INVESTIGATION OF PERCEPTION OF EMPOWERMENT IN MIDWIFERY IN TERMS OF RELATED VARIABLES

Year 2025, Volume: 5 Issue: 12, 42 - 49, 04.02.2025

Elif Doğan , Rukiye Duman , Betül Uncu , Nurten Kaya

https://doi.org/10.54270/atljm.2025.73

Abstract

Objective: This study was conducted to reveal the current situation and the reasons for this situation by examining the perception of empowerment in midwifery in terms of relevant variables.
Method: This study, which was both descriptive and correlational, surveyed a total of 278 midwives randomly selected from different regions across Turkey. The data were collected with "Perceptions of Empowerment in Midwifery Scale" and the "Descriptive Information Form for Midwives,"
Results: The mean age of the midwives participating in the study was 32.94 years, and they had an average of 10.95 years of professional experience. On The study found that various factors influenced the total or specific factor scores on the Perceptions of Empowerment in Midwifery Scale, including the midwives' ages, years of professional experience, the type of units they worked in, whether they had chosen and practiced the profession willingly, how suitable they felt midwifery was for them, their likelihood of recommending the profession, their engagement with scientific activities related to midwifery, the impact of professional issues on their social lives, and the level of professional respect they received from society (p<0.05).
Conclusion: Midwives' perceptions of empowerment in midwifery can be enhanced, and the health of women, children, and communities and welfare levels can be improved. Therefore, midwives' perceptions of empowerment in midwifery should be improved by considering the influential factors.

Keywords

midwife, midwifery, empowerment, perception

EBELİKTE GÜÇLENDİRME ALGISININ İLGİLİ DEĞİŞKENLER AÇISINDAN İNCELENMESİ

Abstract

Amaç Bu çalışma ebelikte güçlendirme algısını ilgili değişkenler açısından inceleyerek mevcut durumu ve bu durumun nedenlerini ortaya koymak amacıyla yapılmıştır.
Yöntem: Tanımlayıcı ve korelasyonel desendeki bu çalışmaya, Türkiye'nin çeşitli bölgelerinden rastgele seçilen 278 ebe dahil edilmiştir. Veriler, “Ebelikte Güçlendirme Algısı Ölçeği” ve çevrimiçi olarak uygulanan “Ebeler İçin Tanıtıcı Bilgi Formu” kullanılarak toplanmıştır.
Bulgular: Araştırmaya katılan ebelerin yaş ortalaması 32,94 yıl ve mesleki deneyim ortalaması 10,95 yıl idi. Ebelerin yaşları, mesleki deneyim süreleri, çalıştıkları birimler, mesleklerini isteyerek seçme ve isteyerek yapma durumları, ebelik mesleğini kendilerine uygun bulma, ebelik mesleğini önerme, ebelik ile ilgili bilimsel etkinlikleri takip etme, mesleki sorunlarını sosyal yaşamlarına yansıtma ve toplum tarafından mesleki olarak saygı görme durumlarının Ebelikte Güçlenme Algısı Ölçeği toplam veya faktör puanlarını etkilediği görülmüştür (p<0.05).
Sonuç: Ebelerin ebelikte güçlenme algıları geliştirilebilir ve kadınların, çocukların, toplumun sağlığı ve refah düzeyi iyileştirilebilir. Bu nedenle, ebelerin ebelikte güçlenme algıları, etkili faktörler göz önünde bulundurularak geliştirilmelidir.

Keywords

ebe, ebelik, güçlendirme, algı

References

• Ozimek JA, Kilpatrick SJ. Maternal Mortality in the Twenty-First Century. Obstetrics and gynecology clinics of North America. 2018;45(2):175–186. https://doi.org/10.1016/j.ogc.2018.01.004
• Risnah Amiruddin R, Mustamin Irwan M, Mukhtar M, ve ark. Increasing midwifery capability on maternal health service. Gaceta sanitaria. 2021;35(2):519–523. https://doi.org/10.1016/j.gaceta.2021.10.084
• Nyoni CN, Botma Y. Implementing a competency-based midwifery programme in Lesotho: A gap analysis. Nurse education in practice. 2019;34:72–78. https://doi.org/10.1016/j.nepr.2018.11.005
• World Health Organization (WHO). Regional Office for Europe. Nurses and Midwives for Health, WHO European Strategy for Nursing and Midwifery Education Section 1-8 Guidelines for Member States on The Implementation of The Strategy. 2001 [Access Date: 26 Mart 2024]. Internet Address:https://iris.who.int/bitstream/handle/10665/108405/9789289011914-eng.pdf?sequence=1&isAllowed=y
• International Confederation of Midwives (ICM). ICM Essential Competencies - Assessment Guide. 2023 [Access Date: 24 March 2024]. Internet Address: https://internationalmidwives.org/wp-content/uploads/en_21122022_icm-competencies-assessment-guide_final-draft-1.pdf
• Colak MB, Can HÖ. Competence, Competency and Use of Technology in Midwives. Turkiye Klinikleri J Health Sci. 2021; 6(2): 340-9.
• International Confederation of Midwives (ICM). The International Confederation of Midwives (ICM) Essential Competencies for Midwifery Practice Framework. 2019. [Access Date: 26 March 2024]. Internet Address: https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/
• Li S, Dai Y, Chen Y, ve ark. Midwifery Core Competency Assessment Tool: A Systematic Review Protocol. PREPRINT (Version 1) available at Research Square. 2020: https://doi.org/10.21203/rs.3.rs-53318/v1
• Özdelikara A, Boga NM, Alkan SA. Determined Professional Organization Attitude of Nursing. International Journal Of Health Management and Strategies Research. 2016; 2(3): 58-70.
• Koc E, Dolgun G. Determination of Relation between Duty Satisfaction of Midwives and Their. Journal of Health Sciences and Professions.2016;3(1):23-30.
• Emami Zeydi A, Ghazanfari MJ, Azizi E, ve ark. Clinical competence of Iranian nurses: A systematic review and meta-analysis. J Educ Health Promot. 2022;23(11):102.
• Gökduman Keles M, Altinkaya S. The Opinions Of Midwives About Their Competence; A Qualitative Study. Journal Of Health Sciences. 2022;31(2):145-151.
• Matthews A, Scott PA, Gallagher P. The development and psychometric evaluation of the Perceptions of Empowerment in Midwifery Scale. Midwifery. 2009;25(3): 327-335.
• Murat Öztürk D, Sayıner F, Bayar A. Turkish Adaptation of Perceptions of Empowerment in Midwifery Scale: Validity and Reliability Study. Gümüşhane University Journal Of Health Sciences. 2018;7(1):28-34.
• Pallant JF, Dixon L, Sidebotham M, ve ark. Further validation of the Perceptions of Empowerment in Midwifery Scale. Midwifery. 2015;31(10): 941–945.
• Lukasse M, Pajalic Z. Norwegian midwives' perceptions of empowerment. Sexual & Reproductive Healthcare. 2016;7: 58-64.
• Hajiesmaello M, Kariman N, Sharif Nia H, ve ark. The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version. BMC health services research. 2020;20:1-9.
• Tallam EC, Kaura D, Mash R. Self-perceived competency of midwives in Kenya: A descriptive cross-sectional study. Afr J Prim Health Care Fam Med. 2022;14(1):e1-e9.
• Tarimo EAM, Moyo G, Masenga H, ve ark. Performance and self-perceived competencies of enrolled nurse/midwives: a mixed methods study from rural Tanzania. BMC health services research. 2018; (1): 277.
• Netshisaulu KG, Maputle MS. Expected clinical competence from midwifery graduates during community service placement in Limpopo province, South Africa. Health SA. 2018;23:1166.
• Huang J, Lu H, Li J, ve ark. Comparison of midwives' self-perceived essential competencies between low and high maternal mortality ratio provinces in China. Journal of clinical nursing. 2020; 29(23-24): 4733–4747.
• Hildingsson I, Gamble J, Sidebotham M, ve ark. Midwifery empowerment: National surveys of midwives from Australia, New Zealand and Sweden. Midwifery. 2016;40:62–69. https://doi.org/10.1016/j.midw.2016.06.008
• Sökmen Y, Taspinar A. Professional Attitudes of Midwifery and Factors Affecting. Journal of Anatolia Nursing and Health Sciences. 2018;24(2):156-166. https://doi.org/10.17049/ataunihem.615169
• Numminen O, Leino-Kilpi H, Isoaho H, ve ark. Newly graduated nurses' occupational commitment and its associations with professional competence and work-related factors. Journal of clinical nursing. 2016; 25(1-2): 117–126. https://doi.org/10.1111/jocn.13005
• Wang, R., Chen, S., Cong, S., Sun, X., Sha, L., Zhu, Z., ... & Zhang, A. Status and influencing factors of nursing and midwifery professionals' core competence‐a cross sectional study. Journal of Nursing Management. 2022; 30(8): 3891-3899.
• Froneman C, Wyk NCV, Mogale RS. Enhancing the professional dignity of midwives: A phenomenological study. Nursing ethics. 2019;26(4):1062–1074. https://doi.org/10.1177/0969733017739781