Mirzakhani Kobra, Shorab Nahid Jahani
M.Sc. of Midwifery, Lecture and Faculty Member, Department of Midwifery, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Electron Physician. 2015 Sep 16;7(5):1284-9. doi: 10.14661/1284. eCollection 2015 Sep.
Self-confidence is one of the main components of clinical competence, and it is considered to be an important indicator of ability and competence. The aim of this study was to determine the confidence of midwifery graduates from Mashhad College of nursing and midwifery in fulfilling the required clinical skills.
The study was in the form of a cross-sectional study, and it was performed in 2011 on 50 midwifery graduates who had been working in health centers in Mashhad for six months to three years providing midwifery services, as well as on their supervisors having a minimum of 6 months experiences of responsibility in these centers. The research tools included self-assessment tools of self-confidence in midwives and assessment tools of self-confidence in midwifery graduates in fulfilling clinical skills performed by the supervisors. The validity of the tools was confirmed by face validity and content validity, and the reliability of the test was confirmed by test-retest (r = 0.82). After the data were extracted and encoded, they were analyzed using SPSS software version 11.5, descriptive statistics, the t-test, and Pearson's test.
Among the midwifery graduates, 84.57% of them had confidence in the area of management of low-risk situations, and 55.51% had confidence in their ability to manage high-risk situations. The self-confidence levels of graduates in fulfilling clinical skills in the management of low-risk and high-risk situations were significantly different (P < 0.05). Clinical skills had a positive correlation with self-confidence (P < 0.05, r = 0.85).
Improvements were needed in the self-confidence of graduates in fulfilling clinical skills in the management of high-risk situations. In order to achieve such improvement, it is necessary to identify and use methods of increasing graduates' self-confidence in the learning environment by developing an enhanced midwifery curriculum and improved teaching methods.
自信是临床能力的主要组成部分之一，被视为能力和胜任力的重要指标。本研究的目的是确定马什哈德护理与助产学院的助产专业毕业生在掌握所需临床技能方面的自信程度。
本研究采用横断面研究形式，于2011年对50名在马什哈德健康中心提供助产服务达6个月至3年的助产专业毕业生及其在这些中心至少有6个月责任经验的主管进行了研究。研究工具包括助产士自信自评工具以及主管对助产专业毕业生掌握临床技能的自信评估工具。这些工具的效度通过表面效度和内容效度得到确认，测试的信度通过重测法得到确认（r = 0.82）。数据提取和编码后，使用SPSS 11.5软件进行分析，采用描述性统计、t检验和皮尔逊检验。
在助产专业毕业生中，84.57%的人在低风险情况管理方面有信心，55.51%的人对自己管理高风险情况的能力有信心。毕业生在低风险和高风险情况管理中掌握临床技能的自信水平存在显著差异（P < 0.05）。临床技能与自信呈正相关（P < 0.05，r = 0.85）。
毕业生在高风险情况管理中掌握临床技能的自信需要提高。为实现这一改进，有必要通过制定强化的助产课程和改进教学方法，在学习环境中确定并采用提高毕业生自信的方法。
