [PMID: 33898939 PMCID: PMC8059414 DOI: 10.18332/ejm/134510] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 02/25/2021] [Accepted: 03/16/2021] [Indexed: 01/06/2023] Open
Abstract
INTRODUCTION Increasing numbers of maternity units are implementing routine and standardized monitoring of all women using a form of Early Warning Score System with the aim to early detect women at risk of developing critical illness or a deterioration of their condition. The implementation in Norway is relatively new. This study aimed to describe Norwegian midwives' experiences with the Obstetric Norwegian Early Warning System (ONEWS). METHODS We performed a cross-sectional study based on an electronic questionnaire, sent to heads of midwifery at all maternity units in Norway for distribution to their clinically active midwives. Thirty-one of 48 units had implemented ONEWS for over a month. About 1020 midwives received the questionnaire, 232 (23%) responded. RESULTS Of the participants, 217 (93.5%) reported receiving sufficient training and 230 (99.1%) reported using the same scoring system, including the same vital parameters measured. The criteria for use of ONEWS varied between units regarding inclusion criteria and frequency of scoring. A total of 214 (92.2%) midwives agreed that ONEWS has value in the surveillance of high-risk women, while 152 (65.5%) agreed that ONEWS contributes to medicalization of the care of low-risk women. Some 166 (71.6%) midwives reported that ONEWS was time consuming and 159 (68.5%) that the measures need to be better adapted to childbearing women. CONCLUSIONS Maternity units in Norway implementing ONEWS use an almost identical scoring system but varying criteria for whom to score and how often. Midwives considered ONEWS particularly suited for high-risk women and not for low-risk childbearing women.
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Affiliation(s)
- Line K L Fladeby
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.,Department of Obstetrics, Sykehuset Telemark Hospital, Skien, Norway
| | - Marianne Raunedokken
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.,Department of Obstetrics, Sykehuset i Vestfold Hospital, Tønsberg, Norway
| | - Hannah E Fonkalsrud
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.,Department of Obstetrics, Sykehuset i Vestfold Hospital, Tønsberg, Norway
| | - Dorte Hvidtjørn
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.,Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Mirjam Lukasse
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.,Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
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Vermeulen J, Luyben A, Buyl R, Debonnet S, Castiaux G, Niset A, Muyldermans J, Fleming V, Fobelets M. The state of professionalisation of midwifery in Belgium: A discussion paper. Women Birth 2020; 34:7-13. [PMID: 32988768 DOI: 10.1016/j.wombi.2020.09.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 09/16/2020] [Accepted: 09/17/2020] [Indexed: 12/31/2022]
Abstract
AIM To describe the state of the professionalisation of midwifery in Belgium, and to formulate recommendations for advancing the midwifery profession. METHODS A descriptive overview of maternity care in Belgium and the professionalisation of midwifery through an analysis of relevant policy and academic texts, underpinned by Greenwood's sociological criteria for a profession: (1) own body of knowledge, (2) recognised authority, (3) broader community sanctions, (4) own code of ethics and (5) professional culture sustained by formal professional associations. From these insights, recommendations for advancing the midwifery profession in Belgium are formulated. FINDINGS Current strengths of the professionalisation of midwifery in Belgium included unified midwifery education programmes, progress in midwifery research and overarching national documents for guiding midwifery education, practice and regulation. In contrast however challenges, such as the limited recognition of midwives' roles by its clientele, limitations of midwives' competencies and autonomy, lacking development of advanced roles in maternity care practice and a lack of unity of the organisation and its members, were also identified. Based on these, recommendations are made to strengthen Belgian midwifery. CONCLUSIONS Recommendations for advancing the midwifery profession in Belgium includes in particular increasing public awareness of midwives' roles and competencies, implementing the full scope of midwifery practice and monitoring and advancing this practice. Thus, professional autonomy over both midwifery practice and working conditions should be enhanced. United midwifery organisations, together with women's groups, other maternity care professionals and policy-makers as equal partners are key to bring about changes in the Belgian maternity care landscape.
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Affiliation(s)
- Joeri Vermeulen
- Department Health Care, Knowledge Centre Brussels Integrated Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium; Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
| | - Ans Luyben
- Centre for Midwifery, Maternal and Perinatal Health, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK; Department of Health Services Research, University of Liverpool, Liverpool, UK
| | - Ronald Buyl
- Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), Brussels, Belgium
| | - Serena Debonnet
- Federal Public Service, Health, Food Chain Safety and Environment, Brussels, Belgium; Clinique Saint-Jean, Brussels, Belgium
| | - Geneviève Castiaux
- Paramedical Department Sainte-Elisabeth, University College of Namur-Liège-Luxembourg, Namur, Belgium
| | - Anne Niset
- Federal Public Service, Health, Food Chain Safety and Environment, Brussels, Belgium; Centre Hospitalier du Bois de l'Abbaye, Seraing, Belgium; Belgian Midwives Association, Antwerp, Belgium
| | - Joke Muyldermans
- Department Health Care, Knowledge Centre Brussels Integrated Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium; Midwifery Practice InTeam, Hoeilaart, Belgium; Flemish Professional Association of Midwives, Antwerp, Belgium; Care4Education, Boortmeerbeek, Belgium
| | - Valerie Fleming
- School of Nursing and Allied Health, Liverpool John Moores University, Liverpool, UK
| | - Maaike Fobelets
- Department Health Care, Knowledge Centre Brussels Integrated Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium; Faculty of Medicine and Pharmacy, Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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Eri TS, Berg M, Dahl B, Gottfreðsdóttir H, Sommerseth E, Prinds C. Models for midwifery care: A mapping review. Eur J Midwifery 2020; 4:30. [PMID: 33537631 PMCID: PMC7839165 DOI: 10.18332/ejm/124110] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 06/04/2020] [Accepted: 06/16/2020] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION According to WHO, midwives are found competent to provide evidencebased and normalcy-facilitating maternity care. Models for midwifery care exist, but seem to be lacking explicit epistemological status, mainly focusing on the practical and organizational level of care delivery. To make the values and attitudes of care visible, it is important to implement care models with explicit epistemological status. The aim of this paper is to identify and gain an overview of publications of theoretical models for midwifery care. METHODS A mapping review was conducted with systematic searches in nine databases for studies describing a theoretical model or theory for midwifery care that either did or was intended to impact clinical practice. Eligibility criteria were refined during the selection process. RESULTS Six models from six papers originating from different parts of the world were included in the study. The included models were developed using different methodologies and had different philosophical underpinnings and complexity gradients. Some characteristics were common, the most distinctive being the emphasis of the midwife-woman relationship, secondly the focus on woman-centeredness, and thirdly the salutogenic focus in care. CONCLUSIONS Overall, scarcity exists regarding theoretical models for midwifery care with explicit epistemological status. Further research is needed in order to develop generic theoretical models with an epistemological status to serve as a knowledge base for midwifery healthcare.
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Affiliation(s)
- Tine S. Eri
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Marie Berg
- Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
- The Obstretic Unit, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Bente Dahl
- Centre for Women’s, Family and Child Health, Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway
| | - Helga Gottfreðsdóttir
- Department of Midwifery, Faculty of Nursing, University of Iceland, Reykjavík, Iceland
- Women´s Clinic, Landspitali University Hospital, Reykjavík, Iceland
| | - Eva Sommerseth
- Centre for Women’s, Family and Child Health, Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway
| | - Christina Prinds
- Institute of Clinical Research, University of Southern Denmark, Odense C, Denmark
- Department of Research, University College South Denmark, Haderslev, Denmark
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Altınayak SÖ, Apay SE, Vermeulen J. The role of midwifery associations in the professional development of midwifery. Eur J Midwifery 2020; 4:27. [PMID: 33537628 PMCID: PMC7839087 DOI: 10.18332/ejm/122388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 03/23/2020] [Accepted: 05/13/2020] [Indexed: 11/24/2022] Open
Abstract
Midwifery associations have an important role in several subjects such as professionalisation, developing neonatal health, reducing maternal-fetal mortality, planning labor, professional recognition, planning legislative regulations, developing the profession, and offering quality birth services. The purpose of this study is to explain the contributions of well-known midwifery associations in the world, and in particular in Turkey, to the professional development of midwifery, as well as similarities of midwifery associations in Turkey with other associations, including the position of Turkey in associationalism. The associations have enabled the profession of midwifery to progress, gain autonomy, be legally protected and become more professional. In order for the associations in Turkey to operate effectively, it is recommended that their membership is increased so as to represent more midwives and thus gain more political power and to advance evidence-based applications in midwifery care.
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Affiliation(s)
- Serap Ö. Altınayak
- Department of Midwifery, Faculty of Health Science, Ondokuz Mayıs University, Samsun, Turkey
| | - Serap E. Apay
- Department of Midwifery, Faculty of Health Science, Atatürk University, Erzurum, Turkey
| | - Joeri Vermeulen
- Department Health Care, Knowledge Centre Brussels Integrated Care, Erasmus Brussels University of Applied Sciences and Arts, Brussels, Belgium
- Department of Public Health, Biostatistics and Medical Informatics Research group, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium
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