Department of Midwifery, Faculty of Health and Environmental Sciences, Auckland University of Technology, South Campus, Auckland 2104, New Zealand; Department of Midwifery, Karya Husada Institute of Health Science, Jl Soekarno Hatta P.O. Box 153, Kediri, East Java 64225, Indonesia.
Department of Midwifery, Faculty of Health and Environmental Sciences, Auckland University of Technology, North Campus, Auckland 0627, New Zealand.
Women Birth. 2022 Feb;35(1):87-95. doi: 10.1016/j.wombi.2021.03.002. Epub 2021 Mar 19.
One of the Indonesian Government's strategies to reduce maternal mortality rates has been to place a midwife in every village to provide midwifery care and facilitate essential primary healthcare services. To increase the numbers of midwives, the Indonesian Government began opening midwifery schools. However, Indonesia's maternal mortality rates remained high. This raises the question of the quality of midwifery education in Indonesia and how this education could be strengthened so that midwifery plays a key role in reducing maternal mortality rates.
The aim of this study was to identify the barriers and enablers to strengthening midwifery education in Indonesia.
A qualitative descriptive approach and in-depth interviews was the method used with 37 participants from 12 midwifery schools in eight cities situated in six provinces in Indonesia. Indonesian midwives, midwifery lecturers, midwifery students, newly graduated midwives, and obstetricians were interviewed in Bahasa Indonesia. Interviews were transcribed, translated, and thematically analysed following Braun and Clark (2006).
This article focuses on findings on "midwifery clinical experience", a theme which contained four sub-themes: "effective hands-on clinical experience", "theory-practice gap", "role of the mentor in practice", and "the system in the clinical environment".
This study highlights barriers to preparing midwifery students for obtaining adequate midwifery knowledge and skills during clinical placement. Quality clinical experience would improve knowledge and skills for better preparedness for students to competently meet their role as midwives, contributing to the strengthening of midwifery education in Indonesia.
印度尼西亚政府降低产妇死亡率的策略之一是在每个村庄都配备一名助产士，提供助产护理并促进基本的初级卫生保健服务。为了增加助产士的数量，印度尼西亚政府开始开设助产士学校。然而，印度尼西亚的产妇死亡率仍然很高。这就提出了印度尼西亚助产教育质量的问题，以及如何加强这种教育，以使助产在降低产妇死亡率方面发挥关键作用。
本研究的目的是确定加强印度尼西亚助产教育的障碍和促进因素。
采用定性描述方法和深入访谈法，对来自印度尼西亚 8 个城市 12 所助产学校的 37 名参与者进行了研究。印度尼西亚助产士、助产讲师、助产学生、新毕业的助产士和妇产科医生用印度尼西亚语接受了采访。采访内容被转录、翻译，并按照 Braun 和 Clark（2006 年）的方法进行了主题分析。
本文重点介绍了“助产临床经验”的发现，该主题包含四个子主题：“有效的实践经验”、“理论与实践的差距”、“实践中的导师角色”和“临床环境中的系统”。
本研究强调了在临床实习中为助产士学生获得足够的助产知识和技能做准备的障碍。高质量的临床经验将提高知识和技能，使学生更好地为胜任助产士的角色做好准备，为印度尼西亚的助产教育加强做出贡献。
