Abstract
Background: The skills of midwives in childbirth care competence are still inadequate. This problem is influenced by limitation experience of midwifery students of childbirth care in the field of practice area. That condition related to the proportion of midwifery students and case of childbirth woman was an imbalance. Midwifery students must prepare this competence in an education with childbirth care experience from practice in the laboratory and in the field of practice. Reflective learning is an appropriate learning method that uses experience as the basis of learning to improve childbirth care competence of midwifery students. Objective: This study is to analyze the effect of reflective learning implementation in childbirth care practice to improve students’ competence. Method: This research uses quasi-experimental design with non-equivalent control group design. The respondents were midwifery students in the fourth semester who had experienced the theory of childbirth care. There were totally 64 samples, 34 samples for treatment group and 30 samples for control group. Data were analyzed by using unpaired t test, Mann Whitney U and linear regression. Results: The respondents were homogeny in motivation and grade point of average (GPA). The improvement of childbirth care competency is influenced by treatment of 19.064 with R2 = 57.7%. Conclusion: The implementation of reflective learning in childbirth care practice affected the improvement of students’ competence.
Highlights
The respondents were homogeny in motivation and grade point of average (GPA)
A sample of 64 people was taken in total sampling and divided into two groups, namely the treatment group (34 respondent in 6 practices land) and control group (30 respondent in 5 practices land) which were differentiated based on the quantity of childbirth care cases on the practice land to be used
The results of characteristics of respondent in the form of learning motivation and GPA are in Table 1, which shows homogeneous respondents
Summary
Competence in childbirth care is a midwife’s core competency which must be provided with high quality, so that the care provided is safe for the patient [3] The achievement of this competency must be supported by optimal learning at the theoretical level, in the laboratory practice and in the field practice [5]. Competency conditions for midwife graduates are currently lacking in terms of childbirth care This can be explained by the results of research on childbirth care learning which show data that as many as 20% of doctors and 17% of senior midwives believe that midwife graduates have less competence in childbirth especially in normal labor management. The skills of midwives in childbirth care competence are still inadequate This problem is influenced by limitation experience of midwifery students of childbirth care in the field of practice area. Conclusion: The implementation of reflective learning in childbirth care practice affected the improvement of students’ competence
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