Essential components of midwifery ethics education: results of a Delphi study

Megregian, Michele; Low, Lisa Kane; Emeis, Cathy; Vries, Raymond De; Nieuwenhuijze, Marianne

doi:10.1016/j.midw.2021.102946

Cited by 6 publications

(5 citation statements)

References 45 publications

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“…This has also been demonstrated previously among other maternity care professionals in Australia [ 33 , 34 ]. Training for students and professionals thus seems essential for providing the knowledge and skills required for SDM [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Health literate-sensitive shared decision-making in maternity care: needs for support among maternity care professionals in the Netherlands

Murugesu,

Damman,

Timmermans

et al. 2023

BMC Pregnancy Childbirth

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Background Shared decision-making (SDM) in maternity care is challenging when clients have insufficient health literacy (HL) skills. This study gained insight in how professionals apply HL-sensitive SDM in Dutch maternity care and their needs for support therein. Methods Maternity care professionals (n = 30) completed a survey on SDM and the role of HL. Midwives (n = 13) were observed during simulated conversations discussing pain relief options and interviewed afterwards. The client-actors were instructed to portrait specific inadequate HL skills. Observation items focused on adapting communication to HL, and SDM (OPTION-5). Results In the survey, professionals indicated experiencing most challenges when estimating clients’ information comprehension. Observations showed that most midwives created choice awareness and informed clients about options, whereas exploring preferences and actual decision-making together with clients were observed less frequently. Their perceived HL-related obstacles and needs for support related to clients’ information comprehension. In the interviews, midwives reported putting much effort into explaining available options in maternity care, but also that decisions about pain relief are often postponed until the moment of labour. Conclusion Professionals’ self-reported needs focus on clients’ information comprehension. However, observations indicate that it is not the stage of informing, but rather value clarification and actual decision-making that need improvement in HL-sensitive SDM.

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Section: Discussionmentioning

confidence: 99%

Health literate-sensitive shared decision-making in maternity care: needs for support among maternity care professionals in the Netherlands

Murugesu,

Damman,

Timmermans

et al. 2023

BMC Pregnancy Childbirth

Self Cite

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“…First, the experts included had rich experience in nursing education, clinical nursing management and medical humanities. In addition, the response rates in two rounds of consultation were above 88.89%, indicating that the experts had high enthusiasm [ 25 , 29 ]. The Cr scores of the two rounds were more than 0.90, and Kendall’s W of the whole process was statistically significant ( P < 0.05), which showed that the experts had good authority and that the consultation results were scientific and reliable [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…If the above requirements were not met at the same time, the final selection of structural elements was determined based on the expert’s modification suggestions and the discussion of the research group. When the experts’ approval rate of the curriculum humanistic competence evaluation framework of undergraduate nursing educators was > 70%, the consultation was over [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Construction of an evaluation index system for undergraduate nursing teachers’ curriculum humanistic competence: a Delphi study in China

Yang,

Zhai,

Liang

2023

BMC Nurs

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Background The curriculum humanistic competence of nursing teachers is important to cultivate the humanistic qualities of undergraduate nursing students. However, there are no evaluation tools for the curriculum humanistic competence of undergraduate nursing teachers in China. Objective To develop an index system to evaluate the curriculum humanistic competence of undergraduate nursing teachers. Design This research conducted a Delphi study. Participants Semi-structured interviews were held with 19 experts, and Delphi rounds were conducted with 18 experts. Settings This study was conducted in 12 universities and 4 Grade A tertiary hospitals in China. Methods A literature review and semi-structured interviews were conducted to develop an initial framework. A two-round Delphi survey was employed to build the index system for undergraduate nursing teachers’ curriculum humanistic competence. Results After two rounds of consultation, the index system included 5 first-level indicators, 11 second-level indicators and 41 third-level indicators. The Cr for two rounds of consultation were 0.929 and 0.923, and Kendall’s W was 0.152(P<0.001). Conclusions The index system for the evaluation of undergraduate nursing teachers’ curriculum humanistic competence offers guidelines for undergraduate nursing teachers in China. It can be used in practice to develop high humanistic qualities in undergraduate nursing teachers.

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“…Respecto a los estándares implícitos en las dimensiones, destacan los sistemas de Canadá [28], Estados Unidos [29], Australia [31,57] y Nueva Zelanda [32], los cuales han relevado aspectos relacionados con la seguridad cultural de las comunidades indígenas y la cultura de aprendizaje ética y abierta [59][60][61][62][63].…”

Section: Estándares De Acreditación En Programas De Partería Profesionalunclassified

Accreditation systems for midwifery training programs worldwide: A scoping review

Ortiz-Contreras,

Orellana-Cole,

Galvez-Ortega

et al. 2024

Medwave

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Accreditation of midwifery training programs aims to improve the quality of midwifery education and care. The study aimed to diagnose the accreditation systems of midwifery programs worldwide, identifying characteristics, standards, and differences. According to Arksey and O'Malley’s framework, a scoping review was conducted by searching databases, grey literature, and accreditation system websites. A total of 2574 articles and 198 websites related to education accreditation were identified, selecting 47 that addressed midwifery programs. The results show that while a global accreditation system in midwifery from the International Confederation of Midwives exists, it has been scarcely used. There is considerable heterogeneity across accreditation systems, with higher-income countries having more robust and specific systems. In contrast, accreditation is less common in lower-income countries and often depends on international support. The diversity across accreditation systems reflects differing needs, resources, and cultural approaches. The need for standardization and global improvement of accreditation systems is highlighted. Strengthening the International Confederation of Midwives accreditation system as a global system, with standards adaptable to each country or region according to their local contexts, could be key to advancing the professionalization and recognition of midwifery worldwide.

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Essential components of midwifery ethics education: results of a Delphi study

Cited by 6 publications

References 45 publications

Health literate-sensitive shared decision-making in maternity care: needs for support among maternity care professionals in the Netherlands

Health literate-sensitive shared decision-making in maternity care: needs for support among maternity care professionals in the Netherlands

Construction of an evaluation index system for undergraduate nursing teachers’ curriculum humanistic competence: a Delphi study in China

Accreditation systems for midwifery training programs worldwide: A scoping review

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