Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care
https://doi.org/10.17583/generos.6999
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Abstract
Female empowerment is a key concept in the current healthcare environment, especially in perinatal care. The educational process offered by universities to train future nurses and midwives has a great influence on their professional attitude and performance. To be able to educate in a way that encourages empowerment, it is essential for higher education institutions to know the starting point relating to students’ opinions on the subject. It was conducted a cross-sectional descriptive observational study, at the University of Huelva. It used a self-developed, semi-structured questionnaire, previously validated, to gather quantitative and qualitative data. A total of 117 nursing student were surveyed. Participants consider that general nurses supplement the work of the midwife and acts as a facilitator for the process of women’s empowerment in the perinatal period. They believe that the midwife is the professional figure of reference and the one in which they place greater trust. Improvement proposals for both types of professionals are based on improving training and resources. To encourage the development of the profession and improve the quality of care, it is essential to introduce features related to women’s empowerment in the undergraduate training of future nurses and midwives.
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Andina, D.E., & Siles González, J. (2016). The domestic participation in birth assistance in the mid-twentieth century. Rev. Latino-Am. Enfermagem, 24: e2727. Doi: https://doi.org/10.1590/1518-8345.0574.2727
Google Scholar CrossrefAnyichie, N.E., & Nwagu, E.N. (2019). Prevalence and maternal socio-demographic factors associated with stillbirth in health facilities in Anambra, South-East Nigeria. Afri Health Sci, 19(4), 3055-3062. Doi: https://dx.doi.org/10.4314/ahs.v19i4.27
Google Scholar CrossrefArtieta-Pinedo, I., Paz-Pascual, C., Grandes, G, & Espinosa, M. (2017). Framework for the establishment of a feasible tailored, and effective perinatal education program. BMC pregnancy and childbirth, 17(1), 1-10. Doi: https://doi.org/10.1186/s12884-017-1234-7
Google Scholar CrossrefBarkensjö, M., Greenbrook, J.T., Rosenlundh, J., Ascher, H., & Elden, H. (2018). The need for trust and safety inducing encounters: a qualitative exploration of women’s experiences of seeking perinatal care when living as undocumented migrants in Sweden. BMC pregnancy and childbirth, 18(1), 217. Doi: https://doi.org/10.1186/s12884-018-1851-9
Google Scholar CrossrefBinfa, L., Labarca, T., Joquera, L., & Cavada G. (2017). Perceptions of professional empowerment among Midwifery Graduates School of Midwifery, University of Chile. Journal of Midwifery & Women’s Health, 61(5), 631-632. Doi: https://doi.org/10.1111/jmwh.12690
Google Scholar CrossrefBiurrun, G.A., & Goberna T.J. (2011). Humanizing the job of childbirth: the need for a definition of the concept. Review of the bibliography. Matronas profesión, 14(2), 62-66. http://diposit.ub.edu/dspace/bitstream/2445/49091/1/631224.pdf
Google Scholar CrossrefBradbury-Jones, C., Sambrook, S., & Irvine, F. (2007). The meaning of empowerment for nursing students: a critical incident study. Journal of Advanced Nursing, 59(4), 342-351. Doi: https://doi.org/10.1111/j.1365-2648.2007.04331.x
Google Scholar CrossrefCahill, H.A. (2001). Male appropriation and medicalization of childbirth: an historical analysis. Journal of Advanced Nursing 33(3), 334-342. Doi: https://doi.org/10.1046/j.1365-2648.2001.01669.x
Google Scholar CrossrefCalvert, S., Smythe, E., &McKenzie-Green, B. (2017). “Working towards being ready”: A grounded theory study of how practicing midwives maintain their ongoing competence to practice their profession. Midwifery, 50, 9-15. Doi: https://doi.org/10.1016/j.midw.2017.03.006
Google Scholar CrossrefClynes, M., Sheridan, A., & Frazer, K. (2020). Student engagement in higher education: A cross-sectional study of nursing students' participation in college-based education in the republic of Ireland. Nurse Education Today, 93, 104529. Doi: https://doi.org/10.1016/j.nedt.2020.104529
Google Scholar CrossrefDemirci, A.D., Kabukcuglu, K., Haugan, G., & Aune, I. (2019). “I want a birth without interventions”: Women’s childbirth experiences from Turkey. Women and Birth, 32(6), e515-e522. Doi: https://doi.org/10.1016/j.wombi.2018.12.011
Google Scholar CrossrefDuarte, M.R., Alves, V.H., Rodrigues, D.P., Marchiori, G.R.S., Guerra, J.V.V., & Pimentel, M.M. (2020). Perception of obstetric nurses on the assistance to childbirth: reestablishing women’s autonomy and empowerment. Revista de Pesquisa: Cuidado é Fundamental Online, 12, 903-908. Doi: http://dx.doi.org/0.9789/2175-5361.rpcfo.v12.7927
Google Scholar CrossrefFeijen-de Jong, E.I., Kool, L., Peters, L.L., & Jansen, D.E. (2017). Perceptions of nearly graduated fourth year midwifery students regarding a ‘good midwife’ in the Netherlands. Midwifery, 50, 157-162. Doi: https://doi.org/10.1016/j.midw.2017.04.008
Google Scholar CrossrefFindlow, S. (2012). Higher education change and professional-academic identity in newly ‘academic’ disciplines: the case of nurse education. Higher Education, 63(1), 117-133. Doi: https://doi.org/10.1007/s10734-011-9449-4
Google Scholar CrossrefGarcia, E.R., & Yim, I.S. (2017). A systematic review of concepts related to women’s empowerment in the perinatal period and their associations with perinatal depressive symptoms and premature birth. BMC Pregnancy and Childbirth, 17(2), 347. Doi: https://doi.org/10.1186/s12884-017-1495-1
Google Scholar CrossrefGibbins, J., & Thomson, A. M. (2001). Women's expectations and experiences of childbirth. Midwifery, 17(4), 302-313. Doi: https://doi.org/10.1054/midw.2001.0263
Google Scholar CrossrefGimenez, J. (2012). Disciplinary epistemologies, generic attributes and undergraduate academic writing in nursing and midwifery. Higher Education, 63(4), 401-419. Doi: https://doi.org/10.1007/s10734-011-9447-6
Google Scholar CrossrefGraneheim, U.H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures, and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. Doi: https://doi.org/10.1016/j.nedt.2003.10.001
Google Scholar CrossrefHadisuyatmana, S., Has, E.M.M., Sebayang, S.K., Efendi, F., Astutik, E., Kuswanto, H., & Arizona, I.K.L.T. (2020). Women's empowerment and determinants of early initiation of breastfeeding: A scoping review. Journal of Pediatric Nursing, 56, 77-92. Doi: https://doi.org/10.1016/j.pedn.2020.08.004
Google Scholar CrossrefHamilton, V., Baird, K., & Fenwick, J. (2020). Nurturing autonomy in student midwives within a student led antenatal clinic. Women and Birth, 33(5), 448-454. Doi: https://doi.org/10.1016/j.wombi.2019.12.001
Google Scholar CrossrefHigginbottom, G.M., Safipour, J., Mumtaz, Z., Chiu, Y., Paton, P., & Pillay, J. (2013). “I have to do what I believe”: Sudanese women’s beliefs and resistance to hegemonic practices at home and during experiences of maternity care in Canada. BMC pregnancy and childbirth, 13(1), 51. Doi: https://doi.org/10.1186/1471-2393-13-51
Google Scholar CrossrefHildingsson, I., Gamble, J., Sidebotham, M., Creedy, D.K., Guilliland, K., Dixon, L., Pallant, J, & Fenwick, J. (2016). Midwifery empowerment: National surveys of midwives from Australia, New Zealand and Sweden. Midwifery, 40, 62-69. Doi: https://doi.org/10.1016/j.midw.2016.06.008
Google Scholar CrossrefHoffkling, A., Obedin-Maliver, J., & Sevelius, J. (2017). From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers. BMC Pregnancy Childbirth 17, 332. Doi: https://doi.org/10.1186/s12884-017-1491-5
Google Scholar CrossrefHsia, L. (1991). Midwives and the empowerment of women: An international perspective. Journal of Nurse‐Midwifery, 36(2), 85-87. Doi: https://doi.org/10.1016/0091-2182(91)90056-U
Google Scholar CrossrefHunter, L. J., Da Motta, G., McCourt, C., Wiseman, O., Rayment, J. L., Haora, P., Wiggins, M., & Harden, A. (2019). Better together: A qualitative exploration of women’s perceptions and experiences of group antenatal care. Women and Birth, 32(4), 336-345. Doi: https://doi.org/10.1016/j.wombi.2018.09.001
Google Scholar CrossrefHunter, L. J., Da Motta, G., McCourt, C., Wiseman, O., Rayment, J. L., Haora, P., Wiggins, M., &Harden, A. (2018). It makes sense and its works': Maternity care providers' perspectives on the feasibility of a group antenatal care model (Pregnancy Circles). Midwifery, 66, 56-63. Doi: https://doi.org/10.1016/j.midw.2018.07.016
Google Scholar CrossrefJanighorban, M., Yamani, J., &Yousefi, H. (2016). The facilitators and impediment factors of midwifery student’s empowerment in pregnancy and delivery care. A qualitative study. Research in Medical Sciences, 21 (68), 1-11. Doi: https://doi.org/10.4103/1735-1995.189649
Google Scholar CrossrefJardim, M.J.A., Silva, A.A., & Fonseca, L.M.B. (2019). The Nurse’s Contributions in Prenatal Care Towards Achieving the Pregnant Women Empowerment. Revista de Pesquisa: Cuidado e Fundamental, 11(2), 432-440. Doi: http://dx.doi.org/10.9789/2175-5361.2019.v11i2.432-440
Google Scholar CrossrefJefford, E., Nolan, S.J., Sansone, H., & Provost, S.C. (2020). ‘A match made in midwifery’: Women’s perceptions of student midwife partnerships. Women and Birth, 33(2), 193-198. Doi: https://doi.org/10.1016/j.wombi.2018.11.018
Google Scholar CrossrefJomeen, J., Jones, C., Martin, C.R., Ledger, S., Hindle, G., & Lambert, C. (2020). The impact of maternity training on knowledge, confidence, and empowerment: A mixed method pilot evaluation. Journal of evaluation in clinical practice, 26(1), 364-372. Doi: https://doi.org/10.1111/jep.13218
Google Scholar CrossrefKempe, A., Noor-Aldin, F.A., & Theorell, T. (2020). Women’s authority during childbirth and Safe Motherhood in Yemen. Sexual & Reproductive Healthcare, 1, 129-134. Doi: https://doi.org/10.1016/j.srhc.2010.07.001
Google Scholar CrossrefKuliukas, L., Bradfield, Z., Costins, P., Duggan, R., Burns, V., Hauck, Y., & Lewis, L. (2020). Midwifery students’: Developing an understanding of being ‘with woman’––A qualitative study. Midwifery, 84, 102658. Doi: https://doi.org/10.1016/j.midw.2020.102658
Google Scholar CrossrefKwee, J.L., & McBride, H.L. (2015). Working together for women’s empowerment: Strategies for interdisciplinary collaboration in perinatal care. Journal of Health Psychology, 1-11. Doi: https://doi.org/10.1177/1359105315586211
Google Scholar CrossrefLagendijk, J., Been, J.V., Ernst-Smelt, H.E., Bonsel, G.J., Bertens, L., & Steegers, E. (2019). Client-tailored maternity care to increase maternal empowerment: cluster randomized controlled trial protocol; the healthy pregnancy 4 All-2 program. BMC pregnancy and childbirth, 19(1), 4. Doi: https://doi.org/10.1186/s12884-018-2155-9
Google Scholar CrossrefLila, M., Horiuchi, S., & Porter, S.E. (2012). The relationship between women centered care and women’s birth experiences. A comparison between birth centers, clinics and hospitals in Japan. Midwifery, 28, 458-465. Doi: https://doi.org/10.1016/j.midw.2011.07.002
Google Scholar CrossrefLopes, A., Boyd, P., Andrew, N., &Pereira, F. (2014). The research-teaching nexus in nurse and teacher education: Contributions of an ecological approach to academic identities in professional fields. Higher Education, 68(2), 167-183. Doi: https://doi.org/10.1007/s10734-013-9700-2
Google Scholar CrossrefMartín-Bellido MC. (2020). La construcción del Empoderamiento Femenino: visibilizando la violencia obstétrica. Temperamentvm, 16, e13206. http://ciberindex.com/p/t/e13206
Google Scholar CrossrefMattison, C.A., Lavis, J.N., Wilson, M.G., Hutton, E.K., & Dion, M.L. (2020). A critical interpretive synthesis of the roles of midwives in health systems. Health Research Policy and Systems, 18(1), 1-16. Doi: https://doi.org/10.1186/s12961-020-00590-0
Google Scholar CrossrefMcLeish, J., & Redshaw, M. (2017) Mother's accounts of the impact on emotional wellbeing of organized peer support in pregnancy and early parenthood: a qualitative study. BMC Pregnancy and Childbirth, 17 (28), 1- 14. Doi: https://doi.org/10.1186/s12884-017-1220-0
Google Scholar CrossrefMitchell, K., Rekiere, J., &Grassley, J. S. (2020). The influence of undergraduate research assistant experiences on future nursing roles. Journal of Professional Nursing, 36(3), 128–133. Doi: https://doi.org/10.1016/j.profnurs.2019.09.006
Google Scholar CrossrefNieuwenhuijze, M.J., Thompson, S.M., Gudmundsdottir, E.Y., & Gottfreðsdóttir, H. (2020). Midwifery students’ perspectives on how role models contribute to becoming a midwife: a qualitative study. Women and Birth, 33(5), 433-439. Doi: https://doi.org/10.1016/j.wombi.2019.08.009
Google Scholar CrossrefPatil, C.L., Klima, C.S., Leshabari, S.C., Steffen, A.D., Pauls, H., McGown, M., & Norr, K.F. (2017). Randomized controlled pilot of a group antenatal care model and the sociodemographic factors associated with pregnancy-related empowerment in sub-Saharan Africa. BMC pregnancy and childbirth, 17(2), 336. Doi: https://doi.org/10.1186/s12884-017-1493-3
Google Scholar CrossrefPatterson, J., Martin, C.J.H., &Karatzias, T. (2019). Disempowered midwives and traumatized women: Exploring the parallel processes of care provider interaction that contribute to women developing Post Traumatic Stress Disorder (PTSD) post childbirth. Midwifery, 76, 21-35. Doi: https://doi.org/10.1016/j.midw.2019.05.010
Google Scholar CrossrefPraxmarer-Fernande, S., Maier, C.B., Oikarinen, A., Buchan, J., Perfilieva, G., &World Health Organization. (2017). Levels of education offered in nursing and midwifery education in the WHO European region: multicounty baseline assessment. Public health Panorama, 3(03), 419-430. https://apps.who.int/iris/bitstream/handle/10665/325260/php-3-3-419-430-eng.pdf
Google Scholar CrossrefProsen, M., & Krajnc, M. T. (2019). Perspectives and experiences of healthcare professionals regarding the medicalization of pregnancy and childbirth. Women and birth, 32(2), e173-e181. https://doi.org/10.1016/j.wombi.2018.06.018
Google Scholar CrossrefRamsayer, B., & Fleming, V. (2020). Conscience and conscientious objection: The midwife’s role in abortion services. Nursing Ethics, 27(8), 1645-1654. Doi: https://doi.org/10.1177/0969733020928416
Google Scholar CrossrefRichards, J., Graham, R., Embleton, N.D., Campbell, C., & Rankin, J. (2015). Mothers’ perspectives on the perinatal loss of a co-twin: a qualitative study. BMC pregnancy and childbirth, 15(1), 143. Doi: https://doi.org/10.1186/s12884-015-0579-z
Google Scholar CrossrefRijnders, M., Jans, S., Aalhuizen, I., Detmar, S., & Crone, M. (2019). Women-centered care: Implementation of Centering Pregnancy® in The Netherlands. Birth, 46(3), 450–460. Doi: https://doi.org/10.1111/birt.12413
Google Scholar CrossrefRodríguez-Garrido, P., Pino-Morán, J.A., & Goberna-Tricas, J. (2020). Exploring social and health care representations about home birth: An Integrative Literature Review. Public health nursing, 37(3), 422–438. Doi: https://doi.org/10.1111/phn.12724
Google Scholar CrossrefSado, L., Spaho, A., & Hotchkiss, D.R. (2014). The influence of women's empowerment on maternal health care utilization: Evidence from Albania. Social Science & Medicine, 114, 169-177. Doi: http://dx.doi.org/10.1016/j.socscimed.2014.05.047
Google Scholar CrossrefSamedy, K., Griffin, M.T.Q., Capitulo, K.L., & Fitzpatrick, J.J. (2012). Perceptions of structural empowerment: differences between nationally certified perinatal nurses and perinatal nurses who are not nationally certified. The Journal of Continuing Education in Nursing, 43(10), 463-466. Doi: https://doi.org/10.3928/00220124-20120301-74
Google Scholar CrossrefSpeakman, E. M., Shafi, A., Sondorp, E., Atta, N., & Howard, N. (2014). Development of the community midwifery education initiative and its influence on women’s health and empowerment in Afghanistan: a case study. BMC Women's Health, 14(1), 111. https://doi.org/10.1186/1472-6874-14-111
Google Scholar CrossrefTurkmani, S., Currie, S., Mungia, J., Assefi, N., Rahmanzai, A. J., Azfar, P., & Bartlett, L. (2013). ‘Midwives are the backbone of our health system’: lessons from Afghanistan to guide expansion of midwifery in challenging settings. Midwifery, 29(10), 1166-1172. https://doi.org/10.1016/j.midw.2013.06.015
Google Scholar CrossrefUpadhyay, U. D., Gipson, J. D., Withers, M., Lewis, S., Ciaraldi, E. J., Fraser, A., Huchko, M.J. & Prata, N. (2014). Women's empowerment and fertility: a review of the literature. Social Science & Medicine, 115, 111-120. https://doi.org/10.1016/j.socscimed.2014.06.014
Google Scholar Crossrefvan Wyngaarden, A., Leech, R., & Coetzee, I. (2019). Challenges nurse educators experience with development of student nurses’ clinical reasoning skills. Nurse Education in Practice, 40, 102623. https://doi.org/10.1016/j.nepr.2019.102623
Google Scholar CrossrefWarmelink, J. C., de Cock, T. P., Combee, Y., Rongen, M., Wiegers, T. A., & Hutton, E. K. (2017). Student midwives' perceptions on the organization of maternity care and alternative maternity care models in the Netherlands-a qualitative study. BMC pregnancy and childbirth, 17(1), 24. https://doi.org/10.1186/s12884-016-1185-4
Google Scholar CrossrefZabalegui, A., & Cabrera, E. (2009). New nursing education structure in Spain. Nurse Education Today, 29(5), 500-504. https://doi.org/10.1016/j.nedt.2008.11.008
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