Perceived self-efficacy and willingness to teach family planning among nursing and midwifery faculty in higher learning institutions in Rwanda (original) (raw)
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2019
Objectives The aim of this study was to explore how nurse and midwife educators applied the knowledge and skills acquired from attending acontinuous professional development (CPD) workshop on teaching methodologies into their teaching practices in Rwanda. Methods A qualitative descriptive design was used with a purposive sample of 15 nursing and midwifery faculty members from six private and public post-secondary schools in Rwanda. Participants were involved in semi-structured individual interviews. Inductive content analysis was used for generating themes. Results Five themes emerged describing the educators’ teaching experiences: (1) enhanced teaching practices competencies; (2) application of knowledge and skills gained into classroom and clinical teaching; (3) collaboration and teamwork; (4) facilitators and challenges faced to the application of the knowledge and skills into practice; and (5) indirect outcomes to maternal, newborn, and child health care. Conclusion CPD workshop...
2020
Aim and objectives: Nursing and midwifery faculty play a vital role in nursing and midwifery students' professional development as soon-to-be clinicians by enabling them to gain essential competencies in perinatal and neonatal care. To enhance the quality of pre-service education of nursing and midwifery students in Rwanda, nursing and midwifery faculty participated in continuous professional development (CPD) educational workshops about teaching methodologies. The study's aim was to explore nursing and midwifery faculty's experiences of translating the knowledge and skills acquired from the workshops about teaching methodologies into their teaching practice in academic and clinical practice contexts. Methodology: A qualitative descriptive design was used with a purposive sample of 15 nursing and midwifery faculty from six private and public schools. Participants were involved in semistructured individual interviews. Inductive content analysis was used for generating themes. Results: Five themes emerged: enhanced competencies about teaching practices, application of knowledge and skills into classroom and clinical teaching, collaboration and teamwork, facilitators and challenges to applying knowledge and skill into practice, and indirect outcomes to maternal and child health care. Discussion and recommendations: Although educators' knowledge, skills, and confidence for teaching practice increased after participation in CPD, application of new skills was often hampered by insufficient resources and heavy workloads. The results support ongoing CPD programs for nursing and midwifery faculty members to increase their competencies around classroom and clinical teaching practice which can create a positive learning environment for students. The findings of this study highlighted that the application of competencies acquired from CPD workshops into teaching practice was perceived to ultimately contribute to improved student learning outcomes, and thus, enhanced maternal and child health care in Rwanda.
Nurse Education Today, 2021
In this semiexperimental study conducted at the university hospitals in an urban area of Iran, the number of reported incidents-as per the information from offices-was evaluated and recorded for the improvement of the quality of hospitals. Subsequently, an educational intervention was conducted for nursing managers. Three months later, the number of reported incidents was again evaluated and recorded. According to the results, the number of reported incidents increased in the hospitals after the educational intervention. The results of this study could be helpful for hospital personnel, especially nurses, to improve the culture of incident self-reporting.
AIDS Patient Care and STDs, 2015
High rates of childbearing desires (59%) and serodiscordant partnerships (50%) among people living with HIV (PHLA) in Uganda highlight the need for safer conception counseling (SCC). Provider attitudes about counseling PLHA on the use of safer conception methods (SCM) have been explored in qualitative studies, but published quantitative investigations are scarce. Data from 57 Ugandan providers were collected to examine providers' attitudes about childbearing among PLHA and engagement in discussions about childbearing, as well as their knowledge, interest, self-efficacy, and intentions to provide SCC. Correlates of self-efficacy for the provision of SCC were explored to inform the development of training programs. Providers reported a general awareness of most SCM, especially timed unprotected intercourse (TUI); but just over half felt they knew enough to counsel clients in the future and all wanted more training. Childbearing was discussed with less than a third of reproductive aged patients and was mostly initiated by patients. Most providers saw value in providing SCC and believed that most aspects of SCM would be acceptable to their clients, but numerous barriers were endorsed. Self-efficacy was greatest among providers who had had more childbearing conversations, greater SCM awareness, perceived fewer barriers and greater intentions to counsel on TUI. Providers evidence fewer stigmatizing attitudes than in the past. However, those who endorsed more stigmatizing attitudes evidenced a trend for reporting lower self-efficacy for providing SCC. Training will need to simultaneously focus on increasing providers' SCC knowledge and skills while instilling a more realistic appraisal of the risks of assisting couples to employ SCM versus doing nothing.
2016
Ethiopia has made considerable progress in increasing the uptake of family planning and comprehensive abortion services (FP/CAC) in the last decade owing to, among others, the Ministry of Health's commitment in making family planning a national health priority, its favorable national policies and strategies, including the Health Extension Program, and the effort to increase the availability of family planning commodities across all tiers of the health system. However, there is still a substantial level of unmet need for contraception, and unsafe abortions continue to contribute to high maternal mortality in Ethiopia. One of the shortcomings of traditional medical training programs in the country was not incorporating these all-important competencies in providing contraception and safe abortion. This was posited to be one of the factors that resulted in medical graduates who did not have sound attitudes, and a sentiment to instead relegate these services to middle-and low-level health professionals. The Obstetrics and Gynecology (OBGYN) faculty at St. Paul's Hospital Millennium Medical College (SPHMMC) in Addis Ababa, in partnership with Dr. Senait Fisseha at University of Michigan (U-M), saw this as a missed opportunity and designed and implemented a program in pre-service integration of FP/CAC services beginning with the first class of St. Paul's interns in 2012, following a baseline assessment that confirmed the lack of these competencies in the soon-to-be graduates. This competency-based training is hands-on and simulation-supported, incorporating leadership and advocacy training as well as a dedicated rotation time in a family planning unit during the trainee's internship in OBGYN. The underlying approach in the partnership was based on sustainability and anchored in faculty capacity building and reproductive health service improvement. The partnership between St. Paul's and U-M concurrently incorporated this integration from the inception phase of the OBGYN residency program. Following the graduation of St. Paul's first class, the pre-service integration has become a standard part of medical training for St. Paul's trainees. A total of 216 medical students were successfully trained in rigorous, hands-on, competency-based modality in FP/CAC and have expressed their satisfaction with the program and how it has increased their viii • Executive Summary competency and confidence in providing these services and made them become better, more compassionate doctors. Graduates of the program, who are deployed to various corners of the country, have become skilled providers of these services, champions for the cause of women's health, and leaders who mentor and supervise other health care providers in their facility and satellite sites. St. Paul's OBGYN department has drawn a large number of exceptional OBGYN faculty who are training an ever-increasing cohort of bright residents and medical students. Currently there are 16 faculty members, up from 2 at the inception of the partnership in 2011; St. Paul's now has the highest number of OBGYNs in the public sector anywhere in the country, training 63 residents, 65 interns, and 180 clinical-year medical student in integrated, competency-based curricula that substantially emphasize contraception and comprehensive abortion care. U-M faculty regularly support the development of faculty and residents at SPHMMC in different clinical and teaching skills and research. Their research support encompasses research methodology trainings and one-on-one mentorship, which has resulted in scholarly reproductive health publications and presentations in major international conferences. The quality and volume of contraception and safe abortion services at St. Paul's Hospital have shown a sustained growth over the last four years, further reinforced with the launch of a newly redesigned woman-friendly reproductive health clinic and several ongoing quality-improvement initiatives spearheaded by committed faculty, which are paving the way to making St. Paul's a Center of Excellence (CoE) for reproductive health both nationally and in the region. The SPHMMC-U-M partnership's integration of FP/CAC, faculty development, and service improvement has resulted in an unprecedented advancement in training, service provision, and research capacity over the last several years and is creating confident, competent, compassionate physicians who are providing these services and mentoring fellow health professionals. The demonstrable success of the pre-service integration is now being scaled up to eight other medical schools in the country through the Center for International Reproductive Health Training (CIRHT) at the University of Michigan. This model will be subsequently expanded to other Sub-Saharan African and South East Asian countries with high rates of maternal mortality and unmet need for FP/CAC services.
International Journal of Gynecology & Obstetrics, 2012
Objective: To determine the knowledge, attitudes, and practices of obstetric care providers (OCPs) in Bugesera District, Rwanda, crucial to the delivery of safe motherhood services. Methods: A quantitative descriptive survey in Kinyarwanda targeting all OCPs in the district was implemented in November 2010 to determine demographic characteristics, safe motherhood knowledge, obstetric practices, and attitudes toward additional training. Results: The study captured 87% of OCPs, of whom 137 of 168 (82%) were A2 level nurses. Most expressed a need to improve their knowledge (60.6%) and skills confidence (72.2%) in safe motherhood. The mean percentage of correct answers of 50 questions assessing overall knowledge was 46.4%; sections on normal labor (39.3% correct) and obstetric complications (37.1% correct) were the weakest. Fundal pressure during vaginal delivery was practiced by 60.8%, and only 15.9% of providers practiced active management of the third stage of labor for all deliveries. Providers supported additional training, and 89.3% expressed willingness to participate in a 2-day workshop even if it were their day off. Conclusion: The study has identified a need to improve safe motherhood knowledge and practices of OCPs in the Bugesera District of Rwanda. OCPs support additional training as an intervention to reduce maternal mortality.
International Journal of Gynecology & Obstetrics, 2013
Objective: To describe rates of improved knowledge following a structured 2-day emergency obstetrics training course. Methods: Quantitative assessments to evaluate emergency obstetrics knowledge and practical skills were administered before, immediately after, and 3-9 months following the training course for 65 final-year medical students at the National University of Rwanda. A survey was administered during the final assessment. Results: In total, 52 (80.0%) students demonstrated knowledge improvement after training. Fifty-seven (87.7%) students improved or maintained their scores from the post-training written test to the final assessment, and 32 (49.2%) retained practical skills. Twenty-one (32.3%) of the class demonstrated competency in both written and practical skills. According to multivariable logistic regression analysis, female gender was associated with overall competency (P =0.01), and use of the internet for academic purposes more than 3-5 times per week tended toward competency (P =0.11). Conclusion: A 2-day emergency obstetrics training course increased knowledge among medical students. Because educational policies are tailored to address high rates of maternal mortality in resource-poor settings, workshops dedicated to emergency obstetrics should be promoted.
International Journal of Women's Health, 2023
Background: Childbirth self-efficacy has been identified as a significant indicator of a positive childbirth experience. It is, however, the most neglected aspect of maternal care, and evidence in this regard was lacking in Ethiopia. Therefore, this study aimed to assess perceived childbirth self-efficacy and its associated factors among pregnant women in the Gurage zone, southern Ethiopia. Methods: The current study was conducted from April to May 2022 using a facility-based cross-sectional study design. We used a systematic sampling technique and selected a total of 423 women. To collect the data, we utilized an interviewer-administered questionnaire containing a childbirth self-efficacy inventory scale. Multiple linear regression analysis was employed to discover the factors influencing a woman's self-efficacy during childbirth. Results: The current study included 423 pregnant women in total. This study revealed that the overall mean score for perceived childbirth self-efficacy was 489.06 (SD = 65.77). Social support (β = 0.214, P< 0.001), psychological well-being (β = 0.254, P< 0.001), education status at the secondary level (β = 0.151, P< 0.001), no fundal pressure (β = 0.11, P = 0.010), and planned pregnancy (β = 0.10, P =0.013) were positively associated with childbirth self-efficacy. Fear of childbirth (β = 0.19, P< 0.001), Primipara women (β = 0.14, P< 0.001), women who had experienced discomfort during vaginal examination (β = 0.10, P = 0.009), and women who experienced the inability to push (β = 0.10, P = 0.013) were negatively associated with childbirth self-efficacy. Conclusion: The overall mean score for the perceived childbirth self-efficacy was high when compared to the previous studies conducted in Australia. Healthcare professionals should create multifaceted strategies to support childbirth self-efficacy, such as relaxation techniques, prenatal psycho-education to reduce childbirth fear, enhance psychological well-being and encourage social support, particularly partner support during pregnancy and childbirth.