‘Just a Midwife’: A qualitative study on perceived barriers and facilitators facing Filipino midwifery students in reaching ICM standards

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-26 DOI:10.1016/j.midw.2025.104355

Georgia Leigh Macad , Lucia Rocca-Ihenacho

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引用次数: 0

Abstract

Background

The Philippines is struggling to lower its maternal mortality rate and while midwives are nationally recognized as autonomous maternal health care providers, research suggests they may not receive adequate training or support to fulfill their functions.

Aim

To gain deeper understanding of the lived experiences of student midwives in the Philippines with the intent to make recommendations that may assist midwifery programs to meet international standards for midwifery education.

Method

A qualitative research project with a realist constructivist approach, using semistructured interviews to explore perceived barriers and facilitators of a group of Filipino student midwives in achieving International Confederation of Midwives’ standards during training.

Findings

Thematic analysis led to the creation of one central concept, supported by six overarching themes and 18 subthemes, describing a disempowering culture for student midwives due to medical paternalism and the low status of midwifery in the Philippines.

Discussion and recommendations

Student midwives in the Philippines may routinely face disempowering experiences which limit them in achieving clinical competency prior to graduation. Recommendations for improving midwifery programs include empowering students and improving methods of clinical instruction.

Conclusion

Student midwives remained resilient in their desire to serve their communities, even in the face of adversity encountered during training. While midwifery training may not currently reach International Confederation of Midwives standards, increased investment, and support of midwives in the Philippines may lead to improved training opportunities in the future.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.