Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care

Authors

  • Carmen Martin-Bellido University of Huelva
  • Francisco J. Martin-Fiscal Nodromar Health Center.
  • Francisco J. Morano-Gomez Hospital Quironsalud Bizkaia, Bilbao
  • Juan Diego González-Sanz University of Huelva

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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Author Biographies

Carmen Martin-Bellido, University of Huelva

PhD student. Gender Studies Doctoral Program

Francisco J. Martin-Fiscal, Nodromar Health Center.

Registered Nurse.

Francisco J. Morano-Gomez, Hospital Quironsalud Bizkaia, Bilbao

Registered Nurse

Juan Diego González-Sanz, University of Huelva

Lecturer. Nursing Department. Gender Studies Doctoral Program.

References

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 Crossref

Anyichie, 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 Crossref

Artieta-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 Crossref

Barkensjö, 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 Crossref

Binfa, 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 Crossref

Biurrun, 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 Crossref

Bradbury-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 Crossref

Cahill, 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 Crossref

Calvert, 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 Crossref

Clynes, 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 Crossref

Demirci, 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 Crossref

Duarte, 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 Crossref

Feijen-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 Crossref

Findlow, 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 Crossref

Garcia, 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 Crossref

Gibbins, 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 Crossref

Gimenez, 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 Crossref

Graneheim, 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 Crossref

Hadisuyatmana, 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 Crossref

Hamilton, 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 Crossref

Higginbottom, 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 Crossref

Hildingsson, 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 Crossref

Hoffkling, 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 Crossref

Hsia, 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 Crossref

Hunter, 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 Crossref

Hunter, 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 Crossref

Janighorban, 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 Crossref

Jardim, 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 Crossref

Jefford, 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 Crossref

Jomeen, 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 Crossref

Kempe, 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 Crossref

Kuliukas, 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 Crossref

Kwee, 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 Crossref

Lagendijk, 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 Crossref

Lila, 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 Crossref

Lopes, 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 Crossref

Martín-Bellido MC. (2020). La construcción del Empoderamiento Femenino: visibilizando la violencia obstétrica. Temperamentvm, 16, e13206. http://ciberindex.com/p/t/e13206

Google Scholar Crossref

Mattison, 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 Crossref

McLeish, 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 Crossref

Mitchell, 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 Crossref

Nieuwenhuijze, 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 Crossref

Patil, 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 Crossref

Patterson, 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 Crossref

Praxmarer-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 Crossref

Prosen, 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 Crossref

Ramsayer, 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 Crossref

Richards, 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 Crossref

Rijnders, 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 Crossref

Rodríguez-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 Crossref

Sado, 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 Crossref

Samedy, 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 Crossref

Speakman, 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 Crossref

Turkmani, 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 Crossref

Upadhyay, 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 Crossref

van 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 Crossref

Warmelink, 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 Crossref

Zabalegui, 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

Google Scholar Crossref

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2021-10-25

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Martin-Bellido, C., Martin-Fiscal, F. J., Morano-Gomez, F. J., & González-Sanz, J. D. (2021). Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care. Multidisciplinary Journal of Gender Studies, 10(3), 233–257. https://doi.org/10.17583/generos.6999

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