评估助产领导方案：过程评估研究。

IF 4.4 2区医学 Q1 NURSING

Women and Birth Pub Date : 2025-01-01 DOI:10.1016/j.wombi.2024.101853

Malin Bogren , Paridhi Jha , Bharati Sharma , Kerstin Erlandsson

{"title":"评估助产领导方案：过程评估研究。","authors":"Malin Bogren , Paridhi Jha , Bharati Sharma , Kerstin Erlandsson","doi":"10.1016/j.wombi.2024.101853","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Despite global support for midwifery leadership investment, there is a notable lack of scientific evaluations of leadership programmes worldwide for midwives. The Government of India’s Midwifery Initiative launched the Midwifery Leadership Programme to enhance the leadership capacity of state-level midwifery leaders.</div></div><div><h3>Aim</h3><div>To evaluate the Midwifery Leadership Programme in India using implementation science as a framework.</div></div><div><h3>Methods</h3><div>A qualitative research design using the UK Medical Research Council guidance for process evaluation of a 12-week midwifery leadership programme in India. Data were collected through focus group discussions (n=6) with midwives and medical doctors, who have responsibility in maternal and child health services, midwifery education, practice and regulation, and individual interviews (n=3) with programme directors and a government representative, resulting in an individual participant total of 22. Transcribed discussions were analysed guided by an evaluation framework, using content analysis.</div></div><div><h3>Results</h3><div>The midwifery leadership programme was successfully implemented in terms of fidelity, dose, and reach, with continuous adaptations. Having the programme’s design, structure, and content tailor-made for the Indian context was valued highly. Easy-to-follow assignments led to state-level action plans, while participants’ motivation and improved communication skills enhanced leadership capacity.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the utility of a process evaluation framework in evaluating midwifery education programmes, using the Midwifery Leadership Programme in India as an example. It is recommended that future research on evaluating midwifery education initiatives adopt implementation science frameworks to evaluate both the implementation process and the mechanisms driving programmes' impact for change, thereby informing the design and delivery of effective midwifery education programmes.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101853"},"PeriodicalIF":4.4000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating a midwifery leadership programme: a process evaluation study\",\"authors\":\"Malin Bogren , Paridhi Jha , Bharati Sharma , Kerstin Erlandsson\",\"doi\":\"10.1016/j.wombi.2024.101853\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Despite global support for midwifery leadership investment, there is a notable lack of scientific evaluations of leadership programmes worldwide for midwives. The Government of India’s Midwifery Initiative launched the Midwifery Leadership Programme to enhance the leadership capacity of state-level midwifery leaders.</div></div><div><h3>Aim</h3><div>To evaluate the Midwifery Leadership Programme in India using implementation science as a framework.</div></div><div><h3>Methods</h3><div>A qualitative research design using the UK Medical Research Council guidance for process evaluation of a 12-week midwifery leadership programme in India. Data were collected through focus group discussions (n=6) with midwives and medical doctors, who have responsibility in maternal and child health services, midwifery education, practice and regulation, and individual interviews (n=3) with programme directors and a government representative, resulting in an individual participant total of 22. Transcribed discussions were analysed guided by an evaluation framework, using content analysis.</div></div><div><h3>Results</h3><div>The midwifery leadership programme was successfully implemented in terms of fidelity, dose, and reach, with continuous adaptations. Having the programme’s design, structure, and content tailor-made for the Indian context was valued highly. Easy-to-follow assignments led to state-level action plans, while participants’ motivation and improved communication skills enhanced leadership capacity.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the utility of a process evaluation framework in evaluating midwifery education programmes, using the Midwifery Leadership Programme in India as an example. It is recommended that future research on evaluating midwifery education initiatives adopt implementation science frameworks to evaluate both the implementation process and the mechanisms driving programmes' impact for change, thereby informing the design and delivery of effective midwifery education programmes.</div></div>\",\"PeriodicalId\":48868,\"journal\":{\"name\":\"Women and Birth\",\"volume\":\"38 1\",\"pages\":\"Article 101853\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Women and Birth\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1871519224003135\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Women and Birth","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1871519224003135","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

背景：尽管全球支持助产士领导力投资，但全球范围内明显缺乏对助产士领导力项目的科学评估。印度政府的助产行动发起了助产领导规划，以提高邦一级助产领导人的领导能力。目的：以实施科学为框架评估印度助产领导计划。方法：采用英国医学研究理事会指导的定性研究设计，对印度为期12周的助产领导方案进行过程评估。通过与负责妇幼保健服务、助产教育、实践和监管的助产士和医生进行焦点小组讨论（n=6）以及与方案主任和一名政府代表进行个人访谈（n=3）收集数据，个人参与者共计22人。在评估框架的指导下，使用内容分析对记录的讨论进行分析。结果：助产领导方案在保真度、剂量和覆盖范围等方面成功实施，并不断进行调整。该课程的设计、结构和内容都是为印度量身定制的，受到了高度重视。易于遵循的任务导致了国家级的行动计划，而参与者的动机和沟通技巧的提高提高了领导能力。结论：本研究展示了过程评估框架在评估助产教育方案中的效用，以印度助产领导方案为例。建议未来评估助产教育倡议的研究采用实施科学框架来评估实施过程和推动方案变革影响的机制，从而为有效的助产教育方案的设计和实施提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Evaluating a midwifery leadership programme: a process evaluation study

Background

Despite global support for midwifery leadership investment, there is a notable lack of scientific evaluations of leadership programmes worldwide for midwives. The Government of India’s Midwifery Initiative launched the Midwifery Leadership Programme to enhance the leadership capacity of state-level midwifery leaders.

Aim

To evaluate the Midwifery Leadership Programme in India using implementation science as a framework.

Methods

A qualitative research design using the UK Medical Research Council guidance for process evaluation of a 12-week midwifery leadership programme in India. Data were collected through focus group discussions (n=6) with midwives and medical doctors, who have responsibility in maternal and child health services, midwifery education, practice and regulation, and individual interviews (n=3) with programme directors and a government representative, resulting in an individual participant total of 22. Transcribed discussions were analysed guided by an evaluation framework, using content analysis.

Results

The midwifery leadership programme was successfully implemented in terms of fidelity, dose, and reach, with continuous adaptations. Having the programme’s design, structure, and content tailor-made for the Indian context was valued highly. Easy-to-follow assignments led to state-level action plans, while participants’ motivation and improved communication skills enhanced leadership capacity.

Conclusions

This study demonstrates the utility of a process evaluation framework in evaluating midwifery education programmes, using the Midwifery Leadership Programme in India as an example. It is recommended that future research on evaluating midwifery education initiatives adopt implementation science frameworks to evaluate both the implementation process and the mechanisms driving programmes' impact for change, thereby informing the design and delivery of effective midwifery education programmes.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Women and Birth NURSING-OBSTETRICS & GYNECOLOGY

CiteScore

7.20

自引率

13.20%

发文量

371

审稿时长

27 days

期刊介绍： Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews. Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.