Self-assessed confidence of students on selected midwifery skills: Comparing diploma and bachelors programmes in one province of India

Sharma, Bharati; Hildingsson, Ingegerd; Johansson, Eva; Christensson, Kyllike

doi:10.1016/j.midw.2018.08.015

Cited by 15 publications

(17 citation statements)

References 27 publications

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“…Students in the diploma programs reported higher levels of confidence in two of the three domains. These findings are similar to those reported from the Indian study [22], where diploma students were 2-4 times more likely to have high confidence, compared to students on bachelor level. It is not surprising that the transition of midwifery from being an overall clinical into an academic profession with high requirements for clinical skills has an impact on students' selfconcept.…”

Section: Program Levelsupporting

confidence: 90%

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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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Section: Program Levelsupporting

confidence: 90%

“…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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“…Of the 20 cross-sectional surveys, one 21 was international; eight were large-scale national surveys 26,27,30,31,[35][36][37][38] ; and 11 were surveys of various Indian locales or regions. 8,9,20,22,24,25,28,29,33,34,40 The remaining four studies were service evaluations of which two 18,19 were retrospective preintervention and postintervention evaluations without controls and two 23,46 were prospective evaluations. Studies excluded 13 Table 1 shows methodological quality of the quantitative studies.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Systematic review of barriers to, and facilitators of, the provision of high‐quality midwifery services in India

McFadden

Gupta

Marshall

et al. 2020

Birth

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“…Timely detection and competent management of abnormalities or complications require midwives to have in‐depth knowledge of perinatal complications and deviations from the normal labour process (Sharma et al, 2018). Therefore, complications during the perinatal period should be the focus of midwifery education.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, some midwives in China may have a nursing education background. It should be noted that nursing education may not focus on the entire essential competencies required for the midwifery profession (Sharma et al, 2018). Midwives with a midwifery major possibly are more competent than those specialising in nursing.…”

Section: Discussionmentioning

confidence: 99%

Comparison of midwives’ self‐perceived essential competencies between low and high maternal mortality ratio provinces in China

Huang

et al. 2020

Journal of Clinical Nursing

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Aims and objectives: To present and compare midwives' self-perceived essential competencies in regions with different maternal mortality ratios, and explore possible competency-related factors. Background: In China, there is an urgent need for high-quality maternal health care with equal access, as the regional disparity in the maternal mortality ratio remains a big challenge. Midwives' essential competencies refer to the minimum knowledge, skills, and professional behaviours required by midwives, and directly affect the quality of maternal care they provide. However, there is very limited literature evaluating Chinese midwives' essential competencies, especially for midwives working in regions with high maternal mortality ratios. Design: A cross-sectional survey design. Methods: The national cross-sectional study using an online questionnaire was conducted with a convenience sample of 2,022 midwives working in regions with different maternal mortality ratios. The STROBE guideline for cross-sectional studies was used in this study. Results: Midwives rated themselves higher on their essential competencies in intrapartum care and lower on their essential competencies in assisting or performing the operative vaginal delivery. Specifically, when compared to those from regions of low maternal mortality ratios, midwives from regions with high maternal mortality ratios reported comparatively poor self-perceived essential competencies, especially in the area of detecting and treating pregnancy and childbirth-related complications. The factors influencing midwives' self-perceived essential competencies included majors, education levels, years of experience as a midwife, participation in teaching, and access to in-service training. Conclusion: In regions with high maternal mortality ratios, improving midwives' essential competencies is a key priority. Furthermore, it is recommended that midwifery education could be conducted in universities, and relevant regulations could

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Self-assessed confidence of students on selected midwifery skills: Comparing diploma and bachelors programmes in one province of India

Cited by 15 publications

References 27 publications

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

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

Systematic review of barriers to, and facilitators of, the provision of high‐quality midwifery services in India

Comparison of midwives’ self‐perceived essential competencies between low and high maternal mortality ratio provinces in China

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