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助产作为未来职业:埃塞俄比亚东部哈勒尔预科学生动机的决定因素

Midwifery as a Future Career: Determinants of Motivation Among Prep Students in Harar, Eastern Ethiopia.

作者信息

Tadesse Daniel, Weldemariam Solomon, Hagos Hadgay, Sema Alekaw, Girma Meklit

机构信息

Midwifery Department, Dire Dawa University, Dire Dawa, Ethiopia.

Midwifery Department, Mekelle University, Mekelle, Tigray Regional State, Ethiopia.

出版信息

Adv Med Educ Pract. 2020 Dec 31;11:1037-1044. doi: 10.2147/AMEP.S275880. eCollection 2020.

DOI:10.2147/AMEP.S275880
PMID:33408548
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7780987/
Abstract

BACKGROUND

Midwifery is a profession that deals with care and advice during pregnancy, labor, childbirth and postpartum period including support for the newborn. Like other professions, the sustainability of midwives depends on recruiting new professionals who are inspired to train as their future career. In this regard, the inspiration of preparatory students to embracing the profession and secure the future midwife workforce is critical. In Ethiopia, there is no literature on the assessment of students' intention toward the midwifery profession. Hence, this study is crucial to fill data scarcity.

OBJECTIVE

To assess the intention and related factors to choose midwifery as a future profession among preparatory students at Harar.

METHODOLOGY

An institutional cross-sectional study was conducted on preparatory students from March 20 to April 12/2019. Self-administered questionnaires were randomly given to 423 students. Multivariate logistic regression analysis was done for variables with p-value <0.2 in binary logistic regression. The odds ratio was used to measure the degree of association.

RESULTS

Only 18.1% intended to choose midwifery as a future profession. The odds of considering to choose midwifery is 5 times higher in those who have a health professional mother [AOR= 5.518 p-value 0.009]. Students who have good perceptions are 7 times more likely to choose the profession [AOR= 7.072 p-value 0.00]. Students who perceived low regard toward the profession [AOR= 0.231 p-value 0.001] and blood contact as a barrier to be a midwife [AOR= 0.174 p-value 0.001] are less likely to choose it.

CONCLUSION

Preparatory students in Harar have minimal intention to choose midwifery. This is due to a lack of information about the profession, poor perception, low regard to the profession, and fear of blood contact. This finding contributes to the midwifery association and ministry of health to enhance positive perception toward the profession.

摘要

背景

助产是一项在孕期、分娩期、产后期提供护理和建议的职业,包括对新生儿的照料。与其他职业一样,助产士队伍的可持续性取决于招募受激励将其作为未来职业进行培训的新专业人员。在这方面,预科学生对该职业的热情以及确保未来助产士队伍的充实至关重要。在埃塞俄比亚,尚无关于评估学生对助产职业意向的文献。因此,本研究对于填补数据空白至关重要。

目的

评估哈拉尔预科学生选择助产作为未来职业的意向及相关因素。

方法

于2019年3月20日至4月12日对预科学生开展了一项机构横断面研究。向423名学生随机发放自填式问卷。对二元逻辑回归中p值<0.2的变量进行多变量逻辑回归分析。采用比值比来衡量关联程度。

结果

仅有18.1%的学生打算选择助产作为未来职业。有卫生专业母亲的学生选择助产的可能性高出5倍[AOR = 5.518,p值0.009]。看法良好的学生选择该职业的可能性高出7倍[AOR = 7.072,p值0.00]。认为该职业受轻视的学生[AOR = 0.231, p值0.001]以及将血液接触视为成为助产士障碍的学生[AOR = 0.174, p值0.001]选择该职业的可能性较小。

结论

哈拉尔的预科学生选择助产职业的意向极低。这是由于对该职业缺乏了解、看法不佳、对该职业重视不足以及对血液接触的恐惧。这一发现有助于助产士协会和卫生部增强对该职业的积极看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e79/7780987/b5baf599fffd/AMEP-11-1037-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e79/7780987/0c3e59eaca9b/AMEP-11-1037-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e79/7780987/b5baf599fffd/AMEP-11-1037-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e79/7780987/0c3e59eaca9b/AMEP-11-1037-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e79/7780987/b5baf599fffd/AMEP-11-1037-g0002.jpg

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本文引用的文献

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The International Confederation of Midwives essential competencies for basic midwifery practice. an update study: 2009-2010.《国际助产士联盟基本助产实践必备能力更新研究:2009-2010》。
Midwifery. 2011 Aug;27(4):399-408. doi: 10.1016/j.midw.2011.03.005. Epub 2011 May 20.
2
Quality considerations in midwifery pre-service education: exemplars from Africa.助产士职前教育中的质量问题:来自非洲的范例。
Midwifery. 2011 Jun;27(3):308-15. doi: 10.1016/j.midw.2010.10.011. Epub 2010 Dec 3.
3
Knowledge, attitudes and intention of high school students towards the nursing profession in Riyadh city, Saudi Arabia.
沙特阿拉伯利雅得市高中生对护理专业的知识、态度和意向
Saudi Med J. 2004 Feb;25(2):150-5.