Midwifery education is very demanding considering the professional competencies student midwives are required to develop. It can cause different levels of stress to students and affect their learning ...abilities. With the JDCS (Job Demands-Control-Social support) model adapted for educational purposes we aimed to estimate the midwifery students' coping abilities with study related stress.
A quantitative study was conducted using a questionnaire that evaluated perceived demand (9 items), perceived control (10 items), and perceived social support (10 items) with a 5-point Likert scale. 94 students were invited to participate in the study in autumn 2014. All necessary steps to address the ethical issues of the study were undertaken beforehand.
One quarter of Slovenian midwifery students perceived midwifery education as too demanding, while 31% of them thought it was low-strained. 41% answered that the study motivated them. 28% believed that they lacked the possibility to make their own decisions regarding the study.
The findings indicate that the level of Slovenian midwifery students' well-being is generally high. Using the JDCS model in midwifery education, we could evaluate students' general coping abilities with study related stress. More studies should be performed to evaluate the research tool internationally.
•In order to achieve professional status, the public needs to admit the role of a professional group, therefore for midwifery professionalism, it is of major importance that women recognize the ...competencies of the midwife.•The Midwifery Profiling Questionnaire - MidProQ is a validated tool that can be used in defining the recognition of midwifery role amongst lay people.•This survey confirmed the results of former studies that women who experienced an obstetrician-led model of care find it hard to realize the potential of full scope midwifery practice.
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.
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.
An online survey was performed, using the software 1KA. The link to the survey was distributed amongst groups of women via social media.
Snow-ball sampling was used, recruiting women via gynaecology and obstetric forums.
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.
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.
Participants were not aware of all the fields where midwife could 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.
Smoking in pregnancy is unhealthy and can also have negative effects on the foetus. However, there are still some women who do not quit smoking during pregnancy. The aim of the study was to identify ...Slovenian women at risk who smoke during pregnancy.
A quantative approach using an online survey was adopted. The study was conducted in May and June 2017, in Slovenia. A snowball sample was used. Participation in the survey was anonymous and voluntary, and 118 women who identified themselves as smokers participated in the study. Descriptive statistics was used to analyse the data.
More than half (66%) did not quit smoking during pregnancy. Women who continued to smoke during pregnancy were usually younger, less educated with a partner who smoked. Women who smoked more cigarettes per day before conception were less likely to refrain from smoking during pregnancy. The most common reason for not quitting smoking during pregnancy was failure in attempts to quit (37%).
Women who smoke need support to stop smoking before pregnancy or, at least, in the first trimester. Special groups for smoking cessation need to be created. Further and more extensive research is warranted in Slovenia to assess this issue.
Uvod: Očetje se pogosto vključujejo v porodni proces v vlogi spremljevalcev svojih partnerk ob porodu. Veliko očetov si želi biti prisotnih pri porodu svojega otroka, vendar si pogosto ne ...predstavljajo svoje vloge v porodni sobi. Namen raziskave je bil raziskati izkušnje partnerjev s prisotnostjo pri porodu.Metode: Raziskava temelji na kvalitativni metodologiji. Vzorec zajema pet očetov, starih med 25 in 35 let, ki so imeli za seboj vsaj dve porodni izkušnji. Podatki so bili pridobljeni s pomočjo delno strukturiranih intervjujev in analizirani s pomočjo metode analize vsebine.Rezultati: Za očete je bila prisotnost pri rojstvu njihovega otroka ena izmed najlepših izkušenj v njihovem življenju. Kljub temu da so jo opredelili kot stresno, je bila hkrati zanje pozitivna in polna intenzivnih občutij. Občutili so vznemirjenje, pričakovanje, strah, zaskrbljenost, srečo, veselje, olajšanje ter ponos. Nekateri očetje so bili s strani babice in ostalega zdravstvenega osebja v porodno dogajanje vključeni bolj aktivno, drugi manj.Diskusija in zaključek: Očetje si želijo biti s strani babice in ostalega zdravstvenega osebja obravnavani spoštljivo in kot enakovreden del para, ki se mu rojeva otrok. Priložnosti nadaljnjega raziskovanja se kažejo v proučevanju povezave med prisotnostjo pri porodu ter družinsko in partnersko dinamiko, pa tudi v izkušnjah babic s prisotnostjo očetov v porodnih sobah.
Uvod: Študentovo doživljanje prve klinične prakse zaznamuje njegovo sposobnost nabiranja znanja in izkušenj ter lahko vpliva na njegovo nadaljnjo poklicno pot. Namen raziskave je bil proučiti občutke ...študentov babištva ob prvem srečanju s klinično prakso v porodnem bloku. Metode dela: Izbrana je bila deskriptivna kvantitativna metoda dela. Uporabljen je bil spletni vprašalnik. Vzorec je bil namenski (n = 52), anketirani so bili študenti drugega in tretjega letnika ter absolventi študijskega programa babištva na Zdravstveni fakulteti Univerze v Ljubljani. Izvedena je bila osnovna deskriptivna statistika. Rezultati: Najpogostejši občutki, ki so jih študentje doživljali ob prvem stiku s klinično prakso v porodnem bloku, so bili neizkušenost, razdvojenost med teorijo in prakso ter stres. Pokazalo se je, da na doživljanje občutij statistično pomembna vpliva predhodna srednješolska izobrazba. Med študenti, ki so predhodno obiskovali nezdravstvene srednje šole, je bilo statistično pomembno več takih, ki so imeli občutek nesprejetosti v klinično okolje (92 %, bivši dijaki zdravstvenih srednjih šol: 79 %), prav tako jih je več zaznalo razkorak med teorijo in prakso (79 %, bivši dijaki zdravstvenih srednjih šol: 64 %). Večji občutek neizkušenosti in posledično strahu, da bi škodovali pacientu, pa so imeli študentje s predhodno zdravstveno srednješolsko izobrazbo (82 %, bivši dijaki nezdravstvenih srednjih šol: 62 %). Diskusija in zaključek: V kolikor se med prvo klinično prakso pojavljajo občutki, kot so stres, strah in negotovost, lahko to ovira zmožnosti za učenje in samozavest. Potrebna bi bila izboljšava organizacije klinične prakse: pred prvo prakso bi bilo treba okrepiti študentova realna ričakovanja, med samo klinično prakso uvesti supervizijo s strani individualnega kliničnega mentorja ter po končani klinični praksi omogočiti študentovo refleksijo lastnih občutkov
Sex life during pregnancy Košec, Tamara; Jug Došler, Anita; Kusterle, Mateja ...
Obzornik zdravstvene nege,
12/2019, Letnik:
53, Številka:
4
Journal Article
Recenzirano
Odprti dostop
Introduction: Pregnancy involves emotional and physiological changes, which affect the pregnant woman, her partner and their relationship. The sexuality of the couple changes with the onset of ...pregnancy compared to pre-pregnancy. The aim of the study was to investigate changes in the sex life of women during pregnancy.Methods: Quantitative research based on a questionnaire was carried out in August 2016 on a purposive sample of 685 women who had given birth at least once and women who were in the last trimester of pregnancy when completing the questionnaire. The data analysis included frequencies, percentages, mean values and independent samples t-test calculations.Results: The frequency of sexual intercourse decreased compared to the preconception period. The majority of women (43 %) included in the survey stated that their sexual desire declined during pregnancy. The most common factors that hindered women's sexual activity were fatigue and the feeling of awkwardness.Discussion and conclusion: Psychophysical changes in a pregnant woman may affect the couple's sexuality to a greater or lesser extent, which may in turn affect their relationship. It is therefore crucial that couples be offered quality counseling on sex life by appropriate institutions and programmes.
Uvod: Mednarodne raziskave kažejo, da približno 10 % očetov kaže znake poporodne depresije v obdobju od štirih do šestih mesecev po rojstvu novorojenca. Namen raziskave je bil ugotoviti, ali prevod ...in priredba Edinburške lestvice poporodne depresije nudi zanesljiv presejalni test za odkrivanje poporodne depresije pri novih očetih. Metode: Izvedena je bila kvantitativna raziskava. S prilagojeno prevedeno Edinburško lestvico poporodne depresije so bili anketirani očetje ob patronažnem obisku 4–6 mesecev po rojstvu otroka. Zajeti so bili vsi primerni kandidati v zdravstvenih domovih v Velenju in Črnučah v Ljubljani, in sicer med avgustom in decembrom 2019 (n = 80), realizacija vzorca je bila 51 (63 %). Koeficient Cronbach alfa za je znašal 0,931. Za analizo podatkov je bil uporabljen hi-kvadrat test. Rezultati: Osem anketirancev (15,7 %) je zbralo dvanajst ali več točk in so zato bili ogroženi za razvoj poporodne depresije. Nihče od anketiranih ni poročal o misli ali namerah o samomoru. Povprečno število doseženih točk je bilo 6,76 (s = 3,99). Najvišje število zbranih točk je bilo 16, zbral jih je en anketiranec (n = 1, 1,96 %). Diskusija in zaključek: Kljub majhnemu vzorcu, ki onemogoča posplošitev rezultatov, se v pilotni raziskavi ugotavlja podoben delež za poporodno depresijo rizičnih očetov kot v tujih raziskavah. Smiselno je torej obravnavati tudi duševno dobrobit očetov v prvem poporodnem letu, saj lahko stiska enega od partnerjev vpliva na celotno družino.
Uvod: V literaturi je poterminska nosečnost različno opredeljena, prav tako tudi ukrepi v zvezi z njo. Podaljšanje nosečnosti preko 41. tedna nosečnosti prinaša dodatna tveganja za plod, zato se v ...tem primeru pogosto sprejme odločitev o indukciji poroda. Tudi slednja prinaša za žensko in plod določena tveganja, predvsem v smislu povečane potrebe po izhodnih porodniških operacijah. Metode: Uporabljen je bil kvantitativni pristop; raziskava je bila zasnovana na podatkih iz nacionalnega perinatalnega informacijskega sistema za leto 2012. V analizo je bilo vključenih 10.163 porodov s poterminsko nosečnostjo. Analiza je bila narejena s pomočjo statističnega programa SPSS verzija 18.0, pri čemer je bila uporabljena opisna statistika. Rezultati: Ugotovljeno je bilo, da delež induciranih porodov z višjo gestacijsko starostjo narašča (po 42. tednu gestacijske starosti znaša 41,8 %), s čimer narašča tudi delež operativno dokončanih porodov (po 42. tednu gestacijske starosti se 24,9 % porodov dokonča s carskim rezom ali vakuumsko ekstrakcijo). Diskusija in zaključek: Rezultati o načinu dokončanja poroda po predvidenem datumu poroda v Sloveniji v proučevanem obdobju so primerljivi rezultatom tuje strokovne in znanstvene literature. V nadaljnjem raziskovanju bi bilo smiselno zajeti tudi podatke o kondiciji novorojenčkov, saj zgolj način dokončanja poroda ni kazalec zdravstvenega stanja novorojenca. Smiselno bi bilo proučevati oceno novorojenčka po Apgarjevi, sprejem novorojenca na enoto intenzivne nege in terapije, vrednosti pH krvi in potrebne ukrepe reanimacije novorojenčka.
Mobbing, defined as sustained harassment among workers, in particular towards subordinates, merits investigation. This study aims to investigate Slovenian midwifery students' (2nd and 3rd year ...students of midwifery at the Faculty for Health Studies Ljubljana; the single educational institution for midwives in Slovenia) perception of mobbing, since management of acceptable behavioural interrelationships in midwifery profession forms already during the study, through professional socialization. Descriptive and causal-nonexperimental method with questionnaire was used. Basic descriptive statistics and measures for calculating statistical significance were carried out with SPSS 20.0 software version. All necessary ethical measures were taken into the consideration during the study to protect participants. The re- sults revealed that several participants experienced mobbing during the study (82.3%); 58.8% of them during their practical training and 23.5% from midwifery teachers. Students are often anxious and nervous in face of clinical settings (60.8%) or before faculty commitments (exams, presentations etc.) (41.2%). A lot of them (40.4%) estimate that mobbing affected their health. They did not show effective strategies to solve relationship problems. According to the findings, everyone involved in midwifery education, but above all students, should be provided with more knowledge and skills on successful management of conflict situations.
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