Midwifery education in Central-Eastern Europe

Mivšek, Polona; Bašková, Martina; Wilhelmová, Radka

doi:10.1016/j.midw.2015.10.016

Cited by 17 publications

(16 citation statements)

References 2 publications

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“…Midwives who are older and have longer practical experience are more likely to have a lower level of basic midwifery education. This might be expected, as university-level midwifery education in Slovakia was launched only in 2003 with a bachelor degree program, and in 2011, a masterʼs degree was added (Mivšek, Baškova, Wilhelmova, 2016). Both age of respondents in our sample, and length of practice were found to be negatively correlated with conflicts with physicians, and inadequate preparation.…”

Section: Discussionmentioning

confidence: 66%

“…New university-level education models, standards of midwifery hospital care, and legislation allow midwives a considerable degree of autonomy. However, most of these competencies are not used in practice, and the majority of midwives work in outpatient departments and gynaecological and obstetrics clinics where most of these activities come under the remit of doctors (Mivšek, Baškova, Wilhelmova, 2016). The discrepancy between midwives´ education and the level of autonomy they are granted in practice might cause a significant negative correlation between age and conflicts with physicians.…”

Section: Discussionmentioning

confidence: 99%

“…Uncertainty concerning treatment was positively correlated with active coping, instrumental support, planning, self-blame, denial, and venting. Since the majority of midwives in Slovakia work in outpatient departments and gynaecological and obstetrics clinics where most activities and decisions concerning patient treatment come under the remit of doctors (Mivšek, Baškova, Wilhelmova, 2016), they must deal with stressful situations, such as being uncertain about treatment, regarding treatment selected by physicians to be inappropriate, not knowing exactly what a patient should be told, or being in charge with inadequate experience. A possible reason for using more problem-focused strategies might be the higher basic education of respondents, providing them with the knowledge and skills necessary to effectively deal with situations.…”

Section: Discussionmentioning

confidence: 99%

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Work-Related Stress and Coping Among Midwives in Slovakia

Banovcinova

2017

Cent Eur J Nurs Midw

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Aim: The purpose of the study was to identify the most common workplace stressors and most frequently used coping strategies among Slovak midwives, as well as the relationships between work place stressors, coping strategies, and demographic characteristics. Design: Quantitative cross-sectional study. Methods: A cross-sectional study was conducted with the research sample, which consisted of 100 midwives (females, age 37.91 ± 11.03). The Brief COPE questionnaire and Expanded Nursing Stress Scale were used. Descriptive statistic, Kruskal-Wallis Test, Student's t-test, and Pearson's Correlation Analysis were employed. Results: Death and dying, conflicts with doctors, and workload were the most cited stressors. Active coping, acceptance, and using instrumental support were the most frequently used coping strategies. Midwives used both problem-focused and emotion-focused strategies when dealing with work-related stressors. Conclusion: Since emotion-focused strategies are considered maladaptive in the long term, intervention strategies and education programs helping midwives in the use of positive forms of adaptive problem-focused coping would be beneficial.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Work-Related Stress and Coping Among Midwives in Slovakia

Banovcinova

2017

Cent Eur J Nurs Midw

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“…Evaluations in other countries showed that such vocational training with an intensive mentoring program is relevant to learning practical competencies 19 . Insufficient practical experience during a university program would be disadvantageous in developing a professional identity 20 . Hence the reason why the dual system has been complimented worldwide for its practical orientation.…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards bachelor-level education amongst Bavarian midwives – results of a descriptive cross-sectional survey in Bavaria - Germany

Reuschenbach¹,

Komlew²

2018

Eur J Midwifery

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INTRODUCTION In Germany, the traditional vocational midwifery training lasts three years. This training is marked as Qualification Level 4 of the European Qualification Framework (EQF). There are very few midwives with a Bachelor degree, and an even smaller number of universities that offer a qualification program at EQF Level 6 (Bachelor). The aim of this paper is to analyze the attitude and interests of traditionally educated German midwives in undertaking a university degree. METHODS Midwives were surveyed within the framework of a descriptive cross-sectional study. The survey has 13 items and was available as a web-based survey between 1 November 2016 and 31 January 2017. Alternatively, the midwives were able to send a hardcopy version of the questionnaire back by mail, anonymously. Data was obtained from 534 midwives. The quantitative data were analyzed using SPSS (Version 23). The qualitative data were structurally analyzed using a qualitative content analysis. RESULTS It was found that 57.7% of the surveyed midwives are interested in completing a university degree, and 40.1% could imagine themselves pursuing a degree. The respondents were overwhelmingly positive in their opinion of university qualifications and qualification upgrades. Nevertheless, the open-question responses indicated that there are strong concerns surrounding the level of proficiency and experience-based knowledge taught for a university degree, which are essential elements in the traditional training system. CONCLUSIONS Although midwives understand the importance of a Bachelor degree, they need to be informed about the expertise and practical skills taught in the degree curriculum. The standard course for a German midwife trainee lasts three years and consists of 1600 hours of theoretical training and 3000 hours of practical training. Currently, there are around 21000 midwives in Germany, with 800 midwives completing the training annually 5. Both the theoretical and practical content are provided through the midwifery training school and are regulated by the German training and examination regulations for Midwives ('Ausbildungs-und Prüfungsverordung für Hebammen, 1987') and the German Midwifery Law ('Hebammengesetz, 1985'). The practical training involves attendance in the delivery suite, postnatal ward, neonatal intensive care unit, in the operating theatre, and surgical and medical wards. The students receive remuneration for their training 6,7. Only applicants with an 'A-Level' course completion

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“…This also includes the use of evidence‐based interventions for perineal protection, such as antenatal perineal massage (Beckmann & Stock, ) and the use of warm compresses during labor (Dahlen, ). However, the integration of research findings into practice still presents some difficulties (Mivšek, ; Mivšek et al, ). Midwifery practice often includes a range of obstetric interventions (Wagner, ; Mivšek, ).…”

Section: Literature Reviewmentioning

confidence: 99%

Incidence of episiotomy in Slovenia: The story behind the numbers

Došler

Mivšek

Verdenik

et al. 2017

Nursing & Health Sciences

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Episiotomy is a surgical cut of the perineum performed in the second stage of labor in order to widen the vaginal opening and thus facilitate the birth of an infant. Despite current recommendations against the routine use of episiotomy, it is one of the most commonly performed surgical interventions during childbirth. This retrospective study explores the number of episiotomies performed in Slovenian maternity hospitals and the differences in episiotomy rates in relation to parity. Data were obtained from the Slovenian National Perinatal Information System and pooled for 2013. A causal and non-experimental method of empirical research was used. The results of the study show that episiotomy rates vary widely across Slovenian maternity hospitals, ranging from 2.5% to 51.7%. Moreover, the majority of Slovenian maternity hospitals exceed the recommended rate, with an overall incidence of episiotomy as high as 31.3%. Further research is recommended to obtain relevant information from women as well as from midwives and to draw new, evidence-based conclusions related to the maternal benefits and adverse effects of episiotomy.

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Midwifery education in Central-Eastern Europe

Cited by 17 publications

References 2 publications

Work-Related Stress and Coping Among Midwives in Slovakia

Work-Related Stress and Coping Among Midwives in Slovakia

Attitudes towards bachelor-level education amongst Bavarian midwives – results of a descriptive cross-sectional survey in Bavaria - Germany

Incidence of episiotomy in Slovenia: The story behind the numbers

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