Developing an educational program for fourth-year students at Balikesir University's school of health, department of midwifery, to learn and practice antenatal skills

Selda Yoruk, Turkan Gunay
2014 International Journal of Research in Medical Sciences  
The objective of this study is to develop an educational program to improve the antenatal care practice skills of fourth-year students in the midwifery department at Balikesir University's school of health. Methods: The control group included 39 students who had taken public healthcare courses in the 2009-2010 academic year. The intervention group consisted of 40 students who had taken the same courses in the 2010-2011 academic year. The study's dependent variable was the skill level; its
more » ... ndent variable was the educational program. The data evaluation guide feedback form was collected. The students' scores for prenatal care were analyzed using the Mann-Whitney U test. Results: The study found that midwives in the control group, which did not receive the educational program, did not apply some of the steps in prenatal health care, such as examining the bellies of pregnant women, measuring their folic acid, assessing laboratory tests and providing them with information about their examinations. In addition, there were other skills in prenatal health care and communication that this group either never applied or applied only after being reminded. However, almost all of the midwives in the intervention group were found to have used communication skills effectively and to have completed prenatal healthcare in the proper order and in a highly qualified manner. Conclusion: The educational program developed for midwife education and practice has been successful and effective. Almost all of the people in the control group have fully applied their healthcare follow-up skills. Since providing the students with instruction about how to communicate helps them to develop both skills and attitudes, this education should be given, along with a chance to practice the skills. A full 56.4 % of those in the control group were unable to perform the required steps for welcoming the pregnant women, establishing communication with them and using effective communication skills. Clearly, the fact that the control group received no education in developing skills for communicating with the pregnant women and had no opportunity to practice this contributed to the lower scores they received. On the other hand, among the intervention group, which had received education in communication skills, with the learning and evaluation guides developed for this, all of the students were found to be successful in establishing communication with the pregnant women and using their communication skills effectively. These students conducted their entire followups independently, according to the practice outlined in the curriculum, and this also enhanced the further development of their communication skills. The fact that the curriculum includes concepts related to the communication skills, such as the importance of communicating effectively with the women at their follow-ups and what to address in the communication, is important. This course, then, helped the students not only to acquire the basic communication skills but to find ways to develop new skills as well. Receiving education in communication skills helps to increase these skills; clearly, they can be learned and they can be developed. 18 After establishing the importance of communication skills in nursing education, the curriculum became effective through the development of methods for teaching these skills. [19] [20] [21] Taking detailed medical, personal and obstetric histories of the pregnant women is of paramount importance for the health of both the women and the fetuses. The information that is collected by taking histories during the pregnancy helps to determine the risk factors. 22 As a result of priorities established in the health services in
doi:10.5455/2320-6012.ijrms20141118 fatcat:oi4i6i4xwvajbcnup5paelf7iy