Abstract Background: population of reproductive women in the world reach 52% (House, et al., 2012), while in Surabaya reach 24,6% (BPS, 2019). Menstruation is a natural aspect of reproductive woman’s ...life and becomes a very critical point because it shows the basis of women’s wellbeing, especially menstrual hygiene. Poor hygiene during menstruation can lead to reproductive tract infection. In order to avoid RTI, good menstrual behavior is needed. Midwifery students as future health workers will be a role in helping change people’s behavior, one of which practice of menstruation towards better. Aims: This research to find out knowledge, attitudes and practices about menstruation of midwifery students in Surabaya. Methods: this research method is descriptive quantitative cross-sectional, with a sample of the first level midwifery students from five institutions in Surabaya. Sampling with total sampling and which includes inclusion criteria is 206 respondents. This research has been held in September- October 2019. The variables are knowledge of menstrual, attitudes towards menstruation and menstrual practices. Data retrieval using a questionnaire in the google form. Results: The results shows 68% of respondents have high knowledge, 55,3% of respondents have negative attitudes and 50,5% of respondents have good menstrual practices. Conclusions: High knowledge of menstruation wasn’t comparable with negative attitudes towards menstruation so only half of the respondents have good practice.
Background and Objective: Holding a comprehensive midwifery exam is one of the main concerns of midwifery students and if they do not get a sufficient score, their midwifery qualification will not be ...approved. The aim of this study was to investigate the opinions of midwifery students about the comprehensive exam of Ardabil School of Nursing and Midwifery. Methods: In this descriptive cross-sectional study, 58 undergraduate midwifery students were enrolled in the study in September 2018. Students' opinions in 5 clinical areas of labor, delivery, postpartum, gynecological clinic and pediatric clinic were collected through a questionnaire one day after evaluation. The results of the data were analyzed using descriptive statistics (frequency-percentage and mean standard deviation). Findings: Students' opinions on how to evaluate with mean and standard deviation of 78.91 ± 13/81were at the desired level. Mean and standard deviation of gynecological clinic opinions 82.51 ± 12.37, Mother-Child Clinic 80/46 ± 12/62, Liber 79/48 ± 13/12, After delivery 77/12 ± 15/23 And delivery room was 75.02 ± 15.73 out of a total score of 100. Conclusion: The opinions of midwifery students about the comprehensive exam of Ardabil School of Nursing and Midwifery are at the desired level. In addition to continuing the existing programs to improve the exam conditions and how to take the exam, other evaluation methods should be considered.
The learning activities of students in the clinical practice during the Covid-19 Pandemic are a challenge faced by health education institutions. The practical design is required for the ...implementation of safe clinical practice. In response, Budi Kemuliaan School of Health Science had designed the implementation of clinical practice learning with "design by empathy". This study aims to explore how clinical practice learning with "design by empathy" during the Covid-19 pandemic. A cross-sectional study was conducted on 62 students of the Midwifery Diploma Three Program, which were divided into two groups.Positive results were obtained from clinical practice learning with design by empathy during the pandemic which was seen from the presentation of students attendance, students health conditions, skills achievement, students and clinical instructor responses regarding the implementation of practical learning during the pandemic, and the acquisition of grades.
Midwives are central to caring for pregnant women in labour, including Deaf women. It is the midwife's responsibility to communicate and establish a relationship with the pregnant woman in labour, ...despite the accompanying challenges. Explore fourth-year undergraduate Midwifery Students' and their Lecturers' perceptions of the challenges faced by Deaf pregnant women in accessing maternity health care when in labour. A qualitative content analysis approach with purposive sampling allowed for the invitation of Midwifery lecturers (𝑛=2) and Bachelor of Nursing Degree Midwifery students (𝑛=25). Data were collected through four focus group discussions and two individual interviews. Data analysis was guided by Elo and Kyngäs approach and trustworthiness was achieved. Two categories with four subcategories emerged. All pregnant women, inclusive of the often "inaudible" Deaf pregnant woman, are entitled to equitable, accessible, available person-centred maternal health care.
Les sages-femmes jouent un rôle essentiel dans la prise en charge des femmes enceintes en travail, y compris des femmes sourdes. Il est de la responsabilité de la sage-femme de communiquer et d'établir une relation avec la femme enceinte en travail, malgré les défis qui en découlent. Explorez les perceptions des étudiants sages-femmes de quatrième année et de leurs professeurs sur les défis rencontrés par les femmes enceintes sourdes pour accéder aux soins de santé maternelle pendant le travail. Une approche d'analyse de contenu qualitative avec échantillonnage raisonné a permis d'inviter des professeurs de sages-femmes (n = 2) et des étudiants en sage-femme au baccalauréat en sciences infirmières (n = 25). Les données ont été collectées au moyen de quatre discussions de groupe et de deux entretiens individuels. L'analyse des données a été guidée par l'approche d'Elo et Kyngäs et la fiabilité a été atteinte. Deux catégories avec quatre sous-catégories ont émergé. Toutes les femmes enceintes, y compris les femmes enceintes sourdes, souvent « inaudibles », ont droit à des soins de santé maternelle équitables, accessibles et disponibles, centrés sur la personne.
•Midwives must have breech birth management skills and knowledge to minimize complications that can affect maternal and infant health.•Computer-based childbirth simulators are more effective than ...pelvic simulators in reducing anxiety levels and improving breech birth management skills of students.•Simulation techniques used in breech birth management training are effective in increasing the self-efficacy and knowledge levels of students.
The aim of this study was to assess the effect of two different simulation techniques used to improve the breech birth management skills of midwifery students and their levels of anxiety, self-efficacy, skill, and knowledge.
A randomized controlled study (Clinical Trial number: NCT05827627). The study was conducted with two groups (n = 75); namely, a pelvic simulator group and a computer-based simulator group.
While no difference was found between the anxiety levels of the groups before the training, the anxiety level of the pelvic simulator group was higher after the training. The self-efficacy and knowledge levels of students increased after the training compared to pretraining level; however, no difference was found between the groups. The skill score for breech birth management was higher in the computer-based simulator group.
The results of this study showed that high-fidelity simulators in particular reduce the anxiety levels of students, increase their self-efficacy and knowledge levels, and are effective in improving their skills.
Midwifery graduates may experience transition shock that makes them question their fit for their workplace and the profession and in extreme cases, may lead to them leaving. Understanding graduate ...midwives’ worldviews, job intentions and work experiences is important to inform retention strategies. Factors such as having a strong professional identity and experiencing strong job satisfaction are important for midwife retention. Conversely, stress, trauma and work-life imbalances are examples of factors that lead to attrition from midwifery. Transition shock experienced by some graduates can exacerbate these factors if not managed effectively. This study aimed to identify causes and impact of any changes in graduate and early career midwives’ philosophy, practice, and intention to stay in the profession.
We invited the 2021 and 2022 cohorts of graduating midwifery students from all educational pathways in Victoria, Australia to participate in a longitudinal descriptive study using a questionnaire with both closed and open -ended questions. This paper reports the findings from 16 participants that completed the first survey of a five-year longitudinal descriptive study.
The sixteen participants predominantly held a woman centred philosophy and ideally wanted to work in a midwife-led model of care. Although excited about moving into practice, they also disclosed a sense of needing to ‘survive’ in a maternity care system that their beliefs were not fully in alignment with.
The hopes, expectations and concerns of midwifery students who are anticipating moving into practice in this study resonate with those previously reported and demonstrate the need to consider personality-job fit in supporting this vulnerable group to transition.
This study provides insights into graduating midwives’ hopes for, expectations of, and concerns about transitioning into practice that may inform the design of transition programs and support expansion of midwifery led models of care.
OBJECTIVETo explore the impact of the COVID-19 global pandemic on midwifery students' experiences of clinical internship placement in the final year of their midwifery programme.DESIGNA qualitative ...descriptive study was conducted following ethical approval. Four online focus groups were facilitated.SETTING AND PARTICIPANTSTo prepare for autonomous practice, BSc Midwifery students in the Republic of Ireland (RoI) undertake a 36-week internship in the final year of their programme. Midwifery students (n = 15), from one Higher Education Institute (HEI), who were undertaking internship across two clinical practice sites volunteered to participate in the study.FINDINGSFour overarching themes were identified: Fear and uncertainty of internship in the context of a pandemic, Consequences of COVID-19 within the clinical environment, Student supports, Opportunities and challenges during internship. Working within a health care environment dominated by the presence of COVID-19 had significant consequences for the students and their provision of care for women and families. Students were challenged with managing increased responsibility within the context of COVID-19 practice requirements and restrictions. Students balanced their need to progress to autonomous practice, whilst acknowledging their needs as learners. COVID-19 also brought unexpected benefits, which included enhancing students' ability to develop relationships with women in their care, and students described a sense of belonging within the midwifery team.KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICEMidwifery students identified internship, during the COVID-19 pandemic as challenging and stressful. However, students also portrayed a sense of pride in their achievements. Support structures assisted students to cope during this period which included peer support, protective reflective time (PRT) in the HEI and support from clinical placement coordinators in midwifery (CPC-Midwifery) within clinical placements sites. It is essential that these support structures continue within midwifery educational programmes. Promoting peer support in a more formal support structure may need consideration. These support structures need to be protected and enhanced during unprecedented times, such as the COVID-19 pandemic.
Psychosocial traumatisation associated with giving birth, can occur in those present with the woman giving birth, a phenomenon known as vicarious trauma. It has been identified that there are ...currently no interventions available for midwifery students who have experienced vicarious trauma following difficult birth experiences.
To explore whether the counselling intervention developed by Gamble et al. (2005), can be adapted for midwifery students to be appropriately and feasibly used as a counselling intervention with peers who have experienced midwifery practice-related vicarious trauma.
Interpretive descriptive methodology.
This study was set at two Australian universities from which pre-registration midwifery courses are delivered.
The work of reviewing the original tool and adapting it for use by and with midwifery students associated with this project was conducted by a key stakeholder group of seven representative midwifery students and five midwifery academics.
Ethics were approved. Data were collected via one face to face and two online conversations using the Microsoft Teams™ platform. Reflexive Thematic analysis were applied to revise the tool following each round of data collection and to finalise the adaptation of the intervention for its new intended purpose.
The Midwifery Student Peer Debriefing Tool is presented as a six-step intervention that guides the midwifery student through a process of debriefing with their peer. The feasibility of the tool resulted in an overarching theme labelled “I want this to mean something” and captures the therapeutic power of peer debriefing toward a meaningful outcome that fostered growth, and a deeper understanding of the profession.
Vicarious trauma is widely recognised as a core reason for midwives and midwifery students leaving the workforce. The peer debriefing tool helps midwifery students move through the process of recovering from adversity but also fostered learnings about midwifery practice and the profession.
•Psychosocial trauma can occur in midwifery students.•Midwifery students tend to support one another following a traumatising experience.•An earlier debriefing tool by Gamble et al. (2005) was used for the basis of this study.•The tool was co-created with midwifery students to provide a stepped process to debriefing.•The Midwifery Student Peer Debriefing Tool may be one way to reduce the Psychosocial effects of trauma.
Midwifery students in France are requested to be vaccinated against influīenza every year before the winter epidemic. The rationale is to protect pregnant women and newborns, the “frail” populations ...with whom students are in regular contact. The aims of the present study were to assess the prevalence of influenza vaccination among midwifery students and to identify the obstacles to its implementation.
This is a descriptive study carried out by questionnaire among all midwifery students enrolled in one of the 35 midwifery schools in France for the year 2018-2019.
The 1092 questionnaires received showed that 47.9% of the students had been vaccinated during the previous winter, mainly in order to protect their patients. For those who had not been vaccinated, the main obstacles were a lack of time (64.7%), the vaccine was considered to be ineffective (57.3%) and forgetting to be vaccinated (43.4%). Most students reported that a midwifery school-based vaccination session would be effective in improving coverage. The decision to take up vaccination was influenced by the opinion of the student's entourage and information received in class.
Although the objectives of vaccine protection have not yet been achieved, influenza vaccination is not compulsory and midwifery students are free to choose. Students should be provided with all the information necessary to make their decision, including education on the subject, and have easy access to vaccination.
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