Ebelerin Mesleki Yetkinlik ve Yeterliliğe İlişkin Düşünceleri: Kalitatif Bir Çalışma

Abstract

Amaç: Bu çalışma ebelerin mesleki yetkinlik ve yeterliliğe ilişkin düşüncelerini belirlemek amacıyla kalitatif türde yapılmıştır. Gereç ve Yöntemler: Ön araştırma yapılarak 278 ebenin Ebelik Mesleğinin Yetkileri ile İlgili Algı Ölçeği'nden aldıkları puanlar belirlendi. Bu kişiler arasından ölçek puanı en yüksek ve en düşük olan 5 ebe seçildi. Veriler Ebe Tanımlayıcı Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu ile çevrimiçi yüz yüze görüşme yöntemiyle toplanmıştır. Görüşme sırasında kaydedilen veriler çerçeve analizi yapılarak değerlendirilmiştir. Bulgular: Ebelerin görüşlerinin; Yetkinlik için “halk sağlığı”, “gebelik”, “doğum”, “postpartum”, “yenidoğan”, “kadın”, “danışmanlık” ve “araştırma”; Yeterlilik için “genel yeterlilikler”, “gebelik öncesi ve doğum öncesi”, “doğum ve doğum sırasında bakım”, “kadın ve yenidoğanın sürekli bakımı” temalarına uyumu değerlendirildi. Yüksek uyumun yetkinlik için “gebelik”, “doğum”, “postpartum”, “yenidoğan” ve “danışmanlık”; yeterlilik için “genel yeterlilikler”, “doğum öncesi” ve “doğum ve doğum sırasında bakım” temalarında olduğu, düşük uyumun yetkinlik için “halk sağlığı”, “kadın” ve “araştırma”, yeterlilik için “gebelik öncesi” temalarında olduğu görüldü. Sonuç: Ebeler gebelik, doğum ve doğum sonu dönemlerde kendilerini yetkin ve yeterli görürken; toplum sağlığı, gebelik öncesi dönem ve araştırmaya ilişkin yetkinlik ve yeterliliklerinden sınırlı olarak bahsettiler. Ebelerin yetkinlik ve yeterliliklerini hissetmedikleri alanlara yönelik lisans eğitim müfredatında iyileştirmeler yapılabilir.

Keywords

• Ebeler
• ebelik
• mesleki yeterlilik
• mesleki yetkinlik

Midwives' Thoughts on Professional Proficiency and Competency: A Qualitative Study

Abstract

Aim: This study was conducted in a qualitative method in order to determine the thoughts of midwives on professional proficiency and competency. Material and Methods: A preliminary study was conducted and the scores of 278 midwives from The Perceptions Empowerment in Midwifery Scale (PEMS) were determined. Between those individuals, 5 midwives with highest and 5 midwives with lowest PEMS score were chosen. The data were collected with the Midwife Descriptive Information Form and Semi-Structured Interview Form and online face-to-face interview method. The data recorded during the interview were evaluated by making frame analysis. Results: The opinions of the midwives; themes of Proficiency (“Public Health”, “Pregnancy”, “Birth”, “Postpartum”, “Newborn”, “Women”, “Counseling”, and “Research”) and Competency (“General Competencies”, “Pre-pregnancy and Antenatal”, “Care during labor and birth”, “Ongoing care of women and newborns”) was evaluated. It was observed that there was high compatibility in Proficiency for the themes of “Pregnancy”, “Birth” “Postpartum”, “Newborn” and “Counseling” and in Competency for the themes of “General Competencies”, “Antenatal” and “Care during labour and birth”. While it was observed that there was low compatibility in Proficiency for the themes of “Public Health”, “Women”, “Research”, and in Competence for the theme of “Pre-pregnancy”. Conclusion: While midwives consider themselves competent and proficient during pregnancy, childbirth and postpartum periods; limited mention of their competencies and proficiencies in community health, pre-pregnancy and research. Improvements can be made in the undergraduate education curriculum for areas where midwives do not feel proficiency and competency.

Keywords

• Midwives
• midwifery
• professional competency
• professional proficiency

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