Professional confidence among Swedish final year midwifery students – A cross-sectional study

Bäck, Lennart; Sharma, Bharati; Karlström, Annika; Tunón, Katarina; Hildingsson, Ingegerd

doi:10.1016/j.srhc.2017.10.003

Cited by 32 publications

(18 citation statements)

References 32 publications

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“…This finding is consistent with previous study from New Zealand that revealed the rates of perinatal mortality appeared to increase when the nurse midwives had experience less than 1 year compared to those who had 5 to 9 years of experience (rate ratio 1.33; 95% CI 1.02-1.73) and the rates of perinatal mortality was significantly decreased when nurse midwives' experience is increased (p = 0.031) [20]. This might be because those nurse midwives who had working experience in providing care during intrapartum period had developed their skills and shown increased confidence to handle the uncertain situations and were able to manage well the situation during delivery [35] which helped to prevent and reduce the rates of PPH [36,37]. In this study, 50 % of all participated hospitals lacked nurse midwives who had working experience of 6-10 years, in particular, those in district hospitals (66.7%).…”

Section: Discussionmentioning

confidence: 99%

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Prapawichar

Ratinthorn

Utriyaprasit

et al. 2020

BMC Pregnancy Childbirth

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Background: Postpartum hemorrhage (PPH) is a preventable complication, however, it remains being the leading cause of maternal mortality and morbidity worldwide including Thailand. Methods: A case-control study to examine the risk factors associated with PPH across the hospitals under the Ministry of Public Health in Thailand, was conducted. A total of 1833 patient birth records and hospital profiles including human and physical resources from 14 hospitals were obtained. A multiple logistic regression was used identifing the factors that are significantly associated with PPH. Results:The results show that the rate of PPH varied across the hospitals ranging from 1.4 to 10.6%. Women with past history of PPH were more likely to have increased risk of having PPH by 10.97 times (95% CI 2.27,53.05) compared to those who did not. The odds of PPH was higher in district and general hospitals by 14 (95% CI 3.95, 50.04) and 7 (95% CI 2.27,23.27) times respectively, compared to regional hospitals. The hospitals which had inadequate nurse midwife to patient ratio (OR 2.31,95% CI 1.08,4.92), lacked nurse midwives with working experience of 6-10 years (OR 2.35, 95% CI 1.41,3.92), as well as inadequate equipment and supplies for emergency obstetric care (OR 6.47, 95% CI 1.93,21.63), had significantly higher incidence of having PPH, respectively. Conclusions:This study provides interesting information that the rate of PPH varies across the hospitals in Thailand, in particular where essential nurse midwives, equipment, and supplies are limited. Therefore, improving health care services by allocating sufficient human and physical resources would contribute to significantly reduce this complication.

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Section: Discussionmentioning

confidence: 99%

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Prapawichar

Ratinthorn

Utriyaprasit

et al. 2020

BMC Pregnancy Childbirth

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“…The result of that study showed that young midwifery students developed resilience and coping strategies over time, they also demonstrated commitment to a career in midwifery [26]. Similarly, younger Swedish midwifery students (all post-nursing programs) were more confident in the majority of skills investigated, compared to older students [27].…”

Section: Age and Sexmentioning

confidence: 92%

“…Nevertheless, the multi-country approach and the large number of respondents make the data reliable. The questionnaire has been used in other studies [13,22,27], and further developed and refined by a group of senior researchers for the current study. This strengthen the validity of the tool.…”

Section: Age and Sexmentioning

confidence: 99%

African midwifery students’ self-assessed confidence in antenatal care: a multi-country study

Hildingsson

Lindgren

Karlström

et al. 2019

Global Health Action

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Background: Evidence-based antenatal care is one cornerstone in Safe Motherhood and educated and confident midwives remain to be optimal caregivers in Africa. Confidence in antenatal midwifery skills is important and could differ depending on the provision of education among the training institutions across Africa.Objective: The aim of the study was to describe and compare midwifery students’ confidence in basic antenatal skills, in relation to age, sex, program type and level of program.Methods: A survey in seven sub-Saharan African countries was conducted. Enrolled midwifery students from selected midwifery institutions in each country presented selfreported data on confidence to provide antenatal care. Data were collected using a selfadministered questionnaire. The questionnaire consisted of 22 antenatal skills based on the competency framework from the International Confederation of Midwives. The skills were grouped into three domains; Identify fetal and maternal risk factors and educate parents; Manage and document emergent complications and Physical assessment and nutrition.Results: In total, 1407 midwifery students from seven Sub-Saharan countries responded. Almost one third (25-32%) of the students reported high levels of confidence in all three domains. Direct entry programs were associated with higher levels of confidence in all three domains, compared to post-nursing and double degree programs. Students enrolled at education with diploma level presented with high levels of confidence in two out of three domains.Conclusions: A significant proportion of student midwives rated themselves low on confidence to provide ANC. Midwifery students enrolled in direct entry programs reported higher levels of confidence in all domains. It is important that local governments develop education standards, based on recommendations from the International Confederation of midwives. Further research is needed for the evaluation of actual competence.

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“…The existing body of literature exploring preceptorship and student midwives (hereinafter students) consists mostly of students expressing vulnerability during their internship (Back et al 2017;Brunstad and Hjalmhult 2014;Davies and Coldridge 2015;Licqurish and Seibold 2008;Licqurish and Seibold 2013;Schytt and Waldenstrom 2013;Thunes and Sekse 2015).…”

Section: Research About Midwifery Preceptorship and Student Midwivesmentioning

confidence: 99%

Midwives’ experiences as preceptors and the development of good preceptorships in obstetric units

Zwedberg

Rosander

et al. 2020

Midwifery

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Objective: To study midwives' experience in their role as a preceptor and their perception on how to best support midwifery students in obstetrics units. Obstetric units are an important learning area for student midwives but knowledge on how to become a good midwife preceptor is limited.Design: This qualitative study explores midwife preceptors' experience of supervising midwifery students in three obstetric units in Sweden. Following ethical approval seventeen midwife preceptors were interviewed and data were analysed thematically.Findings: Thematic analysis of the interviews resulted in the identification of two themes and five subthemes: 1) self-efficacy in the preceptor role which involves a) being confident in the professional position and b) having the support of management and colleagues and 2) supporting the student to attain self-confidence and independence which entails a) helping the student to grow, b) facilitating reflection in learning situations, and c) "taking a step back". Key conclusion:Good preceptorship occurs when midwives achieve full self-efficacy, when they master the preceptor role, and when they have enhanced their abilities to help, the student reach confidence and independence.

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Professional confidence among Swedish final year midwifery students – A cross-sectional study

Cited by 32 publications

References 32 publications

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand

African midwifery students’ self-assessed confidence in antenatal care: a multi-country study

Midwives’ experiences as preceptors and the development of good preceptorships in obstetric units

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