Evaluation of woman‐centred care status by Iranian midwives and providing strategies to improve women‐centred care: A sequential explanatory mixed method study protocol

Mashayekh‐Amiri, Sepideh; Nourizadeh, Roghaiyeh; Mohammad‐Alizadeh‐Charandabi, Sakineh; Vaezi, Maryam; Meedya, Shahla; Mirghafourvand, Mojgan

doi:10.1002/nop2.1901

Cited by 2 publications

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“…As the first part (i.e., the quantitative phase) of a sequential explanatory mixed-method study [ 24 ], this cross-sectional study was conducted on 575 midwives working in urban health centers and public and private hospitals in Tabriz from November 2022 to January 2023.…”

Section: Methodsmentioning

confidence: 99%

Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study

Mashayekh-Amiri,

Nourizadeh,

Mohammad-Alizadeh-Charandabi

et al. 2023

Reprod Health

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Background Woman-centered care (WCC) is the cornerstone of the midwifery profession. However, no study has been conducted on WCC provided by Iranian midwives and its associated factors. Thus, this study aimed to determine WCC and factors associated with midwives’ WCC for midwives working in urban health centers and public and private hospitals in Tabriz, Iran. Methods This cross-sectional study was the first part (i.e., the quantitative phase) of a sequential explanatory mixed-method study conducted on 575 midwives working in urban health centers and public and private hospitals in Tabriz-Iran from November 2022 to January 2023. The required data was collected by distributing a socio-demographic and job characteristics questionnaire and woman-centered care scale-midwife self-report (WCCS-MSR). To determine the factors associated with WCC, an independent t-test or one-way analysis of variance (ANOVA) was used in bivariate analysis, and a general linear model (GLM) was employed in multivariate analysis to control possible confounding variables. Results The statistical population consisted of 575 midwives, with a response rate of 88.2%. According to the GLM, the total mean WCCS-MSR score of single [β (95% CI) 23.02 (7.94 to 38.10)] and married [β (95% CI) 21.28 (6.83 to 35.72)] midwives was significantly higher than that of divorced midwives after adjusting their demographic and job characteristics. Also, the total mean WCCS-MSR score of midwives with sufficient income was significantly higher than those with insufficient income [β (95% CI) 8.94 (0.12 to 17.77). In addition, the total mean WCCS-MSR score of midwives with < 5 years of work experience [β (95% CI) − 7.87 (− 14.79 to − 0.94)], and midwives with official-experimental employment status [β (95% CI) − 17.99 (− 30.95 to − 5.02)], was significantly lower than those with more than 5 years of work experience and contractual employment status. Conclusions The findings indicate that marital status, level of income, years of practice, and employment status were significantly related to WCC provided by midwives. Focusing only on the midwifery community is insufficient to ensure the improved quality of WCC. However, arrangements should be made at three levels, including policy-makers, managers, and health care provider (midwives).

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Section: Methodsmentioning

confidence: 99%

Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study

Mashayekh-Amiri,

Nourizadeh,

Mohammad-Alizadeh-Charandabi

et al. 2023

Reprod Health

Self Cite

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show abstract

Evaluation of woman‐centred care status by Iranian midwives and providing strategies to improve women‐centred care: A sequential explanatory mixed method study protocol

Mashayekh‐Amiri

Nourizadeh

Mohammad‐Alizadeh‐Charandabi

et al. 2023

Nursing Open

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AimThe present study aimed to evaluate the status of WCC provided by Iranian midwives.DesignA sequential explanatory mixed method study protocol.MethodsThe present study was conducted in three phases: quantitative, qualitative and mixed. The first phase is a cross‐sectional study that will be performed on midwives working in health centres, public and private hospitals in Iranian. The second phase is a qualitative study, in which purposeful sampling will be used, meaning that the midwives who are part of the extreme cases according to the results of quantitative phase and are willing and able to express their own experiences regarding WCC will be selected. Also, pregnant and parturient women under their cover will also be interviewed. Finally, in the mixed phase, we will use a combination of two quantitative and qualitative studies, a literature review and expert opinion using a Delphi method to provide strategies to improve and promote WCC in midwives.ResultsAchieving this goal is expected to provide positive outcomes such as strengthening the midwives professional relationship with women and reducing health care costs.No Patient or Public Contribution.

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Evaluation of woman‐centred care status by Iranian midwives and providing strategies to improve women‐centred care: A sequential explanatory mixed method study protocol

Cited by 2 publications

References 50 publications

Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study

Woman-centered care and associated factors among midwives working in urban health centers and public and private hospitals in Tabriz, Iran: a cross-sectional study

Evaluation of woman‐centred care status by Iranian midwives and providing strategies to improve women‐centred care: A sequential explanatory mixed method study protocol

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