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Midwifery Students' Perception of Episiotomy Skill Self- Efficacy and Examination of Influencing Factors

Year 2024, Volume: 8 Issue: 19, 272 - 281, 30.12.2024
https://doi.org/10.57135/jier.1545556

Abstract

The aim of this study was conducted to investigate midwifery students' episiotomy skills self- efficacy levels and the factors affecting them. The sample of the study, which was conducted in a descriptive design, consisted of 135 students studying in the 3rd and 4th grades of the Midwifery Department of a public university in the 2023-2024 academic year. Data were collected with "Descriptive Information Form" and "Episiotomy Skills Self-Efficacy Scale (ESESES)". Descriptive statistics, Mann Whitney you and Kruskal Wallis Test were used to evaluate the data. The mean age of the midwifery students who participated in the study was 22.22±2.01 years and 85.9% of them preferred the midwifery profession willingly. It was found that 72.6% of the students felt that they belonged to the midwifery profession and 31.9% considered themselves sufficient in terms of theoretical knowledge and practice. It was determined that 77.8% of the students performed episiotomy suture practice with low reality simulation, 20.7% on living tissue and 17.8% with high reality simulation. It was determined that 71.1% of the students used chicken meat/ calf tongue, 19.3% used sponge/fabric, and 9.6% used models to improve episiotomy practice. The mean score of the students' episiotomy skills self-efficacy scale was found to be 55.09±10.69. It was determined that the mean scale scores significantly differed depending on whether the participants intentionally chose their field of study and perceived themselves as competent in both theoretical knowledge and practical skills. In line with the findings of the study, it was determined that midwifery students' episiotomy skills and self-efficacy perceptions were at a moderate level.

References

  • Aker, S. & Aydin Kartal, Y. (2023). The effect of online learning environments on midwifery students' professional belonging and self-efficacy-efficacy levels. International Journal of Basic Education Studies, 4(3), 74-82.
  • Arseven, A., (2016). ¨Self-Efficacy: A Concept Analysis". Electronic Turk. Stud. 11 (19).
  • Ashktorab, T., Hasanvand, S., & Seyedfatemi, N. Salman, N., & Hosseini, S. (2017). Factors affecting the belongingness sense of undergraduate nursing students towards clinical setting: a qualitative study. Journal Of Caring Sciences, 6(3), 221-235.
  • Aslan, B. (2019). Different materials used in episiotomy education of midwifery students on Skill (Doctoral dissertation, Marmara University (Turkey).
  • Barjon, K., & Mahdy, H. (2022). Episiotomy. Stat Pearls Publishing. PMID: 31536281. Bookshelf ID: NBK546675
  • Besen, M., A., Rathfisch, G. (2020). The effect of suture techniques used in repair of episiotomy and perineal tear on perineal pain and dyspareunia. Health Care For Women International, 41(1), 22- 37.
  • Brady, S., Bogossian, F., & Gibbons, K. (2015). The effectiveness of varied levels of simulation fidelity on integrated performance of technical skills in midwifery students-a randomised intervention trial. Nurse Education Today, 35, 524-529. https://doi.org/10.1016/j.nedt.2014.11.005
  • Citak, Bilgin, N., et al. (2018). Satisfaction of Women Giving Birth and Affecting Factors. Journal of Health Sciences and Professions, 5:342-353.
  • Cromi A, Bonzini M, Uccella S, et al. (2015). Provider contribution to an episiotomy risk model. J Matern Fetal Neonatal Med., 28(18):2201-2206.
  • Demirel, G., Evcili, F., Kaya, N., & Doganer, A. (2020). The Effect of Episiotomy Repair Simulation on Anxiety and Self-Efficacy Levels of Midwifery Students. Journal of Midwifery and Reproductive Health, 8 (1), 2050-2057. doi: 10.22038/jmrh.2019.42024.1479.
  • Donmez, S., Sevil, U. (2003). The Necessity of Routine Episiotomy Application. Maltepe University Journal of Nursing Science and Art, 2:105-112.
  • Erkek, Z. Y., & Altinayak, S. O. (2021). The effect of simulation teaching technique on the improvement of episiotomy performance skills and state anxiety of midwifery students in Turkey: RCT. Clinical Simulation in Nursing, 54, 62-69.
  • Eston, M., Stephenson-Famy, A., McKenna, H., Fialkow, M. (2020). Perineal Laceration and Episiotomy Repair Using a Beef Tongue Model. MedEdPORTAL, 16:10881.
  • Friedman, A. M., Ananth, C. V., Prendergast, E., D'Alton, M. E., & Wright, J. D. (2015). Variation in and factors associated with use of episiotomy. JAMA, 313(2), 197-199. https://doi.org/10.1001/jama.2014.14774
  • Guler, H., Cetin, P., Yurtsal Z., B., et al. (2018). Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students. Nurse Educ Pract., 30:1- 6.
  • Hadimli, A., Eksioglu, A., Duman, N., & Turfan, E. C. (2023). Episiotomy Skills Self-Efficacy Scale (ESSES): Development and psychometric properties. Nurse Education Today, 105913.
  • Influential Factors. Rev. Eletr. Enf. 12(4):601-6. / WHO (2013) Interprofessional Collaborative Practice in Primary Health Care: Nursing and Midwifery Perspectives. http:// www.who.int/hrh/resources/IPE_SixCaseStudies.pdf
  • Junior, M. D. C., & Júnior, R. P. (2016). Selective episiotomy: indications, techinique, and association with severe perineal lacerations. Revista Brasileira Ginecologia e Obstetetricia, 38, 301-307. https://doi.org/10.1055/s-0036-1584942. ISSN 0100-7203
  • Kim, M., & Park, S. Y. (2011). Factors affecting the self-directed learning of students at clinical practice course for advanced practice nurse. Asian Nursing Research, 5(1), 48-59.
  • Knobel, R., Volpato, L. K., Gervasi, L. C., Viergutz, R. A., & Júnior, A. T. (2018). A simple, reproducible and low-cost simulator for teaching surgical techniques to repair obstetric anal sphincter injuries. Revista Brasileira Ginecologia e Obstetetricia, 40, 465- 470. https://doi.org/10.1055/s-0038-1668527
  • Maphanga, C. M., & Naidoo, T. D. (2021). The perception and knowledge about episiotomy: A cross-sectional survey involving healthcare workers in a low- and middle-income country. African journal of primary health care & family medicine, 13(1), e1-e6. https://doi.org/10.4102/phcfm.v13i1.2424
  • Mckenna, L., Bogossian, F., Hall, H., Brady, S., Fox-Young, S., & Cooper, S. (2011). Is simulation a substitute for real life clinical experience in midwifery? a qualitative examination of perceptions of educational leaders. Nurse Education Today, 31, 682-686. https://doi.org/10.1016/j.nedt.2011.02.014
  • Mohamadirizi, S., Kohan, S., Shafei, F., Mohamadirizi, S., 2015. The relationship between clinical competence and clinical self-efficacy among nursing and midwifery students. Int. J. Pediatr. 3 (6.2), 1117-1123.
  • Pozam, M., Zaybak, A. (2022). Investigation of Nursing Students' Self-Efficacy Related to Clinical Performance. Dokuz Eylul University Faculty of Nursing Electronic Journal. 15(1):22- 29.
  • Sari, D., Turgay, A., S., Genç, R., E. (2008). The effect of different training given to midwifery students before the first invasive intervention on the level of anxiety. Ege University Journal of Nursing Faculty. 24(3):1-8.
  • Sen Aytekin, M., Kahraman, A., Alparslan, O. (2021). Effect of Simulation Methods Used for Teaching Episiotomy to Midwifery Students: A Systematic Review. J TOGU Heal Sci., 2(2):212- 224.
  • Stitely, M. L., Cerbone, L., Nixon, A., & Bringman, J.J. (2011). Assessment of a simulation training exercise to teach intrauterine tamponade for the treatment of postpartum haemorrhage. Journal of Midwifery & Women's Health, 5, 503 -506. https://doi.org/10.1111/j.1542 - 2011.2011.00046
  • Terzioglu, F., Kapucu S., Ozdemir, L., Boztepe, H., Duygulu, S., Tuna, Z., Akdemir, N. (2012). Nursing students' views on simulation method. Hacettepe University Journal of Faculty of Health Sciences, 19(1):16-23.
  • Turkmen, H., & Sivrikaya, S. K. (2023). Evaluation of the Effectiveness of Episiotomy Repair Training with Calf Tongue Simulator for Midwifery Students. Balikesir Health Journal of Sciences, 12(3), 461-472.
  • WHO (2018). Regional Office for Europe. Simulation in nursing and midwifery education. http://www.euro.who.int/pubrequest (Date of access: 09.05.2019)
  • Woretaw, E., Teshome, M., & Alene, M. (2021). Episiotomy practice and associated factors among mothers who gave birth at public health facilities in Metema district, northwest Ethiopia. Reproductive Health, 18, 142 .
  • Wu, L. C., Malhotra, R., Allen J., C., Jr., Lie, D., Tan, T., C., Østbye, T. (2013). Risk factors and midwife-reported reasons for episiotomy in women undergoing normal vaginal delivery. Arch Gynecol Obstet., 288(6):12491256.

EBELİK ÖĞRENCİLERİNİN EPİZYOTOMİ BECERİSİ ÖZ YETERLİLİK ALGISI VE ETKİLEYEN FAKTÖRLERİN İNCELENMESİ

Year 2024, Volume: 8 Issue: 19, 272 - 281, 30.12.2024
https://doi.org/10.57135/jier.1545556

Abstract

Amaç: Bu çalışma, ebelik öğrencilerinin epizyotomi becerileri öz-yeterlilik düzeylerini ve etkileyen faktörlerin incelenmesi amacıyla yürütülmüştür.
Gereç ve Yöntem: Tanımlayıcı desende yürütülen araştırmanın örneklemini 2023-2024 eğitim öğretim yılında bir kamu üniversitesi Ebelik bölümü 3. ve 4. sınıfta öğrenim gören 135 öğrenci oluşturmuştur (Katılım Oranı: %75). Veriler; “Tanıtıcı Bilgi Formu” ve “Epizyotomi Becerileri Öz Yeterlilik Ölçeği (EBÖYÖ)” ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Mann Whitney U ve Kruskal Wallis Testi kullanılmıştır.
Bulgular: Araştırmaya katılan ebelik öğrencilerinin yaş ortalaması 22,22±2,01 olduğu ve %85,9’unun ebelik mesleğini isteyerek tercih ettiği belirlendi. Öğrencilerin %72,6’sının kendisini ebelik mesleğine ait hissettiği ve %31,9’unun mesleki teorik bilgi ve pratik açıdan kendini yeterli gördüğü saptandı. Öğrencilerin epizyotomi sütur pratiğini; %77,8’inin düşük gerçeklikli simülasyon, %20,7’sinin canlı doku üzerinde, %17,8’inin ise yüksek gerçeklikli simülasyon ile gerçekleştirdiği tespit edildi. Çalışmaya katılan öğrencilerin epizyotomi pratiğini geliştirmek için; %71,1’inin tavuk eti/dana dili, %19,3’ünün sünger/kumaş, %9,6’sının ise maket kullandığı belirlendi. Öğrencilerin EBÖYÖ toplam puan ortalaması 55,09±10,69 olarak bulunmuştur. Sınıf düzeyi, gelir durumu, öğrenim döneminde kalınan yer, mezun olunan lise türü ve kendini mesleğe ait hissetme durumu, epizyotomi sütur beceri deneyimi niteliği ve epizyotomi becerisinde kullanılan materyal değişkenlerinin epizyotomi becerileri öz yeterlilik algı düzeylerini etkilemediği belirlenirken, bölümü isteyerek tercih etme durumu ve mesleki teorik bilgi ve pratik açıdan kendini yeterli görme durumu değişkenlerinin ölçek puan ortalamalarını anlamlı olarak farklılaştırdığı tespit edildi.
Sonuç: Çalışma bulguları doğrultusunda, ebelik öğrencilerinin epizyotomi beceri öz yeterlilik algısının orta düzeyin üzerinde olduğu belirlenmiştir. Bu sonuçlar doğrultusunda, öğrencilerin epizyotomi becerileri özyeterlilik düzeylerini etkileyen bireysel özelliklerin tanılanması ve kliniğe hazırlık eğitimin teknoloji destekli laboratuvar uygulamaları ile desteklenmesi önerilebilir.

References

  • Aker, S. & Aydin Kartal, Y. (2023). The effect of online learning environments on midwifery students' professional belonging and self-efficacy-efficacy levels. International Journal of Basic Education Studies, 4(3), 74-82.
  • Arseven, A., (2016). ¨Self-Efficacy: A Concept Analysis". Electronic Turk. Stud. 11 (19).
  • Ashktorab, T., Hasanvand, S., & Seyedfatemi, N. Salman, N., & Hosseini, S. (2017). Factors affecting the belongingness sense of undergraduate nursing students towards clinical setting: a qualitative study. Journal Of Caring Sciences, 6(3), 221-235.
  • Aslan, B. (2019). Different materials used in episiotomy education of midwifery students on Skill (Doctoral dissertation, Marmara University (Turkey).
  • Barjon, K., & Mahdy, H. (2022). Episiotomy. Stat Pearls Publishing. PMID: 31536281. Bookshelf ID: NBK546675
  • Besen, M., A., Rathfisch, G. (2020). The effect of suture techniques used in repair of episiotomy and perineal tear on perineal pain and dyspareunia. Health Care For Women International, 41(1), 22- 37.
  • Brady, S., Bogossian, F., & Gibbons, K. (2015). The effectiveness of varied levels of simulation fidelity on integrated performance of technical skills in midwifery students-a randomised intervention trial. Nurse Education Today, 35, 524-529. https://doi.org/10.1016/j.nedt.2014.11.005
  • Citak, Bilgin, N., et al. (2018). Satisfaction of Women Giving Birth and Affecting Factors. Journal of Health Sciences and Professions, 5:342-353.
  • Cromi A, Bonzini M, Uccella S, et al. (2015). Provider contribution to an episiotomy risk model. J Matern Fetal Neonatal Med., 28(18):2201-2206.
  • Demirel, G., Evcili, F., Kaya, N., & Doganer, A. (2020). The Effect of Episiotomy Repair Simulation on Anxiety and Self-Efficacy Levels of Midwifery Students. Journal of Midwifery and Reproductive Health, 8 (1), 2050-2057. doi: 10.22038/jmrh.2019.42024.1479.
  • Donmez, S., Sevil, U. (2003). The Necessity of Routine Episiotomy Application. Maltepe University Journal of Nursing Science and Art, 2:105-112.
  • Erkek, Z. Y., & Altinayak, S. O. (2021). The effect of simulation teaching technique on the improvement of episiotomy performance skills and state anxiety of midwifery students in Turkey: RCT. Clinical Simulation in Nursing, 54, 62-69.
  • Eston, M., Stephenson-Famy, A., McKenna, H., Fialkow, M. (2020). Perineal Laceration and Episiotomy Repair Using a Beef Tongue Model. MedEdPORTAL, 16:10881.
  • Friedman, A. M., Ananth, C. V., Prendergast, E., D'Alton, M. E., & Wright, J. D. (2015). Variation in and factors associated with use of episiotomy. JAMA, 313(2), 197-199. https://doi.org/10.1001/jama.2014.14774
  • Guler, H., Cetin, P., Yurtsal Z., B., et al. (2018). Effect of episiotomy training with beef tongue and sponge simulators on the self-confidence building of midwifery students. Nurse Educ Pract., 30:1- 6.
  • Hadimli, A., Eksioglu, A., Duman, N., & Turfan, E. C. (2023). Episiotomy Skills Self-Efficacy Scale (ESSES): Development and psychometric properties. Nurse Education Today, 105913.
  • Influential Factors. Rev. Eletr. Enf. 12(4):601-6. / WHO (2013) Interprofessional Collaborative Practice in Primary Health Care: Nursing and Midwifery Perspectives. http:// www.who.int/hrh/resources/IPE_SixCaseStudies.pdf
  • Junior, M. D. C., & Júnior, R. P. (2016). Selective episiotomy: indications, techinique, and association with severe perineal lacerations. Revista Brasileira Ginecologia e Obstetetricia, 38, 301-307. https://doi.org/10.1055/s-0036-1584942. ISSN 0100-7203
  • Kim, M., & Park, S. Y. (2011). Factors affecting the self-directed learning of students at clinical practice course for advanced practice nurse. Asian Nursing Research, 5(1), 48-59.
  • Knobel, R., Volpato, L. K., Gervasi, L. C., Viergutz, R. A., & Júnior, A. T. (2018). A simple, reproducible and low-cost simulator for teaching surgical techniques to repair obstetric anal sphincter injuries. Revista Brasileira Ginecologia e Obstetetricia, 40, 465- 470. https://doi.org/10.1055/s-0038-1668527
  • Maphanga, C. M., & Naidoo, T. D. (2021). The perception and knowledge about episiotomy: A cross-sectional survey involving healthcare workers in a low- and middle-income country. African journal of primary health care & family medicine, 13(1), e1-e6. https://doi.org/10.4102/phcfm.v13i1.2424
  • Mckenna, L., Bogossian, F., Hall, H., Brady, S., Fox-Young, S., & Cooper, S. (2011). Is simulation a substitute for real life clinical experience in midwifery? a qualitative examination of perceptions of educational leaders. Nurse Education Today, 31, 682-686. https://doi.org/10.1016/j.nedt.2011.02.014
  • Mohamadirizi, S., Kohan, S., Shafei, F., Mohamadirizi, S., 2015. The relationship between clinical competence and clinical self-efficacy among nursing and midwifery students. Int. J. Pediatr. 3 (6.2), 1117-1123.
  • Pozam, M., Zaybak, A. (2022). Investigation of Nursing Students' Self-Efficacy Related to Clinical Performance. Dokuz Eylul University Faculty of Nursing Electronic Journal. 15(1):22- 29.
  • Sari, D., Turgay, A., S., Genç, R., E. (2008). The effect of different training given to midwifery students before the first invasive intervention on the level of anxiety. Ege University Journal of Nursing Faculty. 24(3):1-8.
  • Sen Aytekin, M., Kahraman, A., Alparslan, O. (2021). Effect of Simulation Methods Used for Teaching Episiotomy to Midwifery Students: A Systematic Review. J TOGU Heal Sci., 2(2):212- 224.
  • Stitely, M. L., Cerbone, L., Nixon, A., & Bringman, J.J. (2011). Assessment of a simulation training exercise to teach intrauterine tamponade for the treatment of postpartum haemorrhage. Journal of Midwifery & Women's Health, 5, 503 -506. https://doi.org/10.1111/j.1542 - 2011.2011.00046
  • Terzioglu, F., Kapucu S., Ozdemir, L., Boztepe, H., Duygulu, S., Tuna, Z., Akdemir, N. (2012). Nursing students' views on simulation method. Hacettepe University Journal of Faculty of Health Sciences, 19(1):16-23.
  • Turkmen, H., & Sivrikaya, S. K. (2023). Evaluation of the Effectiveness of Episiotomy Repair Training with Calf Tongue Simulator for Midwifery Students. Balikesir Health Journal of Sciences, 12(3), 461-472.
  • WHO (2018). Regional Office for Europe. Simulation in nursing and midwifery education. http://www.euro.who.int/pubrequest (Date of access: 09.05.2019)
  • Woretaw, E., Teshome, M., & Alene, M. (2021). Episiotomy practice and associated factors among mothers who gave birth at public health facilities in Metema district, northwest Ethiopia. Reproductive Health, 18, 142 .
  • Wu, L. C., Malhotra, R., Allen J., C., Jr., Lie, D., Tan, T., C., Østbye, T. (2013). Risk factors and midwife-reported reasons for episiotomy in women undergoing normal vaginal delivery. Arch Gynecol Obstet., 288(6):12491256.
There are 32 citations in total.

Details

Primary Language English
Subjects Educational Psychology
Journal Section Eğitim Bilimleri
Authors

Sema Aker 0000-0002-5872-8067

Yasemin Aydın Kartal 0000-0001-7464-945X

Aleyna Bulut 0000-0002-2373-4133

Büşra Hızlıol 0000-0002-3776-9433

Tuğba Toprak 0009-0005-9750-3601

Publication Date December 30, 2024
Submission Date September 9, 2024
Acceptance Date December 17, 2024
Published in Issue Year 2024 Volume: 8 Issue: 19

Cite

APA Aker, S., Aydın Kartal, Y., Bulut, A., Hızlıol, B., et al. (2024). Midwifery Students’ Perception of Episiotomy Skill Self- Efficacy and Examination of Influencing Factors. Disiplinlerarası Eğitim Araştırmaları Dergisi, 8(19), 272-281. https://doi.org/10.57135/jier.1545556

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