Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Al Ahlyyah Amman University, Faculty of Nursing, Amman, Jordan.
Int J Clin Pract. 2021 Dec;75(12):e14891. doi: 10.1111/ijcp.14891. Epub 2021 Sep 24.
The aims of this study were to identify midwives' and obstetricians' attitudes towards midwives practised roles in hospitals and to identify the differences in their attitudes towards midwives practiced roles.
A descriptive, cross-sectional, study design was used. A convenience sample of 303 midwives and 143 obstetricians were recruited. Participants were from 12 Ministry of Health (MOH) and Royal Medical Services (RMS) hospitals distributed across seven governorates. Two reliable and valid self-administered questionnaires were used to collect data including socio-demographic data-related characteristics of participants and obstetricians' and midwives' attitudes towards midwives' practiced role in hospitals.
There were significant differences between obstetricians in the three subscales of attitudes: midwives women relationship attitude subscale, midwives trust and mutual respect subscale and work environment attitudes subscale. A significant difference by the institution was reported: obstetricians and midwives who worked in MOH reported more positive attitudes than those who worked in RMS.
The results show that obstetricians recognise that midwives are qualified and competent professionals but still lack the competencies/skills to make them independent practitioners. The findings also confirm the need to improve midwives' practices by moving from being able to perform a specific task to possess all three attributes of "competencies," where they can intervene, manage and make decisions with confidence in each situation.
Based on the current study findings, parallel cooperation between educational/academic policymakers from both midwives and obstetricians may re-evaluate and upgrade the midwifery curriculum to meet the ICM competencies and health sector needs as a step to graduate competent midwives where their responsibility is recognised and organised.
本研究旨在确定助产士和产科医生对助产士在医院中所扮演角色的态度，并确定他们对助产士所扮演角色的态度差异。
采用描述性、横断面研究设计。便利抽取了 303 名助产士和 143 名产科医生作为研究对象。参与者来自分布在七个省的 12 家卫生部（MOH）和皇家医疗服务（RMS）医院。使用了两个可靠和有效的自我管理问卷来收集数据，包括参与者的社会人口统计学数据和产科医生及助产士对医院助产士实践角色的态度。
在三个态度子量表中，产科医生之间存在显著差异：助产士与妇女的关系态度子量表、助产士信任和相互尊重态度子量表以及工作环境态度子量表。报告了机构之间的显著差异：在卫生部工作的产科医生和助产士比在皇家医疗服务机构工作的人报告了更积极的态度。
结果表明，产科医生认识到助产士是合格和有能力的专业人员，但仍缺乏使他们成为独立从业者的能力/技能。研究结果还证实，需要通过从能够执行特定任务转变为拥有“能力”的所有三个属性来改善助产士的实践，以便在每种情况下都能自信地进行干预、管理和决策。
基于当前研究结果，助产士和产科医生的教育/学术政策制定者可以平行合作，重新评估和升级助产士课程，以满足 ICM 能力和卫生部门的需求，作为培养有能力的助产士的一步，其中他们的责任得到认可和组织。
