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

Background: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 independent 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.

Effect of antenatal class attendance on fear of childbirth and antenatal stress

OBJECTIVE: To assess the effect of attending antenatal classes on fear of childbirth and antenatal stress in nulliparous pregnant women. METHODS: A total of 133 nulliparous pregnant women participated in the study, which had a quasi-experimental design. Data were collected by a descriptive data form, the Wijma Delivery Expectancy/Experience Questionnaire, and the Antenatal Perceived Stress Inventory (APSI). RESULTS: A significant correlation was found between antenatal class attendance and having a high schooling level and an intended pregnancy (p < 0.05). The mean fear of childbirthscore of pregnant women was 85.50 ± 19.41 before the training and 76.32 ± 20.52 after the training, and the difference between these scores was significant (p < 0.01). Fear of childbirth scores were not significantly different between the intervention group and the control group. The mean APSI score of pregnant women in the intervention group was 22.32 ± 6.12 before the training and 21.79 ± 5.97 after the training. However, this difference was not statistically significant (p = 0.70). CONCLUSION: The fear of childbirth score decreased significantly in the intervention group after the training

Evaluation of the fear of falling and the effective factors in old people staying in balıkesir state hospital ınternal medicine service

OBJECTIVE: This study aims to determine the fear of falling and effecting factors in old people, staying at Balıkesir University Medical Faculty, internal medicine service. MATERIALS and METHODS: This cross-sectional study, included the patients aged 65 and over (n=445), and was held at Balıkesir State Hospital internal medicine service between March 1 and April 30, 2011. Questionnaire form, which includes evaluation variables, was completed by face-to-face interview. For the study analysis descriptive statistics, chi-square analysis and logistic regression analysis were used. RESULTS: For the study group results were as follows: 50.8% was male, average age was 74.1+-6.5 (min:65, max:97), 34.6% was illeterate, 66.1% was married, and 4.7% didn't have social security. Of the study group, 9.9% was working, 22.5 didn't have any income and 19.3% was living alone. Among patients, 17.5% were with general bad health conditionand 59.8% had fear of falling. Prevalence of falling was 32.1%in aged people during last one year. In women, the fear of falling was 1.8 [95% CI: 1.20-2.94] times higher. CONCLUSION: This study shows a high falling and fear of falling prevalence. The preparation of preventing fall programs may be useful

Developing an educational program for the primary healthcare practice skills of fourth-year students at balikesir university's school of health, department of midwifery

Amaç: Araştırmanın amacı; Balıkesir Üniversitesi Balıkesir Sağlık Yüksekokulu ebelik bölümü dördüncü sınıf öğrencilerinin birinci basamak uygulama becerilerini geliştirmek geliştirmeye yönelik bir eğitim programının oluşturulmasıdır. Yöntem: İhtiyaç belirlemede; 2006 yılı ve 2007 yılında Balıkesir Sağlık Yüksekokulu Ebelik bölümünden mezun olan (n=10) ve birinci basamak sağlık kurumlarında çalışan ebelerin görüşlerine başvurulmuştur. İhtiyaç belirlemeden sonra, ebelik eğitiminde doğum öncesi bakım ve bebek çocuk izlemi eğitim programı geliştirilmiştir. Kontrol grubu, 2009-2010 eğitim-öğretim yılı güz döneminde halk sağlığı dersini alan 39 öğrenciden oluşmuştur. Girişim gurubu, 2010-2011 güz döneminde halk sağlığı dersini alan 40 öğrenciden oluşmuştur. Araştırmanın bağımlı değişkeni beceri düzeyi durumu, bağımsız değişkeni ise eğitim programıdır. Araştırmanın verileri değerlendirme rehberi, geri bildirim formu, ihtiyaç belirleme anket formu ile toplanmıştır. Öğrencilerin doğum öncesi bakım, bebek çocuk izlem puanları Mann-Whitney U testi ile çözümlenmiştir Bulgular: İhtiyaç analizinde; Balıkesir Sağlık Yüksekokulu'ndan mezun ebelerin mezuniyet öncesi dönemde gebe izlem, bebek/çocuk izlem, aile planlaması, kayıtlar konusunda yetersiz düzeyde oldukları saptanmıştır. Geliştirilen eğitim programını almayan kontrol grubunun doğum öncesi bakımda (DÖB) gebeye karın muayenesi yapılması, folik asit, demir kullanımının anlatılması, laboratuar testlerinin değerlendirilmesi, muayene hakkında bilgi verme basamaklarını hiç uygulamadığı saptanmıştır. Bebek/çocuk izleminde, bebeğin hastalık bulgularının sorgulanması, bebeğin reflekslerinin kontrol edilmesi, aşılarının kontrol edilmesi, D vitamini kullanımının sorgulanması, işitme taraması için yönlendirme basamakları hiç uygulanmamıştır. DÖB ve bebek/çocuk izleminde diğer beceri basamakları ile iletişim becerilerini hiç uygulamamış ya da hatırlatıldığı zaman uygulamışlardır. Eğitim programı uygulanan girişim grubunun tamamına yakınının etkili iletişim becerilerini kullandığı, beceri basamaklarına göre izlem yaparak nitelikli DÖB ve bebek/çocuk izlemini eksiksiz yaptığı saptanmıştır. Sonuç: Geliştirilen eğitim programı beceri eğitiminin öğrenilmesi ve uygulanmasında başarılı ve etkili olmuştur. Girişim grubunun tamamına yakını izlem becerilerini eksiksiz uygulamıştır. Objective: The objective of this study is to develop an educational program to improve the primary healthcare practice skills of fourth-year students in the midwifery department at Balikesir University's School of Health. Method: Midwives (n=10) who graduated from the midwifery department of the Balikesir Higher School of Health in the academic years 2007 and 2008, and who had been working in primary health care institutions, were asked for their feedback, in order to establish the need for this study. After the need had been recognized, an educational program was developed for prenatal care and baby-child follow-up in midwifery education. 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 independent variable was the educational program. The data evaluation guide feedback form was collected through a needs assessment questionnaire form. The students' scores for prenatal care and baby-child follow-up were analyzed using the Mann-Whitney U test. Findings: In the needs analysis, the skills of midwives who had graduated from the Balikesir Higher School of Health had been found to be insufficient in subjects such as pregnancy and baby-child follow-ups, family planning and registers. 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. During baby-child follow-up, this group had omitted certain key steps, such as inquiring about any ailments, testing reflexes, asking whether the babies had had vaccinations and were taking vitamin D and recommending hearing screening. In addition, there were other skills in prenatal health care, baby-child follow-up 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 and baby-child follow-up 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

Effect of antenatal class attendance on fear of childbirth and antenatal stress

OBJECTIVE: To assess the effect of attending antenatal classes on fear of childbirth and antenatal stress in nulliparous pregnant women. METHODS: A total of 133 nulliparous pregnant women participated in the study, which had a quasi-experimental design. Data were collected by a descriptive data form, the Wijma Delivery Expectancy/Experience Questionnaire, and the Antenatal Perceived Stress Inventory (APSI). RESULTS: A significant correlation was found between antenatal class attendance and having a high schooling level and an intended pregnancy (p < 0.05). The mean fear of childbirth score of pregnant women was 85.50 ± 19.41 before the training and 76.32 ± 20.52 after the training, and the difference between these scores was significant (p < 0.01). Fear of childbirth score were not significantly different between the intervention group and the control group. The mean APSI score of pregnant women in the intervention group was 22.32 ± 6.12 before the training and 21.79 ± 5.97 after the training. However, this difference was not statistically significant (p = 0.70). CONCLUSION: The fear of childbirth score decreased significantly in the intervention group after the training

The relationship between emotional labor, job stress and job satisfaction in midwifery

Context: Midwives provide intensive emotional labor for women and their families during periods ofemotional changes, such as pregnancy and childbirth.Aims: The relationship between midwives’ job stress, job satisfaction, and emotional labor was investigated.Setting and Design: This cross‑sectional study included 198 midwives from public hospital in Turkey in 2019Material and Methods: In this study, 198 participants were selected through simple random sampling. Thedata collection tools used were a sociodemographic questionnaire, the Emotional Labor Scale, the PerceivedStress Scale, and the Minnesota Job Satisfaction Scale.Statistical Analysis Used: Descriptive data are presented as mean, standard deviation, number, andpercentage. In the statistical analysis of the data, an independent sample t‑test, multiple regression analysis,and Pearson correlation analysis were used.Results: In the multiple regression analysis, there was a significantly negative correlation (β: −0.144,P = 0.025) between the surface acting subscale of emotional labor and job satisfaction, a positive correlationwith deep acting (β: 0.148, P = 0.038), a positive correlation with emotional effort (β: 0.371, P &lt; 0.025), anegative and significant relationship with a lack of staff (β: −0.227, P &lt; 0.001) and a positive correlation withthe number of patients (β: 0.244, P &lt; 0.001). In addition, there was a positive and significant relationship withdeep acting, a positive and significant relationship with perceived stress (β: 0.146, P = 0.036), a positive andsignificant relationship with surface acting (β: 0.246, P = 0.001) and a positive and significant relationshipwith emotional effort (β: 0.358, P &lt; 0.001). There was a statistically significant positive correlation betweenthe emotional effort and deep acting (β: 0.415, P = 0.001) and surface acting (β: 0.317, P = 0.001) scores.Conclusions: It was found that the emotional labor subscales affect each other, and a positive correlationbetween surface acting, deep acting, and emotional effort was found. A slightly positive and significantcorrelation between emotional effort and job satisfaction was found. A positive correlation was foundbetween surface acting and perceived stress.</p

Factors associated with pediatric vaccine hesitancy of parents: a cross-sectional study in Turkey

Aim: This study aims to determine the prevalence and associated factors of vaccine hesitancy in females with children aged 12 months to 6 years who receive service from the antenatal class of a tertiary hospital in Turkey. Method: The study group includes 370 parents receiving service from a tertiary hospital. The data collection tools of the study were a descriptive data form and the Parent Attitudes about Childhood Vaccines survey.The data were analyzed using chi-square analysis and logistic regression analysis. Results: In our study, the prevalence of vaccine hesitancy was determined as 13.8% and vaccine refusal prevalence as 4.8%. In univariate analysis, vaccine hesitancy was found to be significantly higher in mothers with a university education, who got pregnant with treatment, who were not trained about pediatric vaccines in the antenatal follow-up, who followed anti-vaccine groups on social media, and who did not use vitamin D and iron supplements regularly or never used for their child. Vaccine hesitancy was significantly higher in parents who stated that their information sources of vaccines were not scientific, who were worried about vaccine ingredients (aluminum, mercury, pig gelatine) and who used alternative medicine practices (p < .05). In multivariate analysis, the risk of vaccine hesitancy increases 3.05 times in pregnancies with treatment, 3.74 times in those who did not use vitamin D or iron preparations, 3.01 times in those who followed anti-vaccine groups on social media,2.93 times in parents who were worried about the vaccine ingredients. Conclusion: Our findings suggest that the prevalence of vaccine hesitancy and risk factors should be monitored closely in the following years