Araştırma Makalesi
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Türk Ebelik Öğrencileri Mesleğe İyi Hazırlanıyor mu? Özgüven Düzeyleri ve İlişkili Faktörlerin Değerlendirilmesi

Yıl 2024, Cilt: 7 Sayı: 4, 584 - 596, 23.12.2024
https://doi.org/10.62425/esbder.1424380

Öz

Amaç: Ebelik öğrencilerinin mezuniyet öncesinde sahip olmaları beklenen Uluslararası Ebeler Konfederasyonu (ICM) yeterlilikleri doğrultusunda özgüven düzeylerini belirlemek ve etkileyen faktörleri araştırmaktır.
Yöntemler: Nicel araştırma yöntemlerinden tanımlayıcı ve kesitsel çevrimiçi anket tasarımı kullanılmıştır. Çevrimiçi anket bağlantısı sosyal medya aracılığıyla yayıldı. Mart ayından Haziran 2020'ye kadar 763 ebelik öğrencisi demografik anketi ve ICM tarafından listelenen temel ebelik becerilerine olan özgüvenlerini bildirdikleri anketi tamamladı.
Bulgular: Alt boyutlar arasında en yüksek ortalama doğum sonu bakıma (3,32 ± 0,66), en düşük ortalama ise intrapartum bakıma (2,94 ± 0,59) aitti. Öğrenciler doğumla ilgili acil durumlar, riskli doğum ve yenidoğan bakımı konularında kendilerine daha az güven duyduklarını bildirdiler. Tanımlayıcı özellikler ile ICM yeterlilikleri alt boyutları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (her biri için p<,05). İstatistiksel olarak anlamlı fark yaratan aritmetik ortalamanın en yüksek olduğu gruplar ise 22 yaş öğrencileri, vakıf üniversitelerinde okuyanlar, iş tecrübesi olanlar, 50 ve daha fazla doğuma katılmış olanlar, 8 ve daha fazla klinik uygulama yapanlar oldu.
Sonuç: Genel olarak, araştırma sonuçları ebelik eğitiminde önemli iyileştirmeler yapılması gerektiğini ve öğrencilerin kendine güvenlerini artırmak için pratik deneyimlerin önemini vurgulamaktadır.

Kaynakça

  • Aktaş, S., Koçak, Y.Ç., Can, H.Ö. (2020). Kanada’daki ebelik eğitiminin ülkemiz ile karşılaştırılması: Bir kesit. Ebelik ve Sağlık Bilimleri Dergisi, 3, 59–70.
  • Al Qadire, M. (2014). Knowledge of palliative care: An online survey. Nurse Education Today, 34, 714–718. https://doi.org/10.1016/j.nedt.2013.08.019
  • Bäck, L., Sharma, B., Karlström, A., Tunon, K., Hildingsson, I. (2017). Professional confidence among Swedish final year midwifery students – A cross-sectional study. Sexual and Reproductive Healthcare, 14, 69–78. https://doi.org/10.1016/j.srhc.2017.10.003
  • Baykal Akmeşe, Z., & Yücel, U. (2023). Professional self-esteem of Turkish midwifery students: A mixed-methods approach. Healthcare (Switzerland), 11(9). https://doi.org/10.3390/healthcare11091214
  • Ejder Apay, S., Kanbur, A., Özdemir, F., Pasinlioglu, T. (2012). Midwifery education in Turkey. Collegium Antropologicum, 36, 1453–1456.
  • EUÇEP. (2016). Mezuniyet öncesi Ebelik Ulusal Çekirdek Eğitim Programı (EUÇEP). Yüksek Öğretim Kurumu. https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/ebelik.pdf
  • Firoozehchian, F., Zareiyan, A., Geranmayeh, M., & Behboodi Moghadam, Z. (2022). Domains of competence in midwifery students: a basis for developing a competence assessment tool for iranian undergraduate midwifery students. BMC Medical Education, 22(1). https://doi.org/10.1186/s12909-022-03759-z
  • Folkvord, S. E., & Risa, C. F. (2023). Factors that enhance midwifery students’ learning and development of self-efficacy in clinical placement: A systematic qualitative review. In Nurse Education in Practice (Vol. 66). Elsevier Ltd. https://doi.org/10.1016/j.nepr.2022.103510
  • ICM. (2013). Global Standards for Midwifery Education (2010) Amended 2013. International Confederation of Midwives. https://www.internationalmidwives.org/assets/files/general-files/2018/04/icm-standards-guidelines_ammended2013.pdf (accessed 12.11.19).
  • Karaçam, Z. (2016). Türkiye’de profesyonel bir disiplin olarak ebelik mesleğinin durumu: Yasal düzenlemeler, eğitim ve araştırma. Lokman Hekim Dergisi, 6, 128–136.
  • Karaman, Ö. E., & Okumuş, H. (2015). Ebelik öğrencilerinin görev tanımları ve yeterlilik alanlarına göre kendilerini değerlendirmeleri. Journal of Anatolia Nursing and Health Sciences, 18(3). https://doi.org/10.17049/ahsbd.56046
  • Köken Durgun, S., Şen, S., Tayhan, E. (2018). Ulusal ve uluslararası ebelik etik kodları. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 5, 218–223.
  • Mirzakhani, K., & Shorab, N. J. (2015). Study of the self-confidence of midwifery graduates from Mashhad College of nursing and midwifery in fulfilling clinical skills. Electronic Physician, 7(5), 1284–1289. https://doi.org/10.14661/1284
  • Mudokwenyu-Rawdon, C., Goshomi, U., & Ndarukwa, P. (2020). Student midwives’ self-assessment of factors that improve or reduce confidence in clinical practice during a 1-year training period in Zimbabwe. African Journal of Midwifery and Women’s Health, 14(2), 1–9. https://doi.org/10.12968/ajmw.2019.0023
  • Nicholls, L., Webb, C. (2006). What makes a good midwife? An integrative review of methodologically- diverse research. Journal of Advanced Nursing, 56, 414–429. https://doi.org/10.1111/j.1365-2648.2006.04026.x
  • Öztürk, D. M., Sayiner, F., & Akkaş, M. (2023). Using in situ simulation to develop knowledge and skills of midwives in postpartum haemorrhage management: Amasya-Şanlıurfa example. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(3), 951–957. https://doi.org/10.37989/gumussagbil.1224338
  • Renfrew, M.J., McFadden, A., Bastos, M.H., Campbell, J., Channon, A.A., Cheung, N.F., Silva, D.R.A.D., Downe, S., Kennedy, H.P., Malata, A., McCormick, F., Wick, L., Declercq, E. (2014). Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. The Lancet 384, 1129–1145. https://doi.org/10.1016/S0140-6736(14)60789-3
  • Saeedi, M., Parvizy, S. (2019). Strategies to promote academic motivation in nursing students: A qualitative study. Journal of Education and Health Promotion, 8, 86. https://doi.org/10.4103/jehp.jehp_436_18
  • Sharma, B., Hildingsson, I., Christensson, K. (2019). The association of teaching-learning methods and self-confidence of nurse-midwives. A survey from one province in India. Women and Birth, 32, e376–e383. https://doi.org/10.1016/j.wombi.2018.07.015
  • Sharma, B., Hildingsson, I., Johansson, E., Christensson, K. (2018). Self-assessed confidence of students on selected midwifery skills: Comparing diploma and bachelors programmes in one province of India. Midwifery, 67, 12–17. https://doi.org/10.1016/j.midw.2018.08.015
  • Sharma, B., Hildingsson, I., Johansson, E., Prakasamma, M., Ramani, K. V., Christensson, K. (2015). Do the pre-service education programmes for midwives in India prepare confident “registered midwives”? A survey from India. Global Health Action 8. https://doi.org/10.3402/gha.v8.29553
  • Tabachnick, B.G., Fidell, L.S. (2013). Using multivariate statistics. Multivariate Statistics 1–14. https://doi.org/10.1007/978-94-009-1217-5
  • Tayyar, N., Dilşeker, F. (2012). The effect of service quality and image on student satisfaction at state and private universities. Muğla Üniversitesi Sosyal Bilimler Enstitüsü Dergis,i 184–204.
  • World Health Organization. (2015). Strategies toward ending preventable maternal mortality (EPMM). https://apps.who.int/iris/bitstream/handle/10665/153544/9789241508483_eng.pdf?sequence=1
  • Yıldırım, G., Koçkanat, P., Duran, Ö. (2014). Ulusal ebelik kodları ve meslek değerleri. Sürekli Tıp Eğitimi Dergisi, 23, 148–154.
  • Yılmaz, S., Aksoy, Y.E. (2018). Ebelik eğitiminin dünyadaki durumu. Ebelik ve Sağlık Bilimleri Dergisi 1, 26–31. Yüksek Öğretim Kurumu, 2016. Tablo-4 Merkezi Yerleştirme İle Öğrenci Alan Yükseköğretim Lisans Programları. https://dokuman.osym.gov.tr/pdfdokuman/2016/LYS/Yerlestirme_Tablo-4_MinMax_Lisans10082016.pdf (accessed 12.30.19).
  • Yükseköğretim Kurulu Başkanlığı. (2008). Doktorluk, Hemşirelik, Ebelik, Diş Hekimliği, Veterinerlik, Eczacılık Ve Mimarlık Eğitim Programlarının Asgari Eğitim Koşullarının Belirlenmesine Dair Yönetmelik. https://www.resmigazete.gov.tr/eskiler/2008/02/20080202-9.htm

Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors

Yıl 2024, Cilt: 7 Sayı: 4, 584 - 596, 23.12.2024
https://doi.org/10.62425/esbder.1424380

Öz

Objective: To determine the self-confidence levels of midwifery students in line with the International Confederation of Midwives (ICM) competencies they are expected to possess before graduation and to explore effective factors.
Methods: Descriptive and cross-sectional online survey design was used among quantitative research methods. The online survey link was spread through social media. From March to June 2020, 763 midwifery students completed a survey on demographic characteristics and rated their confidence for essential midwifery skills listed by ICM.
Results: Among the subscales, the highest average belonged to postpartum care (3.32 ± 0.66) and the lowest average to intrapartum care (2.94 ± 0.59). The students reported having less self-confidence in obstetrics emergencies, risky delivery, and neonatal care. The difference between descriptive characteristics and the ICM competencies subscales was found to be statistically significant (p<.05; for each). The groups with the highest arithmetic average creating statistically significant differences were students aged 22 years, those attending foundation universities, those with work experience, those that had attended 50 or more births, and those that had engaged in eight or more clinical practices.
Conclusion: Overall, the research findings emphasize the need for significant improvements in midwifery education and highlight the importance of practical experience in enhancing students' self-confidence.

Kaynakça

  • Aktaş, S., Koçak, Y.Ç., Can, H.Ö. (2020). Kanada’daki ebelik eğitiminin ülkemiz ile karşılaştırılması: Bir kesit. Ebelik ve Sağlık Bilimleri Dergisi, 3, 59–70.
  • Al Qadire, M. (2014). Knowledge of palliative care: An online survey. Nurse Education Today, 34, 714–718. https://doi.org/10.1016/j.nedt.2013.08.019
  • Bäck, L., Sharma, B., Karlström, A., Tunon, K., Hildingsson, I. (2017). Professional confidence among Swedish final year midwifery students – A cross-sectional study. Sexual and Reproductive Healthcare, 14, 69–78. https://doi.org/10.1016/j.srhc.2017.10.003
  • Baykal Akmeşe, Z., & Yücel, U. (2023). Professional self-esteem of Turkish midwifery students: A mixed-methods approach. Healthcare (Switzerland), 11(9). https://doi.org/10.3390/healthcare11091214
  • Ejder Apay, S., Kanbur, A., Özdemir, F., Pasinlioglu, T. (2012). Midwifery education in Turkey. Collegium Antropologicum, 36, 1453–1456.
  • EUÇEP. (2016). Mezuniyet öncesi Ebelik Ulusal Çekirdek Eğitim Programı (EUÇEP). Yüksek Öğretim Kurumu. https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/ebelik.pdf
  • Firoozehchian, F., Zareiyan, A., Geranmayeh, M., & Behboodi Moghadam, Z. (2022). Domains of competence in midwifery students: a basis for developing a competence assessment tool for iranian undergraduate midwifery students. BMC Medical Education, 22(1). https://doi.org/10.1186/s12909-022-03759-z
  • Folkvord, S. E., & Risa, C. F. (2023). Factors that enhance midwifery students’ learning and development of self-efficacy in clinical placement: A systematic qualitative review. In Nurse Education in Practice (Vol. 66). Elsevier Ltd. https://doi.org/10.1016/j.nepr.2022.103510
  • ICM. (2013). Global Standards for Midwifery Education (2010) Amended 2013. International Confederation of Midwives. https://www.internationalmidwives.org/assets/files/general-files/2018/04/icm-standards-guidelines_ammended2013.pdf (accessed 12.11.19).
  • Karaçam, Z. (2016). Türkiye’de profesyonel bir disiplin olarak ebelik mesleğinin durumu: Yasal düzenlemeler, eğitim ve araştırma. Lokman Hekim Dergisi, 6, 128–136.
  • Karaman, Ö. E., & Okumuş, H. (2015). Ebelik öğrencilerinin görev tanımları ve yeterlilik alanlarına göre kendilerini değerlendirmeleri. Journal of Anatolia Nursing and Health Sciences, 18(3). https://doi.org/10.17049/ahsbd.56046
  • Köken Durgun, S., Şen, S., Tayhan, E. (2018). Ulusal ve uluslararası ebelik etik kodları. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 5, 218–223.
  • Mirzakhani, K., & Shorab, N. J. (2015). Study of the self-confidence of midwifery graduates from Mashhad College of nursing and midwifery in fulfilling clinical skills. Electronic Physician, 7(5), 1284–1289. https://doi.org/10.14661/1284
  • Mudokwenyu-Rawdon, C., Goshomi, U., & Ndarukwa, P. (2020). Student midwives’ self-assessment of factors that improve or reduce confidence in clinical practice during a 1-year training period in Zimbabwe. African Journal of Midwifery and Women’s Health, 14(2), 1–9. https://doi.org/10.12968/ajmw.2019.0023
  • Nicholls, L., Webb, C. (2006). What makes a good midwife? An integrative review of methodologically- diverse research. Journal of Advanced Nursing, 56, 414–429. https://doi.org/10.1111/j.1365-2648.2006.04026.x
  • Öztürk, D. M., Sayiner, F., & Akkaş, M. (2023). Using in situ simulation to develop knowledge and skills of midwives in postpartum haemorrhage management: Amasya-Şanlıurfa example. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(3), 951–957. https://doi.org/10.37989/gumussagbil.1224338
  • Renfrew, M.J., McFadden, A., Bastos, M.H., Campbell, J., Channon, A.A., Cheung, N.F., Silva, D.R.A.D., Downe, S., Kennedy, H.P., Malata, A., McCormick, F., Wick, L., Declercq, E. (2014). Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. The Lancet 384, 1129–1145. https://doi.org/10.1016/S0140-6736(14)60789-3
  • Saeedi, M., Parvizy, S. (2019). Strategies to promote academic motivation in nursing students: A qualitative study. Journal of Education and Health Promotion, 8, 86. https://doi.org/10.4103/jehp.jehp_436_18
  • Sharma, B., Hildingsson, I., Christensson, K. (2019). The association of teaching-learning methods and self-confidence of nurse-midwives. A survey from one province in India. Women and Birth, 32, e376–e383. https://doi.org/10.1016/j.wombi.2018.07.015
  • Sharma, B., Hildingsson, I., Johansson, E., Christensson, K. (2018). Self-assessed confidence of students on selected midwifery skills: Comparing diploma and bachelors programmes in one province of India. Midwifery, 67, 12–17. https://doi.org/10.1016/j.midw.2018.08.015
  • Sharma, B., Hildingsson, I., Johansson, E., Prakasamma, M., Ramani, K. V., Christensson, K. (2015). Do the pre-service education programmes for midwives in India prepare confident “registered midwives”? A survey from India. Global Health Action 8. https://doi.org/10.3402/gha.v8.29553
  • Tabachnick, B.G., Fidell, L.S. (2013). Using multivariate statistics. Multivariate Statistics 1–14. https://doi.org/10.1007/978-94-009-1217-5
  • Tayyar, N., Dilşeker, F. (2012). The effect of service quality and image on student satisfaction at state and private universities. Muğla Üniversitesi Sosyal Bilimler Enstitüsü Dergis,i 184–204.
  • World Health Organization. (2015). Strategies toward ending preventable maternal mortality (EPMM). https://apps.who.int/iris/bitstream/handle/10665/153544/9789241508483_eng.pdf?sequence=1
  • Yıldırım, G., Koçkanat, P., Duran, Ö. (2014). Ulusal ebelik kodları ve meslek değerleri. Sürekli Tıp Eğitimi Dergisi, 23, 148–154.
  • Yılmaz, S., Aksoy, Y.E. (2018). Ebelik eğitiminin dünyadaki durumu. Ebelik ve Sağlık Bilimleri Dergisi 1, 26–31. Yüksek Öğretim Kurumu, 2016. Tablo-4 Merkezi Yerleştirme İle Öğrenci Alan Yükseköğretim Lisans Programları. https://dokuman.osym.gov.tr/pdfdokuman/2016/LYS/Yerlestirme_Tablo-4_MinMax_Lisans10082016.pdf (accessed 12.30.19).
  • Yükseköğretim Kurulu Başkanlığı. (2008). Doktorluk, Hemşirelik, Ebelik, Diş Hekimliği, Veterinerlik, Eczacılık Ve Mimarlık Eğitim Programlarının Asgari Eğitim Koşullarının Belirlenmesine Dair Yönetmelik. https://www.resmigazete.gov.tr/eskiler/2008/02/20080202-9.htm
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ebelik (Diğer)
Bölüm Makaleler
Yazarlar

Fatma Bay 0000-0001-8840-1279

Fatma Sayiner 0000-0001-9287-989X

Sharma Bharatı 0000-0003-0793-1249

Yayımlanma Tarihi 23 Aralık 2024
Gönderilme Tarihi 24 Ocak 2024
Kabul Tarihi 24 Eylül 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 4

Kaynak Göster

APA Bay, F., Sayiner, F., & Bharatı, S. (2024). Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors. Ebelik Ve Sağlık Bilimleri Dergisi, 7(4), 584-596. https://doi.org/10.62425/esbder.1424380
AMA Bay F, Sayiner F, Bharatı S. Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors. Ebelik ve Sağlık Bilimleri Dergisi. Aralık 2024;7(4):584-596. doi:10.62425/esbder.1424380
Chicago Bay, Fatma, Fatma Sayiner, ve Sharma Bharatı. “Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors”. Ebelik Ve Sağlık Bilimleri Dergisi 7, sy. 4 (Aralık 2024): 584-96. https://doi.org/10.62425/esbder.1424380.
EndNote Bay F, Sayiner F, Bharatı S (01 Aralık 2024) Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors. Ebelik ve Sağlık Bilimleri Dergisi 7 4 584–596.
IEEE F. Bay, F. Sayiner, ve S. Bharatı, “Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors”, Ebelik ve Sağlık Bilimleri Dergisi, c. 7, sy. 4, ss. 584–596, 2024, doi: 10.62425/esbder.1424380.
ISNAD Bay, Fatma vd. “Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors”. Ebelik ve Sağlık Bilimleri Dergisi 7/4 (Aralık 2024), 584-596. https://doi.org/10.62425/esbder.1424380.
JAMA Bay F, Sayiner F, Bharatı S. Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors. Ebelik ve Sağlık Bilimleri Dergisi. 2024;7:584–596.
MLA Bay, Fatma vd. “Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors”. Ebelik Ve Sağlık Bilimleri Dergisi, c. 7, sy. 4, 2024, ss. 584-96, doi:10.62425/esbder.1424380.
Vancouver Bay F, Sayiner F, Bharatı S. Are Turkish Midwifery Students Well-Prepared for the Profession? Assessing Their Self-Confidence Levels and Effective Factors. Ebelik ve Sağlık Bilimleri Dergisi. 2024;7(4):584-96.

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