Document Type : Original Article
Authors
1 MSc in Midwifery, Clinical Instructor, Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
2 PhD., Assistant Professor in Nursing Philosophy, Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
3 PhD., Assistant Professor in Reproductive Health, Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
4 MSc in Midwifery, Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Background: Continuing professional development is an essential component of educational organizations in health care systems around the world. Such development has received attention in recent years with a broader perspective in the field of midwifery. Accordingly, the internal evaluation approach used to identify educational strengths and weaknesses can pave the way for a more purposeful future. This study aims to explore the experiences of midwifery lecturers of the challenges of the undergraduate educational program.
Methods: This study employed a qualitative phenomenological approach using the data collected through individual interviews with midwifery lecturers at Kerman University of Medical Sciences, and analyzed from October to December 2020 for three months. To this end, eight semi-structured and in-depth interviews were conducted with eight midwifery lecturers who were selected using purposive sampling. The sampling was continued until the data were saturated. All interviews were analyzed after transcription using Colaizzi’s seven-step approach.
Results: Analysis of the data revealed seven categories including inefficient policymaking, lack of motivation and confidence, lack of educational equipment and facilities (network of shortcomings), challenges of the curriculum and teaching methods, poor clinical conditions, disinterest in research activities, and inadequate academic output. Each category was divided into several subcategories.
Conclusion: Along with achieving the fifth Millennium Development Goals, it is necessary to improve the quality of midwifery education. The challenges pointed out by midwifery lecturers highlight the need to make changes in the clinical and educational environment of the midwifery department to improve clinical skills and achieve the goals of the educational program following international education standards and consequently train skilled and educated midwifery staff.
Keywords
- Nikbakht Nasrabadi AR, Parsa Yekta Z, Barimnejad L. Research development in Tehran Nursing and Midwifery School, 2004: an action research report. Hayat. 2005;11(2):5-13. [Persian].
- Akbarian N, Bushehri E, Alizadeh A, Aghamolaei T. Barriers and facilitators in health education for the people from health care providers’ perspective: a qualitative study. J Qual Res Health Sci. 2020;6(4):387-400. [Persian].
- Meri S, Nekiyan M, Javadi M, Abbaszadeh A, Borhani F. The survey of Kerman University nursing students’ viewpoints about educational services quality provided for them. J Qual Res Health Sci. 2010;9(1):20-7. [Persian].
- Pourabbasi A, Haghdoost A, Akbari H, Kheiry Z, Dehnavieh R, Noorihekmat S, et al. Packages for reform and innovation in medical education in the Islamic Republic of Iran; a conceptual framework. 2017; 26(1):45-50.
- Toosi M, Modarres M, Amini M, Geranmayeh MJBME. A survey of midwifery graduates’ opinions about midwifery education in Iran: a cross-sectional study. 2021;21(1):1-11.
- Ahmari Tehran H, Raisi M, Dadkhah Tehrani T, Mehran N, Jafarbegloo E. Internal evaluation of midwifery department of nursing & midwifery faculty in Qom University of Medical Sciences. Qom Univ Med Sci J. 2013;7(2):31-6. [Persian].
- World Health Organization (WHO). Strengthening quality midwifery education. In: Department of Maternal, Newborn, Child and Adolescent Health. WHO; 2017. p. 1-37.
- Mousavi S, Bazargan A, Malek F, Malek M, Babaei M, Ghahremanfard F, et al. Self evaluation for quality improvment in department of internal medicine of Semnan University of Medical Sciences. Koomesh. 2000;1(2):11-8. [Persian].
- Golabzadeh MA. Kerman in the mirror of tourism. 2th ed.Tehran: Gisoom publisher; 2010; p.20.
- Kerman University of Medical Sciences. Razi Faculty of Nursing and Midwifery. Kerman. 2021.
- Bahri N, Tabatabaeichehr M, Roudsari RL. Comparative assessment of Iranian midwifery education curriculum against the International Confederation of Midwives (ICM) global standards for midwifery education. Future Med Educ J. 2018;8(4):25-30.
- Luyben A, Barger M, Avery M, Bharj KK, O’Connell R, Fleming V, et al. Exploring global recognition of quality midwifery education: vision or fiction? Women Birth. 2017;30(3):184-92. doi: 1016/j.wombi.2017.03.001.
- International Confederation of Midwifery. Essential Competencies for Midwifery Practice. 2018; :1-21.
- Azadian M, Momennasab M. Nursing students’ perception of professional challenges: a qualitative study. J Med Educ Dev. 2015;10(1):12-25. [Persian].
- Ghorbani A, Noroozi K, Jahani Hashemi H, Sarichlou ME, Falahatpisheh F. Correlation between type of personality and academic achievement of nursing students in university of medical sciences Qazvin. Iran J Nurs Res. 2013;8(28):68-75. [Persian].
- Salari A, Emami-Sigaroudi A, Zaersabet F, Shakiba M, Khojasteh M, Sharifi M. Study of the relationship between academic achievement and interested in academic field in nursing students. Res Med Educ. 2018;10(2):68-75. doi: 29252/rme.10.2.68. [Persian].
- Aghamolaei T, Abedini S, Kamjoo A, Abedini S, Jome Zadeh A. Clinical education problems: the viewpoints of nursing and midwifery students in Hormozgan University of Medical Sciences. Hormozgan Med J. 2009;12(4):254-9. [Persian].
- Azimi N, Bagheri R, Mousavi P, Bakhshandeh Bavarsad, Honarjoo M. The study of clinical education problems and presenting solutions for improvement its quality in midwifery. Res Med Educ. 2016;8(4):43-51. doi: 18869/acadpub.rme.8.4.43. [Persian].
- Abbaszade A, Borhani F, Sabzevari S. Nursing teachers´ perception of the challenges of clinical education and solutions: a qualitative study. J Qual Res Health Sci. 2013;2(2):134-45. [Persian].
- Ahmady S, Yazdi L. Exploring the midwifery training challenges in iran from the viewpoint of faculty members and graduates of this field: content analysis. J Med Educ. 2016;15(2):e105489. doi: 22037/jme.v15i2.11272.
- Mulaudzi FM, Chyun DA. Innovation in nursing and midwifery education and research. Rwanda J. 2015;2(2):21-5. doi: 4314/rj.v2i2.3F.
- Abdel Kader AM, Mohamed E, Abood S. Perception of nurse interns about clinical assignment preparation requirements. J Am Sci. 2012;8(12):676-82.
- Shahoei R, Hesami K, Zaheri F, Hashemi Nasab L. The experience of graduated midwifery students about clinical education: a phenomenological study. J Med Educ Dev. 2013;8(1):2-13. [Persian].
- Rahimi A, Ahmadi F. The obstacles and improving strategies of clinical education from the viewpoints of clinical instructors in Tehran’s Nursing Schools. Iran J Med Educ. 2005;5(2):73-80. [Persian].
- Ghaffarzadeh SH, Nazari H, Ghasemi R, Ahmadi Doyran Z. Status of research among medical students of Urmia University Medical Sciences in (knowledge, attitude and practice). J Urmia Nurs Midwifery Fac. 2011;9(5):400-6. [Persian].
- Adib Y, Fathiazar E, Dastouri R. Explaining the experience of academic burnout by medical students, Tabriz University of Medical Sciences, Iran. J Qual Res Health Sci. 2020;6(1):35-48. [Persian].
- Elahi N, Alhani F, Ahmadi F. Iranian nursing instructors’ perceived experiences of challenges of effective education: a qualitative content analysis. J Qual Res Health Sci. 2020;1(3):229-39. [Persian].
- Noohi E, Abbaszadeh A, Sayed Bagher Madah S, Borhani F. Collaborative learning experiences in problem-based learning (PBL) education: a qualitative study. J Qual Res Health Sci. 2020;1(4):255-67. [Persian].
- Tang FI, Chou SM, Chiang HH. Students’ perceptions of effective and ineffective clinical instructors. J Nurs Educ. 2005;44(4):187-92. doi: 3928/01484834-20050401-09.
- Ghadami A, Salehi B, Sajadi S, Naji H. Students’ points of view regarding effective factors in establishing communication between students and faculty members. Iran J Med Educ. 2007;7(1):149-54. [Persian].
)