Increasing midwives’ ethical competence: a European educational and practice development project

Oelhafen, Stephan; Hölzli, Ursula; Häsänen, Marjatta; Kärema, Annely; Kasemets, Minni-Triin; Bartels, Irena; Leberecht, Aet Maarja; Kauppila, Marjo; Järvilehto-Impivaara, Irmeli; Berglund, Mari

doi:10.1007/s40889-017-0033-3

Cited by 19 publications

(20 citation statements)

References 17 publications

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“…Finally, also communications skills can be addressed, exercised, and strengthened by simulating interactions with direct superiors to bring up moral issues. 37…”

Section: Discussionmentioning

confidence: 99%

Exploring moral problems and moral competences in midwifery: A qualitative study

2018

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“…Finally, also communications skills can be addressed, exercised, and strengthened by simulating interactions with direct superiors to bring up moral issues. 37…”

Section: Discussionmentioning

confidence: 99%

Exploring moral problems and moral competences in midwifery: A qualitative study

2018

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“…This study has been conducted under the project: ‘Increasing midwives’ ethical competence: a European Educational and Practice Development project (INEC)’. The current project was initiated to develop a set of interventions in the clinical and educational setting in order to create a model for education and practice that would increase the ethical competence of midwives facing today’s clinical challenges 23 . It is a case study focused on seven midwives that expressed their wish to participate voluntarily in the activities of a team of peer group supervision.…”

Section: Methodsmentioning

confidence: 99%

Peer group supervision is an efficient method to assist midwives to solve complicated cases: A case-study in the Women’s Clinic, East-Tallinn Central Hospital, Estonia

Merits¹,

Bartels²,

Kärema³

2019

Eur J Midwifery

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INTRODUCTION Midwives have a remarkable influence on various outcomes in healthcare, of which the activities related to the management during the childbirth are emphasised the most. Midwives like all healthcare workers encounter many different stressors in clinical practice, including time pressure, excessive workload, different roles, and emotional issues. The profession of the midwife requires much knowledge, competence, good attitude and self-confidence in order to cope with many different complicated situations and dilemmas. This study has been conducted under the project: 'Increasing midwives' ethical competence: a European educational and practice development project (INEC)'. METHODS This is a qualitative case study. The current case study involved 7 midwives of the Women's Clinic, East-Tallinn Central Hospital, Estonia; the midwives expressed their willingness and agreed to take part in the activities of the peer group supervisors. The aim of the case study was to find how peer group supervision as a method helps midwives to solve complicated cases and dilemmas, helping them to maintain self-confidence and therefore to manage stress at work more effectively. RESULTS All the participating midwives shared the opinion that peer group supervision helps midwives to cope with complicated situations and dilemmas more effectively, it empowers professional skills and self-confidence, and so contributes to more effective stress management at work. Also, the midwives expressed hope that this topic would be useful for the professional midwives and to other employees working in the field of healthcare, that encounter complicated cases in their daily work, and so will form an active team of peer group supervision. CONCLUSIONS Peer group supervision is an efficient method that helps midwives solve complicated cases in the Women's Clinic, East-Tallinn Central Hospital, Estonia.

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“…Students may feel ethically compromised leading to ethical confusion. Oelhafen et al 25 suggest thatExternal constraints limiting the midwife’s and the patient’s autonomy and resulting interpersonal conflicts were found to be the most relevant ethical issues in clinical practice and most often associated with the experience of moral distress.Similar findings for midwives in Italy, Denmark and Japan have been reported in the literature. 36 –38 Emotional conflict experienced by midwives involved the provision of both midwifery care and abortion care, and the resulting feeling of professional confusion related to their ambivalent roles.…”

Section: Discussionmentioning

confidence: 60%

“…23,24 Others have recently attempted to address this by developing a model to increase ethical competence for education and practice. 25…”

Section: Introductionmentioning

confidence: 99%

Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics

Apay¹,

Gürol²,

Gür

et al. 2020

Nurs Ethics

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Background: Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas. Objective: The aim of this study was to explore midwifery students’ reactions to a number of ethical dilemmas relating to women’s experiences of reproductive decision making. Design: A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion. Setting: A University in Turkey was the setting for this study. Participants: Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students. Ethical considerations: The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent. Results: Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were ‘the right to information’, ‘choice and protection’, ‘parental rights and welfare of the women’, ‘make a decision’ and ‘women rights and sexual abuse’. Conclusion: This study has shown that while students respected women’s choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress.

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Increasing midwives’ ethical competence: a European educational and practice development project

Cited by 19 publications

References 17 publications

Exploring moral problems and moral competences in midwifery: A qualitative study

Exploring moral problems and moral competences in midwifery: A qualitative study

Peer group supervision is an efficient method to assist midwives to solve complicated cases: A case-study in the Women’s Clinic, East-Tallinn Central Hospital, Estonia

Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics

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