强化助产教育质量的概念探讨：建构主义的理论研究

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100881

Waleola Bukola Ige, Winnie Baphumelele Ngcobo

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引用次数: 0

摘要

背景：必须将助产教育的质量提高到国际标准，以培养能够改善孕产妇和新生儿健康状况的助产人员。不幸的是，尼日利亚每10万例活产死亡1047人，是继南苏丹和乍得之后被确定为孕产妇死亡率极高的三个国家之一。目的本研究的目的是探讨在尼日利亚加强助产教育质量的概念。方法采用扎根理论（GT）方法，遵循社会建构主义范式，探讨尼日利亚加强助产教育质量的概念化。实施有目的和理论抽样，以选择关键举报人，重点关注理论饱和度。研究对象包括22名助产学教育者、18名临床导师、18名刚毕业的助产士和72名助产学学生。加强助产教育质量已成为尼日利亚助产教育的核心现象。构成核心现象的类别是课程改革、有效的领导和良好的治理、能力建设、有利的环境以及创建助产协会。根据研究结果，显然，加强助产教育的质量对于改善孕产妇和儿童健康至关重要，特别是在尼日利亚等资源匮乏的国家。加强助产教育的质量将通过加强能力来实现，针对每一种确定的核心现象类别。这凸显了决策者、管理人员、助产教育工作者和其他相关利益攸关方迫切需要关注和采取行动。

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Exploring the conceptualization of strengthening the quality of midwifery education: A constructivist grounded theory study

Background

Strengthening the quality of midwifery education to international standards is necessary to prepare the midwifery workforce that can improve poor maternal and neonatal health. Unfortunately, Nigeria, with 1 047 deaths per 100 000 live births, is among the three countries identified as contributing extremely highly to maternal mortality rates, after South Sudan and Chad.

Aim

This study’s aim was to explore the conceptualisation of strengthening midwifery education quality in Nigeria.

Methodology

A Grounded Theory (GT) methodology following social constructivism paradigm was utilised to explore the conceptualisation of strengthening midwifery education quality in Nigeria. Purposive and theoretical sampling were implemented to select key informants with a focus on theoretical saturation. The participants were twenty-two midwifery educators, eighteen clinical preceptors, eighteen newly graduated midwives and seventy-two midwifery students.

Findings

Strengthening the quality of midwifery education emerged as the core phenomenon within the context of midwifery education in Nigeria. The categories that make up the core phenomenon are curriculum reform, effective leadership and good governance, capacity building, an enabling environment, and the creation of a midwifery association.

Conclusion

Based on the study’s findings, it is evident that strengthening the quality of midwifery education is critical to improve maternal and child health, especially in poorly resourced countries like Nigeria. Strengthening the quality of midwifery education will be realized by strengthening the capacity for each of the identified categories of the core phenomenon. This highlights the need for urgent attention and action from policymakers, administrators, midwifery educators, and other relevant stakeholders.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.