RESUMO
INTRODUCTION: Although there have been reports of misbehavior and disrespectful maternal care by healthcare providers worldwide, there are few intervention studies aimed at promoting respectful care, particularly among midwives. RESEARCH OBJECTIVES: The aim of this study was to examine the effect of Moral Case Deliberation (MCD) on the of midwives' knowledge and practice in the field of respectful maternity care. RESEARCH DESIGN AND METHODS: This semi-experimental study involved 46 midwives working in the maternity departments of two hospitals affiliated with Bushehr University of Medical Sciences in 2023. The two hospitals were randomly divided into control and intervention groups. All midwives from both hospitals were included in the study. The Dilemma Method of MCD was implemented for midwives of intervention hospital. The Midwives' Knowledge and Practice of Respectful Maternity Care scale was used for data collection. It was administered both before and two weeks after the intervention. Data were analyzed using SPSS (version 20). ETHICAL CONSIDERATIONS: The study was approved by ethics committee of Bushehr University of Medical Sciences in Bushehr, Iran (ethics code: IR.BPUMS.REC.1402.017). All participants provided written informed consent. FINDINGS: The intervention group showed a significantly greater increase in knowledge scores from pre-test to post-test compared to the control group (p < .001). The intervention group had a significantly higher mean change score in practice self-assessment and practice peer evaluation, from pre-test to post-test, than in the control group (p < .001). DISCUSSION: MCD based on the dilemma method can improve practice in the field of respect-oriented midwifery care by increasing knowledge and potentially changing attitudes. CONCLUSION: The Dilemma Method of MCD improved midwives' knowledge and practice regarding respectful maternity care. This method can be included in the midwifery care quality improvement program to promote respectful maternity care. It is necessary to develop methods for wider dissemination of MCD in the cultural context of Iran.
RESUMO
BACKGROUND: Due to the high percentage of need for clinical techniques in the field of midwifery, evaluation of clinical skills of graduates is necessary. OBJECTIVE: The aim of this study was to investigate the validation characteristics of comprehensive examination checklists in midwifery students. DESIGN: The present study was a methodological study in which seven checklists related to important midwifery skills were entered into the psychometric process. SETTING: The study was conducted in the School of Nursing and Midwifery and the Persian Gulf martyrs and Salman Farsi Hospitals, Nabi-e-Akram comprehensive health center in Bushehr city. PARTICIPANTS: Quantitative face validity was performed by examining the item impact score based on the opinions of 10 midwifery graduates. Quantitative content validity was performed by examining the content validity ratio and index based on the opinions of 12 experts. For structural validity as well as reliability assessment, checklists were used for 78 midwifery students who had completed their studies and were about to graduate. To determine the convergent validity, the correlation of the score of each checklist with the mean score of the similar fields of each skill was measured. Divergent validity was assessed by measuring the correlation between the score of each checklist and the score of other checklists and comparing it with the internal consistency of each checklist. Internal consistency and agreement between evaluators were used to assess reliability. Data were analyzed using SPSS19. RESULTS: Content validity index and content validity ratio for each item were more than 0.79 and 0.67, respectively. There was a significant correlation between the score of each skill and the mean score of similar fields of that skill (P < 0.05). CONCLUSION: According to the results, it can be concluded that comprehensive midwifery student evaluation checklists are a valid and reliable tool.
