Thompson Suzanne M, Low Lisa Kane, Budé Luc, de Vries Raymond, Nieuwenhuijze Marianne
Midwifery Science, Zuyd University of Applied Sciences, Maastricht, the Netherlands; Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
School of Nursing, University of Michigan, Ann Arbor, United States.
Nurse Educ Today. 2021 Jan;96:104628. doi: 10.1016/j.nedt.2020.104628. Epub 2020 Oct 20.
Midwifery education that strengthens self-efficacy can support student midwives in their role as advocates for a physiological approach to childbirth.
To assess the effect of an educational intervention on self-efficacy, a pre- and post-intervention survey was administered to a control group and an intervention group of third year student midwives. The General Self-Efficacy Scale (GSES) was supplemented with midwifery-related self-efficacy questions related to behaviour in home and hospital settings, the communication of evidence, and ability to challenge practice.
Student midwives exposed to midwifery education designed to strengthen self-efficacy demonstrated significantly higher levels of general self-efficacy (p = .001) when contrasted to a control cohort. These students also showed significantly higher levels of self-efficacy in advocating for physiological childbirth (p = .029). There was a non-significant increase in self-efficacy in the hospital setting in the intervention group, a finding that suggests that education may ameliorate the effect of hospital settings on midwifery practice.
In spite of the small size of the study population, education that focuses on strengthening student midwife self-efficacy shows promise.
加强自我效能感的助产士教育可以支持助产专业学生在其作为倡导生理性分娩方法的倡导者的角色中发挥作用。
为了评估教育干预对自我效能感的影响，对三年级助产专业学生的对照组和干预组进行了干预前和干预后的调查。一般自我效能量表（GSES）补充了与家庭和医院环境中的行为、证据沟通以及挑战实践能力相关的助产士相关自我效能问题。
与对照组相比，接受旨在增强自我效能感的助产士教育的助产专业学生表现出显著更高水平的一般自我效能感（p = .001）。这些学生在倡导生理性分娩方面也表现出显著更高水平的自我效能感（p = .029）。干预组在医院环境中的自我效能感有不显著的增加，这一发现表明教育可能会改善医院环境对助产实践的影响。
尽管研究人群规模较小，但专注于增强助产专业学生自我效能感的教育显示出前景。
