Midwifery Diploma Research Articles

Midwifery education, regulation and association in the Democratic Republic of Congo (DRC) – current state and challenges

ABSTRACT Background: In the Democratic Republic of Congo (DRC), maternal and neonatal health outcomes are poor and delivering healthcare services of sufficient quality is a challenge as there are only 0.6 midwives, physicians, or nurses for every 1,000 inhabitants. Objective: To explore the current state of the midwifery profession in the DRC and to suggest suitable strategies for increasing the quality and quantity of a highly competent midwifery health workforce in the DRC. Methods: Data were collected at a workshop with 17 key persons using three questionnaires developed by the International Confederation of Midwives, and three focus group discussions. The analysis was focusing on quantitative and qualitative content. Results: In DRC the midwife profession is not legislated. A midwifery association is well established, but due to a lack of resources does not function optimally. Two midwifery education programmes exist: a three-year direct-entry programme resulting in a diploma in midwifery, and a 12-month postgraduate programme for nurses resulting in a certificate in midwifery. Neither of the programmes leads to a bachelor’s or master’s degree. At the institutions offering the midwifery programmes (n = 16), the educators’ academic qualifications are lower than required and there is a lack of teaching and training equipment for meeting the education needs. Conclusions: The Sustainable Development Goal on health, and specifically the health of mother and newborn, will be difficult to meet in the DRC. We therefore suggest that (i) the midwifery education programmes be improved to meet international standards; (ii) these programmes be designed in a way that allows for an academic degree at either the bachelor’s or master’s level; (iii) the competence level of the midwifery educators be increased; and, most crucially, (iv) a regulatory structure be formed that legislates and regulates the midwifery profession and its autonomous practice.

E-MONITORING INTERAKTIF MENINGKATKAN REFLEKSI DIRI, MOTIVASI BELAJAR DAN HASIL BELAJAR MAHASISWA DIII KEBIDANAN

The proportion of practice in Midwifery education has 60% of capacity, more than the proportion of theories which is only 40%. The biggest proportion of practice makes the Clinical Advisor and Academic Advisor try to provide immediate feedback to students in every skill learned in the practice field. Interactive, effective and corrective feedback can help students to do self-reflection so while in the practice field students expected to be motivated to improve learning outcomes. The purpose of this study was to define the effect of Interactive E-Monitoring implementation on self-reflection, motivation and learning outcomes of the student.A research population of this study is students of midwifery diploma program in thirdh semester of 2018/2019 Akademic year who take part in second Laboratory Learning Practices, which are spread over in 13 of independent midwife practice fields (PMB). Samples were taken in based on inclusion criteria, students who were guided by PK that included in the criteria and in aged 19-20 years were 56 students. Data analyzed, if the data is normally distributed then it uses paired t test and if the data is not normally distributed then it uses the Wilcoxon Test.The results showed that students self-reflection increased from 74.9 to 80.5 (p

How to Develop a Learning Model with a Spiritual Method to Midwifery Diploma IV Students

Pregnancy and childbirth are chain reactions that cannot be separated in the lives of normal women. Because they have prepared thoroughly starting from the physical, mind, and motivation and have had the awareness to return to the concept of giving birth naturally and paying attention to all aspects of the human body holistically. The aim of this study is to create a midwifery learning model with a spiritual approach for Midwifery Diploma IV students so that the process for pregnancy and childbirth natural. This research method is a development research known as R & D (Research and Development) developed by Borg and Gall with a qualitative approach. Formative evaluations consisted of expert reviews, one to one, small groups, and field trials. This research was conducted at the Ministry of Health Polytechnic III, the trial respondents were 29 midwifery D IV students in the Seventh Semester. Data was collected through interviews, questionnaires, and field observations. Data analysis using descriptive methods. The results of the study can be concluded that the value of product quality achieved on average starts from individual trials at the level of 4.30 or 86.11%, while the small group trials at the level of 4.34 or 87% and field trials are at the level at 4.45 or 89.14% with the overall average being at 4.37 or 87.42% in the excellent category. The conclusions of the spiritual midwifery learning model have been developed, it has been proven to be able to make students motivated, easy to understand, very interesting to learn because it includes exercises, examples, films and success stories from clients to clarify concepts and bring students to the real world and are easy to apply

The Assessment of Continuous Antenatal Care Competence in Midwifery Diploma Education: Instrument Development and Content Validation

This research aims to develop a construct of an assessment instrument of the continuous antenatal care in Midwifery Diploma Education, as well as to carry out the validity of the instrument developed. This research is a development study that adopts and modifies the procedures of Wilson Model and Oriondo Model, which consist of 3 steps that are: 1) preliminary study 2) test design; 3) trial (content validity). The construct of the continuous ANC competence assessment instrument in the Midwifery Diploma education is 18 constructs in the form of basic competence (BC). The number of question items arranged in accordance with the number of indicators in the BC and CS, which were 116 items. Instrument items that had been developed were then assessed by experts using the Delphi method. The number of experts validating the contents was 21 experts, consisting of 15 experts from ANC lecturers from the Poltekkes Surakarta and Poltekkes Yogyakarta and also involving six experts from the midwife practitioners. The results of expert assessments (content validity) are then calculated using the Aiken approach. The calculation results show the average index obtained on the ANC assessment instrument of 0.830, which means that the instrument content is declared as valid and can be used to measure ANC competence.

Strategies to Improve Patient Care by Increasing Midwives' Knowledge of Postpartum Care

Postpartum care is critical in preventing and reducing maternal deaths. In Ghana, midwives are the primary maternity care providers; therefore, their knowledge of postpartum care determines the quality of care provided to women after childbirth. However, few studies have examined midwives’ knowledge of postpartum care in sub-Saharan Africa. This study explores knowledge of postpartum care among midwives in order to develop interventions to improve patient care after childbirth. Cross-sectional survey. Four hospitals in Tamale, Ghana. A convenience sample of midwives, 18 years and older, employed in the four hospitals. A cross-sectional survey of 246 midwives was conducted in the four main hospitals of Tamale, Ghana. Three of the hospitals were government facilities and one was a mission hospital. The study was guided by the Three Delays Framework, specifically focusing on Phase III delays of provision of adequate care at a health care facility. Data were collected using an anonymous postpartum-care knowledge questionnaire by the Johns Hopkins Program for International Education in Gynecology and Obstetrics. Data were analyzed in Stata statistical software using descriptive statistics. Most of the midwives were women (98%). The mean age of midwives was 31.87 years. About 40.4% had a certificate in midwifery, 46.9% had a diploma in midwifery, and 12.7% had a bachelor’s in midwifery. The percentage of midwives able to correctly answer each question are as follows: 41.63% on location of fundus, 46.53% on postpartum examination, 57.55% on care during the first 2 hours after birth, 62.04% on obtaining history during a postpartum visit, 67.67% on obtaining information on patient problems during a postpartum visit, 73.47% on timing of postpartum visits, 74.29% on infection-prevention practice, 75.92% on danger signs, 77.14% on breastfeeding, and 84.90% on nutrition for breastfeeding mother. Beside their midwife education, 42% of midwives had never received any continuing education or in-service training in postpartum care. Findings suggest that the majority of midwives are not knowledgeable about location of fundus, postpartum examination, and care during the first 2 hours after birth. However, most midwives are knowledgeable about breastfeeding. Findings suggest a need for refresher training to educate midwives on how to care for postpartum patients.

Knowledge of Midwives on IUD Counseling

The evaluation of IUD contraceptive services is still lack of quality until now. Many IUD acceptors choose to stop use contraception because they don't accept side effects such as bleeding, and fear of interfering with sexual intercourse. Adequate information from professional health personnel, in the form of counseling, is a very important step in helping women choose the best contraceptive method and according to their needs. The purpose of this study was to determine the relationship between education level and work period of midwives to the knowledge of midwives about IUD counseling. The research method uses a quantitative approach with a crossectional design. The number of respondents was 124 midwives Public Health Center in Bandung. The sampling technique uses consecutive sampling. Measurement of IUD counseling knowledge using a questionnaire that has been tested for validity and reliability using the Rasch Model with alpha chron-bach 0.87 (Good). Data were analyzed using SPSS 20 chi-square. The results of the study found that almost all of the 96% of respondents were lack of knowledge about counseling IUDs. The chi-square analysis results did not have a significant relationship between the level of education and knowledge of IUD counseling p = 0.548 (> 0.05). There is no significant relationship between the period of work with knowledge of IUD counseling p = 0.081 (> 0.05). Communication and counseling have been included in the Midwifery Diploma III education curriculum, but the level of education does not have a significant relationship to the knowledge of midwives about IUD counseling. This shows that the learning process in educational institutions has not been able to produce midwives who have knowledge of IUD counseling as expected.

Knowledge and Experience of Neonatal Resuscitation among Midwives in Tamale.

Background. Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. Objectives. This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. Methods. This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson's correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. Results. 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge (24.67 ± 2.79, p = .014), compared to those at the Tamale Teaching Hospital (22.92 ± 4.56, p = .028) and Tamale West Hospital (21.50 ± 6.24, p = .021). Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (r(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. Conclusion. Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.

Maternal Health Care in Cox’s Bazar, Bangladesh: A Survey of Midwifery Experience at Hope Foundation and a Review of the Literature

Background: The Ministry of Health and Family Welfare of the Government of Bangladesh developed a midwifery education strategy in 2011 and starting in 2013, BRAC University developed a three-year Diploma in Midwifery. A survey was developed to understand the challenges of the newly graduated midwives and to identify resource and educational needs. The survey feedback will help develop and strengthen curriculum for primary and postgraduate midwifery training. Methods: A 30-question survey was given to midwives at the Hope Hospital in Cox’s Bazar and at the birth centers in the surrounding rural communities. Questions explored the midwives’ clinical experience, patient problems in the prenatal, intrapartum, and postnatal period, and asked about what education; training and clinical resources were needed. Results: Thirty-two midwives answered the surveys. The midwives’ average time from graduation from the midwifery diploma program was sixteen months. All the respondents felt comfortable managing most maternal issues but felt further training was important. They also identified the lack of many clinical resources including blood products, medicines, vaccines, and ultrasound. They identified significant maternal health issues among their patients including adolescent pregnancy, malnutrition, anemia, sexual violence, pregnancy-induced hypertension, hemorrhage, low birth weight infants, prolonged and obstructed labors. Conclusion: Training and increasing the number of midwives are crucial strategies for reducing maternal and neonatal mortality. There is a significant need for long-term placement and commitment of midwives to rural areas in Bangladesh. Health systems and organizations employing midwives must be accountable for the continuing education, mentorship, and supportive needs of midwives.

Midwifery tutors training program

PAKISTAN has more than one forty eight (148) school of midwifery in different parts of country. Pakistan National Forum on Women's Health (PNFWH) realized that majority of these school of midwifery has no trained faculty to teach and train future midwives. It is also observed and shown in a study by UNICEF Pakistan that ninety percent midwives get their diploma in midwifery without doing a single delivery in labor room.
 To face this challenge PNFWH started a six month midwifery tutors training program at Koohi Goth Women Hospital (KGWH) in Karachi. Twenty five midwifery tutors from midwifery schools in different parts of country came to stay at KGWH for this program.
 They were taught to teach in class room with or without modern teaching aids. They were encouraged to use computer and should be able to do power presentation at the end of Theiler training. All tutors were posted in labor ward and train to do clinical teaching at the bed side and laboring women.
 The program was a great success. Up till now eleven batches were trained with the help of donors who are working in their midwifery schools.
 This paper discusses the issues related to tutors training and problems faced by midwifery schools in recruiting competent tutors.

Role Stress, Personality Types, Burnout, and Performance of Midwives in the Achievement of Postnatal Care Program in Surabaya

The coverage of postnatal care program in Surabaya had declined since 2011–2013 and could not reach the target. This analytic study with an observational approach and a cross-sectional design was conducted during April–May 2015 to analyze the effect of role stress, personality types, and burnout on midwives’ performance in the achievement of postnatal care program in Surabaya. A total sample of 45 midwives was collected from eight public health care centers in Surabaya with basic emergency obstetric and neonatal care services. The method of accidental sampling was used for sample selection. The results of this study indicated that most of the midwives were aged 20–30 years and had an education level of diploma in midwifery. Furthermore, the majority of them were married and predominantly consisted of contract workers with work experiences of <5 and 5 to <10 years. In addition, most of the midwives did not have role stress and had an agreeableness personality type. However, the majority of them had mild burnout and showed mid-level performance. There was no influence of demographic characteristics, role stress, and personality types on burnout, whereas the performance was affected by role stress and personality types. The midwives’ performance was more influenced by personality types than by role stress.

Self-assessed confidence of students on selected midwifery skills: Comparing diploma and bachelors programmes in one province of India

ObjectiveThere are two integrated pre-service education programmes for nurses and midwives in India; a diploma in General Nursing and Midwifery (GNM) and bachelor's in nursing (B.Sc. nursing). This study assessed and compared confidence of final-year students from these two programmes for selected midwifery skills from the list of midwifery competencies given by the International Confederation of Midwives (ICM). DesignA cross-sectional survey. Participants633 final-year students, from 25 educational institutions randomly selected, stratified by the type of programme (diploma/bachelor), and ownership (private/government) from the Gujarat province. Data collection and analysisStudents assessed their confidence on a 4-point scale, in four midwifery competency domains-antepartum, intrapartum, postpartum, and newborn care. Skill statements were reduced to subscales for each competency domain separately through Principle Component Analysis. Crude and adjusted odds ratios with 95% CI were calculated for students with high confidence (≥75th percentile on each subscale) and not high (all others) between diploma and bachelor students. FindingsThe diploma students were 2–4 times more likely to have high confidence on all subscales under antepartum, intrapartum, postpartum and newborn care compared to the bachelor students. Though both groups had less hands-on clinical practice during their education, more diploma students could fulfil the requirements of attending recommended number of births compared to the bachelor students. ConclusionOverall the students of the general nursing and midwifery (GNM) programme have higher confidence in skills for antepartum, intrapartum, newborn and postpartum care. One important reason is more hands-on clinical practice for the diploma compared to the bachelor students.

Bereavement care education and training in clinical practice: Supporting the development of confidence in student midwives

AimsTo improve the confidence in student Midwives to provide bereavement careto parents following pregnancy loss and perinatal death. BackgroundThe one-day interactive Educational Training Workshop in Bereavement Care (ETWBC) was developed for student midwives in their final year of their B.Sc. Midwifery Degree Programme and those completing a Higher Diploma in Midwifery to help improve their confidence to provide bereavement care in clinical practice. DesignA longitudinal sequential mixed-methods design was used to evaluate the outcome and processes of participation in the Workshop. This paper reports on the outcome evaluation. MethodsParticipants completed the study questionnaires at all 3 time points: pre/post workshop and 3 month follow-up. Thirty nine of the 41 student midwives (Higher Diploma and 4th year B.Sc.) participated in the workshop. 97.44% (n = 38) of the participants completed all the questionnaires. ResultsParticipation in the ETWBC increased student's midwives confidence (measured using knowledge and skills scales); Bereavement support skills [F(2,72) = 21.150, p < .000, partial eta squared = 0.370] and Bereavement support knowledge [F(1.6,60) = 48.460, p < .000, partial eta squared = 0.567]to provide bereavement care. Improvement in Student Midwives' level of self-awareness of the needs of bereaved parents [F(2,72 )= 20.311, p < .000, partial eta squared = 0.361] and of their own personal needs [F (1.7, 61) = 30.387, p < .000, partial eta squared = 0.458] in relation to providing bereavement support were also found. ConclusionParticipation in the Education Training Workshop on Bereavement Care helped increase student midwives confidence to provide bereavement care to grieving parents and to increase their self-awareness around their clinical practice in this area. The ETWBC is recommended as a brief effective educational intervention for inclusion in Midwifery curricula which could be modified for use with other relevant professional groups.

Midwifery pre-registration education and mid-career workforce participation and experiences

BackgroundMidwives in Australia are educated through a range of routes providing flexible ways to become a midwife. Little is known about whether the route to registration impacts on mid-career experiences, in particular, whether the pathway (post-nursing pathway compared with ‘direct-entry’) makes any difference. AimThe aim of this study was to explore the midwifery workforce experiences and participation in graduates six to seven years after completing either a post-nursing Graduate Diploma in Midwifery (GradDip) or an undergraduate degree, the Bachelor of Midwifery (BMid), from one university in New South Wales, Australia. MethodsData were collected from mid-career midwives having graduated from one NSW university from 2007–2008 using a survey. The survey included validated workforce participation instruments — the Maslach Burnout Inventory (MBI), the Practice Environment Scale-Nursing Work Index (PES-NWI) and the Perceptions of Empowerment in Midwifery Scale (PEMS). ResultsThere were 75 respondents: 40% (n=30) Bachelor of Midwifery and 60% (n=45) GradDip graduates. The age range was 27–56 years old (mean age=36 years) Bachelor of Midwifery graduates being on average 7.6 years older than Graduate Diploma in Midwifery graduates (40 vs 33 years; p<0.01). Almost 80% (59), were currently working in midwifery. Nine of the 12 not working in midwifery (75%) planned to return. There were no differences in workforce participation measures between the two educational pathways. Working in a continuity of care model was protective in regards to remaining in the profession. ConclusionMost mid-career graduates were still working in midwifery. There were no differences between graduates from the two pathways in relation to burnout, practice experiences or perceptions of empowerment.

PERBEDAAN HASIL BELAJAR MANAJEMEN TERPADU BALITA SAKIT (MTBS) MELALUI MEDIA PEMBELAJARAN VISUAL DAN AUDIOVISUAL

Learning differences of integrated management of children sick (IMCI) Learning through Visual Media and Audiovisual. Integrated management of childhood illness is effective cost to solve toddler’s death that is caused by acute respiratory infections, diarrhea, measles, malaria, and malnutrition The students of midwifery as candidate of midwife must have good ability in integrated management of childhood illness. The purpose of this research is analysis study result of integrated management of childhood illness of learning media visual and audiovisual for students of Midwifery Diploma Degree Department FKK of UNUSA. This research used experimental analytic design by quasi experimental design “after only with control quasi experimental”. The populations were all students of Midwifery Diploma Degree, faculty of medical sains Nahdatul Ulama University Surabaya are 177 students. The sampling technique used simple random sampling technique. The total of sample is 60 respondents that were divided into 30 respondents in treatment group and 30 respondents in control group. Data analysis used independent t test. There was the difference of study result statically significant between the students who got material by visual and audiovisual learning media. They who got material by audiovisual media had higher study result than those using visual media.

Stres, Stresor dan Koping Stres Pada Mahasiswa Keperawatan dan Kebidanan Di STIKES Harapan Bangsa Purwokerto

&#x0D; Abstract&#x0D; Nursing and midwifery students during their education are often exposed to various stressors. The most common sources of stress experienced by students are assignments, exams, clinical practice workloads, and clinical/academic skills compliance. The presence of stress can affect their learning and performance. In addition, the excessive stress can be harmful to students academic performance, wellbeing, and can interfere with complex learning, psychomotor skills. The aim of this study to describe the level of stress, stressors and coping strategies of students who undergoing undergraduate nursing, nursing diploma and midwifery diploma. This cross sectional study conducted on Institute of Health Science Harapan Bangsa Purwokerto on Juni 2016. A total of 95 students of undergraduate nursing, diploma nursing, and diploma midwifery students were taken by proportionate random sampling. Research data were collected utilizing Nursing Student Stress Scale, Physio-Psycho-Social Scale, and Simplified Coping Style Questionnaire. The data analyzed by univariate analysis and presented in frequency’s distribution. Findings of this research indicated that nurse and midwifery students experienced moderate level of stress (71,5%) and moderate physio psycho social responses (54,7%). Stress from clinical environment was the most common stressor that identified (34,9%). In addition, nursing and midwifery students have an adaptive coping strategies (88,4%). The results indicated that stress is common in nursing and midwifery education and it may have an impact on their physio psycho social responses. Therefore, knowledge about stress level and its sources on nursing and midwifery students are important to identified the adaptive coping strategies.

Capacity building of midwifery faculty to implement a 3-years midwifery diploma curriculum in Bangladesh: A process evaluation of a mentorship programme.

When a midwifery diploma-level programme was introduced in 2010 in Bangladesh, only a few nursing faculty staff members had received midwifery diploma-level. The consequences were an inconsistency in interpretation and implementation of the midwifery curriculum in the midwifery programme. To ensure that midwifery faculty staff members were adequately prepared to deliver the national midwifery curriculum, a mentorship programme was developed. The aim of this study was to examine feasibility and adherence to a mentorship programme among 19 midwifery faculty staff members who were lecturing the three years midwifery diploma-level programme at ten institutes/colleges in Bangladesh. The mentorship programme was evaluated using a process evaluation framework: (implementation, context, mechanisms of impact and outcomes). An online and face-to-face blended mentorship programme delivered by Swedish midwifery faculty staff members was found to be feasible, and it motivated the faculty staff members in Bangladesh both to deliver the national midwifery diploma curriculum as well as to carry out supportive supervision for midwifery students in clinical placement. First, the Swedish midwifery faculty staff members visited Bangladesh and provided a two-days on-site visit prior to the initiation of the online part of the mentorship programme. The second on-site visit was five-days long and took place at the end of the programme, that being six to eight months from the first visit. Building on the faculty staff members' response to feasibility and adherence to the mentorship programme, the findings indicate opportunities for future scale-up to all institutes/collages providing midwifery education in Bangladesh. It has been proposed that a blended online and face-to-face mentorship programme may be a means to improving national midwifery programmes in countries where midwifery has only recently been introduced.

An exploratory study to assess the knowledge regarding balance diet among students in selected schools of Pune city

A study titled “An exploratory study to assess the knowledge regarding balance diet among students in selected schools of Pune city” was conducted for the partial fulfillment of the Diploma in General nursing and midwifery, Bharati Vidyapeeth Deemed University, Pune during the year 2017-2018.The study was conducted in Kanya Prashala School of Bharati Vidyapeeth Katraj Pune district of India. A balanced diet is one that gives body nutrients it needs to function correctly to get the proper nutrition from diet. Research design is non experimental design. Our assumption is that, students may have some knowledge regarding balance diet. Objective: 1) To assess the knowledge regarding balanced diet among in selected schools of Pune city. 2) To associate the findings with selected demographic variable. Method: This study was conducted among school going children of Pune city in the year of 2017 to 2018. The study of sampling techniques the tools and its validity and reliability, pilot study data collection and the plan for data analysis. Result: The study showed that 86% of samples had excellent knowledge regarding balance diet, 12%of samples had good knowledge and 2%of samples had poor knowledge regarding balance diet.The study had a greater number of female participants, 80% and lower number of male participants, 20%. The most participants from 6th to 7th standard 60% and 40% from 4th to 5thstandard.

The Influence of Bedside Teaching and Interpersonal Intelligence Upon Students’ Therapeutic Communication Competence in Midwifery Diploma III Program of Mitra Ria Husada School of Health Sciences (STIKes) Cibubur

Education is a process that contains objectives and objects. This also applies to midwifery education. The midwifery competencies to achieve are comprised of knowledge, skills and behaviors in implementing safe and responsible midwifery practices in various health care settings. This research was conducted on the therapeutic communication competence in three domains, namely cognitive, affective and psychomotor domains on the students of Midwifery D-III Program of Mitra RIA Husada School of Health Sciences. The learning method was limited to bedside teaching method, coaching method and demonstration. Bedside teaching method is a teaching method which is conducted beside a client’s bed, covering the learning of the client's condition and nursing care needed by the client. Coaching method is a technique of using a verbal instruction directly involving a coach who has knowledge of how to trigger the expected behavior and what is needed in an effort to achieve the desired behavior. Demonstration is the learning method used by telling and demonstrating the steps in carrying out a certain task. The method used in this research was the experimental method with the treatment design by level 3 x 2. The sample in this research was 24 students. The data analysis technique in this research was variance analysis (ANAVA). The conclusions of this research were: (1) there was increased therapeutic communication competence among students of Midwifery D-III Program of Mitra RIA Husada School of Health Sciences taught by bedside teaching method and have high interpersonal intelligence with students taught by coaching method and have high interpersonal intelligence, (2) to improve therapeutic communication competence of those with high interpersonal intelligence, coaching method was more appropriate. Thus, the lecturers are recommended to use coaching method in therapeutic communication courses, (3) to improve the result of therapeutic communication competence of those having low interpersonal intelligence, the bedside teaching method was more appropriate, (4) to improve the result of therapeutic communication competence of those having low interpersonal intelligence, the coaching method was the more precise method.

Assessment of job satisfaction among the senior staff nurses working at Sadar Hospital, Naogaon, Bangladesh

This study aimed to examine nurses? job satisfaction at Sadar Hospital, Naogaon, Bangladesh. It also examines the relationships between nurses? assessment, satisfaction, attitude, and practice with respect to job satisfaction. The descriptive cross sectional study design was used to explore the job satisfaction among the staff nurses. Total number of nurses working in this hospital was 121. A total number of fifty nurses were recruited into this study in order to overcome non-response subjects. The age group 30-39 years were 40%, 40-49 years were 46% and 50+ above were 14% nurses. Male nurses were only 6% and the female were 94%. Marital status single 12%, married 80%, widow 8%. Muslim nurses were 58%, Hindu 38% and Christian 4%. Academic qualification of them was SSC 66% and H.S.C 34%. Professional qualification was Diploma in Nursing /Diploma in Midwifery 92%, B.Sc. in public Health Nursing 6% and MPH 2%. Length of service 1 to 10 years 22%, 11 to 20 years 50%, 21 to 25 years 24%, 31+ years 4%. Regarding maintaining therapeutic relationship; facing problem in duty; keeping records; receiving complicated patient; attend in duty time; maintaining aseptic techniques; maintaining work; carryout admission and discharge the results for all above questions were 100% yes. But regarding satisfy to give care 30% respondent were not satisfied; whole for job salary 68% nurses were not feel enough and remaining 32% were satisfied. Again in case of promotion to the next post most of the respondent 16% were satisfied and 84% were not satisfied.Asian J. Med. Biol. Res. December 2016, 2(4): 611-615

Facilitating the development of higher-order thinking skills (HOTS) of novice nursing postgraduates in Africa

BackgroundInternational research in nursing education has shown to be deficient regarding both the quality of research produced and the building of disciplinary capacity. The CHENMA (Collaboration for Higher Education of Nurses and Midwives in Africa) project aimed to strengthen nursing and midwifery expertise in Africa. Sixteen French-speaking students of the Democratic Republic of the Congo (DRC) enrolled for a master's degree in nursing midwifery at a South African university in 2008. Ten of the initial 16 students graduated with a master's degree in 2012. One student withdrew and five students completed a postgraduate diploma in midwifery. ObjectivesThe objective of this paper is to explore the quality of the output of those master's degree students, namely their dissertation (with specific reference to the demonstration of HOTS). MethodsAn exploratory, evaluative, single, descriptive case study was utilised. Realist, purposeful sampling was used. Six of the 10 completed final dissertations were evaluated as well as three reflective reports from the supervisor, translator and critical reader. ResultsThe findings indicated that most dissertations fell below the expected standard, with a paucity of higher-order thinking and application skills. Language, and possibly cultural dynamics, seemed to be the largest barrier to learning and communication. The dissertations lacked conceptual skills, scientific writing skills, logical order of thought and congruency. Analysis of the dissertations revealed a limited ability of novice scholars to explore the nature of information and to interpret and manipulate the data in a novel way.