European Journal of Midwifery最新文献_第3页

A narrative review of Master's programs in midwifery across selected OECD countries: Organizational aspects, competence goals and learning outcomes. 对部分经合组织国家助产硕士课程的叙述性回顾：组织方面、能力目标和学习成果。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/188195

Angela Kranz, Anja A Schulz, Konstanze Weinert, Harald Abele, Markus Antonious Wirtz

{"title":"A narrative review of Master's programs in midwifery across selected OECD countries: Organizational aspects, competence goals and learning outcomes.","authors":"Angela Kranz, Anja A Schulz, Konstanze Weinert, Harald Abele, Markus Antonious Wirtz","doi":"10.18332/ejm/188195","DOIUrl":"10.18332/ejm/188195","url":null,"abstract":"Shifting midwifery education to a university level is of great importance for healthcare systems worldwide by preparing graduates for current and future challenges. Some of them referring to management, research and teaching tasks as well as advanced practitioner roles, require competences that can only be acquired in a Master's program. The objectives of this narrative review are to outline the differences and commonalities of organizational aspects of Master's programs in selected OECD countries and to point out the competence goals and learning outcomes they are based on. Fifteen Master's programs in twelve OECD countries were identified and analyzed. Considering the organizational characteristics, differences are found in admission requirements and qualification levels, while similarities relate to the awarded title (MSc). All programs aim to develop abilities for research to advance midwifery practice. Leadership and management abilities are addressed through effective teamwork and communication. The programs' aims are to develop abilities for midwifery education tasks. Whereas competence goals mostly align across the programs, they are addressed differently through various learning outcomes. Development and enhancement of Master's programs in midwifery are needed by focusing on core elements, such as common competence goals. It is equally important to adapt them to national healthcare and educational systems.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11171422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative evaluation of a student midwife placement teaching English to speakers of other languages (ESOL). 对助产士实习生教授英语（ESOL）的定性评估。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/188531

Clare Maxwell, Amanda Robinson, Pamela Donaghy-Binks, Valerie Fleming

{"title":"A qualitative evaluation of a student midwife placement teaching English to speakers of other languages (ESOL).","authors":"Clare Maxwell, Amanda Robinson, Pamela Donaghy-Binks, Valerie Fleming","doi":"10.18332/ejm/188531","DOIUrl":"10.18332/ejm/188531","url":null,"abstract":"Introduction: A shortage of UK midwives has put pressure on clinical placements and supervision of student midwives. Alternative placement solutions are needed to provide students with meaningful learning experiences. One such learning experience was a placement undertaken by student midwives who attended a program teaching English to speakers of other languages (ESOL). This study evaluated the impact of the placement on student midwife learning and experiences of the ESOL participants.Methods: The 2022 study employed a qualitative design using Kolb's model of experiential learning as a framework. Ten student midwives placed with the ESOL program and three women enrolled in the program participated. Data were collected via online focus groups with the student midwives and a face-to-face focus group with the women. Data were analyzed using thematic analysis and Kolb's model of experiential learning.Results: Four themes were constructed: 'Putting the scripts aside: expectations versus the reality of being an educator', 'Adapting and personalizing teaching', 'We are learning too: an environment for mutual learning', and 'Taking our learning forwards'. Students faced barriers during their placement and had to adapt their teaching accordingly. They gained crucial knowledge of the challenges faced by women who speak other languages. The women valued the students' input and together they forged a reciprocal learning environment.Conclusions: This study demonstrates how placing student midwives in a unique non-maternity setting has benefits for student learning which are transferrable to future practice. Importantly, it confirms that quality of learning during a novel placement is not compromised for students or participants.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11171421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding of perinatal mental health and its psychosocial determinants through Ukrainian women's experience. 通过乌克兰妇女的经历了解围产期心理健康及其社会心理决定因素。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/188194

Nataliia Gusak, Sally Kendall, Olena Nizalova

{"title":"Understanding of perinatal mental health and its psychosocial determinants through Ukrainian women's experience.","authors":"Nataliia Gusak, Sally Kendall, Olena Nizalova","doi":"10.18332/ejm/188194","DOIUrl":"10.18332/ejm/188194","url":null,"abstract":"Introduction: Perinatal mental health defines new mothers, their families, and the social, emotional, and cognitive development of their children. The factors contributing to Ukrainian mothers' mental health are not well-defined in the literature. This study aims to explore how Ukrainian women understand mental health and its psychosocial determinants through their perinatal experience.Methods: This qualitative analysis is part of a larger mixed-methods study exploring perinatal mental health in Ukraine. Five online focus groups (n=30) with Ukrainian mothers of children aged 0-5 years were conducted in June-July 2020. The participants were selected from a pool of 1634 women who completed an online questionnaire and agreed to participate in further research. Informed consent was obtained. The data collected from the focus groups were transcribed verbatim and analyzed thematically using Dedoose software.Results: The study identified two themes. The first theme was: 'Understanding perinatal mental health through women's experience', which covers five subthemes. The second theme was 'Psychosocial determinants of maternal mental health', which includes six subthemes. Overall, women's feelings of guilt, blame, and shame during their perinatal journey are influenced by socio-cultural factors and can lead to mental health problems and reluctance to seek proper help.Conclusions: The study has identified some factors that can contribute to the enhancement of mental health and well-being of mothers in Ukraine during their perinatal journey. Negative emotions such as guilt, blame, and shame can have a significant impact on their ability to seek the necessary support, and should be addressed by midwives and other healthcare professionals.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum: Maternity care in the Brussels Capital Region: Towards a paradigm shift? 更正：布鲁塞尔首都大区的产妇护理：实现模式转变？

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/189477

Joeri Vermeulen, Maaike Fobelets, Aline Schoentjes, Laura Boucher, Laure Depuydt, Florence D'haenens

引用次数: 0

Description of the culture of childbirth and parenting classes in Cyprus: An ethnographic approach. 塞浦路斯分娩和育儿课程文化描述：人种学方法。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-03 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/186665

Eleni Hadjigeorgiou, Maria Frangou, Yianna Koliandri, Maria-Dolores Christofi, Nicos Middleton

{"title":"Description of the culture of childbirth and parenting classes in Cyprus: An ethnographic approach.","authors":"Eleni Hadjigeorgiou, Maria Frangou, Yianna Koliandri, Maria-Dolores Christofi, Nicos Middleton","doi":"10.18332/ejm/186665","DOIUrl":"10.18332/ejm/186665","url":null,"abstract":"Introduction: Childbirth and parenting classes are very important because they potentially help couples to make the right decisions during pregnancy, childbirth, and the postpartum period, which has a direct effect on the health of the mother and neonate. However, in Cyprus, the culture of childbirth and parenting classes has not been previously explored.Methods: An ethnographic study design was adopted, specifically non-participant observation was undertaken of 19 classes. Semi-structured telephone interviews were employed to collect data in addition to field notes and a reflective diary. Inductive content analysis was undertaken to analyze the data.Results: Four main thematic categories emerged from data analysis: 1) Views and opinions about the course, 2) Important perinatal topics, 3) Usefulness and reasons for attending the classes, and 4) The journey of learning. The importance of antenatal classes has not been given sufficient attention in Cyprus.Conclusions: There is a clear need for a standardized curriculum within the current configuration of national maternity healthcare in Cyprus. Policymakers must implement a standardized curriculum, integrating diverse pedagogical methods to provide in-depth information for expectant parents and parents. While emphasizing the crucial role of midwives in perinatal education, this study also advocates for collaboration with other healthcare professionals emphasizing the imperative need for a comprehensive, standardized approach to perinatal education within the national healthcare system of Cyprus.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11145719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introducing waterbirth in a university hospital setting in Sweden: A qualitative study of midwives' experiences. 在瑞典一所大学医院引入水中分娩：助产士经验定性研究。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-03 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/188193

Karin Larsson, Malin Bogren, Hanna Ulfsdottir

{"title":"Introducing waterbirth in a university hospital setting in Sweden: A qualitative study of midwives' experiences.","authors":"Karin Larsson, Malin Bogren, Hanna Ulfsdottir","doi":"10.18332/ejm/188193","DOIUrl":"10.18332/ejm/188193","url":null,"abstract":"Introduction: Waterbirth is a popular and increasing care option in several countries but is still debated. In Sweden, there are challenges in the process of reintroducing waterbirth after decades of interruption invoked by a dissuasion. The aim of this study was to explore factors affecting midwives' provision of waterbirth at a university birthing clinic in Sweden.Methods: A qualitative research design was used with three focus group interviews with 18 midwives at three birthing units. The data were analyzed using the principles of inductive content analysis.Results: The midwives in the study expressed positive attitudes and potentiality about waterbirth, contributing to their desire to support physiological birth. However, obstacles were also disclosed, maiming waterbirth evolvement. Hence, two categories emerged, promoting factors and obstructing factors. The subcategories were: Provides a good experience whilst promoting physiological birth; Increased knowledge and information about waterbirth; Support from management; Updated guidelines; Ergonomic challenges; Lacking practical conditions; Lack of knowledge; Paradigm conflicts; and Limiting guidelines.Conclusions: The study concluded that midwives recognized both promoting and obstructing factors affecting the provision of waterbirth. The predominant factor highlighted was the care-culture, with a clear distinction between a risk-focused, medicalized approach that inhibits waterbirth and a salutogenic perspective advocating for it. This dichotomy underscores the importance of providing opportunities that support women's choices to facilitate an empowering birth experience.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11145720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of the London Measure of Unplanned Pregnancy in routine antenatal care: A mixed-methods evaluation in three London NHS Trusts. 在常规产前护理中实施伦敦意外怀孕测量法：在伦敦三家国家医疗服务托管机构进行的混合方法评估。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-03 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/188118

Jennifer A Hall, Catherine Stewart, Bryony Stoneman, Tamsin Bicknell, Holly Lovell, Helen Duncan, Judith Stephenson, Geraldine Barrett

{"title":"Implementation of the London Measure of Unplanned Pregnancy in routine antenatal care: A mixed-methods evaluation in three London NHS Trusts.","authors":"Jennifer A Hall, Catherine Stewart, Bryony Stoneman, Tamsin Bicknell, Holly Lovell, Helen Duncan, Judith Stephenson, Geraldine Barrett","doi":"10.18332/ejm/188118","DOIUrl":"10.18332/ejm/188118","url":null,"abstract":"Introduction: Unplanned pregnancies are associated with increased risks. Despite this, they are currently not routinely detected during antenatal care. This study evaluates the implementation of the London Measure of Unplanned Pregnancy (LMUP) - a validated measure of pregnancy planning - into antenatal care at University College London Hospital, Homerton Hospital, and St Thomas' Hospital, England, 2019-2023.Methods: We conducted a mixed methods evaluation of the pilot. Uptake and acceptability were measured using anonymized data with non-completion of the LMUP as a proxy measure of acceptability overall. We conducted focus groups with midwives, and one-to-one interviews with women, to explore their thoughts of asking, or being asked the LMUP, which we analyzed with a Framework Analysis.Results: Asking the LMUP at antenatal appointments is feasible and acceptable to women and midwives, and the LMUP performed as expected. Advantages of asking the LMUP, highlighted by participants, include providing additional support and personalizing care. Midwives' concerns about judgment were unsubstantiated; women with unplanned pregnancies valued such discussions.Conclusions: These findings support the implementation of the LMUP in routine antenatal care and show how it can provide valuable insights into the circumstances of women's pregnancies. This can be used to help midwives personalize care, and potentially reduce adverse outcomes and subsequent unplanned pregnancy. Integration of the LMUP into the Maternity Services Data Set will establish national data collection of a validated measure of unplanned pregnancy and enable analysis of the prevalence, factors, and implications of unplanned pregnancies across subpopulations and over time to inform implementation.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11145722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Midwifery practice in Mongolia: Policy implications for accelerating care delivery transformation. 蒙古的助产实践：加快护理服务转型的政策影响。

IF 1.9

European Journal of Midwifery Pub Date : 2024-06-03 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/184209

Baigalmaa Dovdon, Nigel McCarley, Jinhyun Kim

{"title":"Midwifery practice in Mongolia: Policy implications for accelerating care delivery transformation.","authors":"Baigalmaa Dovdon, Nigel McCarley, Jinhyun Kim","doi":"10.18332/ejm/184209","DOIUrl":"10.18332/ejm/184209","url":null,"abstract":"Midwives can play a significant role in reducing maternal and neonatal mortality rates as well as in improving maternal and perinatal health outcomes in low- and middle-income countries such as Mongolia. However, the shortage of midwives in Mongolia is severe. Despite the evidence indicating numerous challenges associated with substandard midwifery education and practice in Mongolia, there is a need for policy recommendations to accelerate the improvement of midwifery care delivery in the country. Therefore, we identified three main topics as key issues in Mongolian midwifery care: 1) the current training and service delivery in midwifery; 2) the potential for the development of the midwifery role; and 3) content requirements for the postgraduate certificate in midwifery. The World Health Organization report made forty recommendations to enhance the midwife's role to professional status. However, the absence of senior nursing/midwifery leadership in the Ministry of Health in Mongolia has hindered the implementation of the recommendations. To strengthen midwifery at a national level, it is imperative to make multilevel investments in supporting educators and clinical practitioners to ensure the delivery of high-quality midwifery care. This article represents an initial in-depth exploration of issues in Mongolian midwifery practice, with the aim of providing suggestions for practical avenues for enhancing midwifery care in Mongolia.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11145721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing a career and education framework for advanced clinical practice in midwifery 制定助产士高级临床实践的职业和教育框架

IF 1.9

European Journal of Midwifery Pub Date : 2024-05-24 DOI: 10.18332/ejm/188115

Ruth Sanders, Katherine Letley, Kelda J Folliard, Melanie Applegate, Kirsty Tweedie, Kenda Crozier

{"title":"Developing a career and education framework for advanced clinical practice in midwifery","authors":"Ruth Sanders, Katherine Letley, Kelda J Folliard, Melanie Applegate, Kirsty Tweedie, Kenda Crozier","doi":"10.18332/ejm/188115","DOIUrl":"https://doi.org/10.18332/ejm/188115","url":null,"abstract":"INTRODUCTION This study outlines the nature of Advanced Clinical Practice in Midwifery (ACPiM), reporting on a stakeholder analysis as part of a national project to develop a career framework for advanced practice in midwifery on behalf of the National Health Service (NHS) in England. METHODS Between June and July 2022, 31 advanced practice midwives were recruited across England within the NHS settings. Convenience sampling was used to identify midwives working as advanced practitioners, and those pursuing this career route. Focus group and one-to-one interviews were conducted, recorded, and transcribed. These stakeholder data were then analyzed using a reflexive thematic approach. RESULTS ACP midwives were active across many professional settings. The findings resulted in three themes: Midwifery autonomy, Desire for progression, and Avenues of support. Midwifery autonomy highlighted a midwifery desire to utilize specialist skills and expert decision-making to provide holistic care directly to women and families. Desire for progression highlighted that, regardless of career stage, midwives aspired to advance their practice requiring a range of pathways to fulfil career satisfaction and meet local population health needs. Avenues of support discussed the barriers and facilitators to progression, highlighting the need for service vision, a multi-disciplinary approach to facilitate support for individuals, and strong midwifery leadership. CONCLUSIONS Although the ACPiM role is desired by maternity institutions and organizations, midwives remain unclear about how to achieve this position, and employers remain unsure of how an ACPiM could transform services. If midwives are to successfully achieve ACPiM status, organizational support is needed to facilitate individuals drive for career progression, resulting in a strengthened workforce and improved patient experience.","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141098616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Midwives: Essential guardians in the climate crisis journey. 助产士：气候危机历程中不可或缺的守护者。

IF 1.9

European Journal of Midwifery Pub Date : 2024-05-22 eCollection Date: 2024-01-01 DOI: 10.18332/ejm/188196

Deepti Ganapathy, Maria Tzeli, Victoria Vivilaki

引用次数: 0