Journal of Qualitative Research in Health Sciences

Document Type : Original Article


1 Reproductive Health, Family and Population Research Center, Kerman University of Medical Sciences, Kerman, Iran

2 Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran

3 Student Research Committee, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

4 Master of midwifery, faculty instructor, departement of midwifery,sirjan school of medical sciences,sirjan,Iran

5 Department of Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran



Background: The most important element of education is the curriculum, which should fit the goals and tasks intended for each discipline. Counseling in midwifery has been established as an academic discipline in Iran since 2014 and, like other new disciplines, needs to be revised after five years. This study aimed to explain the challenges of theoretical and clinical courses offered in this field.
Methods: This study was conducted using a qualitative conventional content analysis of the data collected through interviews with professors, graduates, and master’s students of counseling in midwifery. The participants were 16 students of the master’s program in counseling in midwifery, 4 graduates of counseling in midwifery, and 7 professors in this field. In this study, the data were collected through focused group discussions and individual and face-to-face semi-structured interviews. Data analysis was performed using conventional content analysis.
Results: The challenges revealed through the interviews with the counseling in midwifery students, graduates, and professors were “the need to empower professors,” “problems in providing an arena for clinical education,” “intermingling of counseling with sociocultural constructs,” “the need to update the curriculum,” “the unclear role of counseling in midwifery services in the health system,” and “standardization and expansion of the field.”
Conclusion: This study showed that there are weaknesses in counseling education in midwifery that need to be addressed and corrected. It seems that the current curriculum cannot meet the educational and clinical needs of the students. Thus, the curriculum needs to be updated. Besides, some awareness-raising strategies should be adopted to make students and the public familiar with counseling in midwifery


Atefeh Ahmadi (Google Scholar) (PubMed)

Katayoun Alidousti (Google Scholar) (PubMed)

Masumeh Ghaznfarpour (Google Scholar) (PubMed)

Omolbanin Heydari (Google Scholar) (PubMed)

Neda Badrabadi (Google Scholar) (PubMed)

Shahnaz Kohan (Google Scholar) (PubMed)


  1. Mirmoghtadaee Z, Karamalian H. Comparison between core courses curriculum and hands on programs experienced by BS midwives and occupational needs from the viewpoint of teachers and midwives working in Isfahan. Iran J Med Educ. 2011;11(2):163-4. [Persian].
  2. Mohammadi M, Naseri Jahromi R, Moeini Shahraki H, Mehrabaniyan N. Evaluation of internal efficiency and external effectiveness of the general medicine curriculum: perspectives of students, graduates and faculty members at Shahid Sadughi University of Medical Sciences. Iran J Med Educ. 2013;13(3):233-43. [Persian].
  3. Nouhi E, Maddah SSB, Abbaszadeh A. Collaborative learning experiences of nursing students in the clinical learning setting: a qualitative study. J Qual Res Health Sci. 2021;10(1):300-11. doi: 22062/jqr.2021.91600. [Persian].
  4. Roshangar F, Lotfi M, Zamanzadeh v, Abdollahzadeh F, Davoodi A. The effect of using logbook on nursing students’ learning. Iran J Med Educ. 2010;10(1):64-70. [Persian].
  5. Kohan S, Bahrami M, Molaeinezhad M, Haghani F, Taleghani F, Taghizadeh z, et al. Exploring challenges of the reproductive health PhD curriculum: a qualitative research. J Med Educ Dev. 2016;11(1):27-42. [Persian].
  6. Vejdani H, Mohsenipouya H, Azadi F, Fazeli S, Bashghare A, Jannati Y, et al. A study of clinical justice in the experiences of patients, nurses, and nursing students: a qualitative study. J Qual Res Health Sci. 2021;10(4):231-7. doi: 22062/jqr.2021.193619.0. [Persian].
  7. Rahiminia E, Ahmady S, Rahiminia H. Exploring undergraduate public health students’ experiences of internship courses: a qualitative study. J Qual Res Health Sci. 2021;10(1):312-20. doi: 22062/jqr.2021.91601. [Persian].
  8. Patel V, Pednekar S, Weiss H, Rodrigues M, Barros P, Nayak B, et al. Why do women complain of vaginal discharge? A population survey of infectious and pyschosocial risk factors in a South Asian community. Int J Epidemiol. 2005;34(4):853-62. doi: 1093/ije/dyi072.
  9. Rezapour Nasrabad R. Criteria of validity and reliability in qualitative research. J Qual Res Health Sci. 2018;7(4):493-9. [Persian].
  10. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. doi: 1177/1049732305276687.
  11. Holloway I, Wheeler S. Qualitative Research for Nurses. Blackwell Science; 1996.
  12. Shayan S, Mohammadzadeh Z, Entezari MH, Falahati M. Designing the internal evaluation indicators of educational planning in postgraduate program (input, process, outcome domains) in public health faculty. Isfahan. Iran J Med Educ. 2011;10(5):994-1005. [Persian].
  13. Shayan A, Golalizadeh Bibalan F, Shafaei M, Rahnavardi M, Masoumi SZ. Challenges of clinical education in midwifery and strategies to improve it: a qualitative study. Educ Res Med Sci. 2019;8(1):e88228. doi: 5812/erms.88228.
  14. Heidari MR, Norouzadeh R. Nursing students’ perspectives on clinical education. J Adv Med Educ Prof. 2015;3(1):39-43.
  15. Henderson A, Twentyman M, Heel A, Lloyd B. Students’ perception of the psycho-social clinical learning environment: an evaluation of placement models. Nurse Educ Today. 2006;26(7):564-71. doi: 1016/j.nedt.2006.01.012.
  16. Khadivzade T, Farokhi F. The study of the strength and weak points of clinical education from nursing and midwifery students in Mashhad Medical Science University. Iran Med Sci Educ J. 2003;10:67. [Persian].
  17. Knowles C, Kinchington F, Erwin J, Peters B. A randomised controlled trial of the effectiveness of combining video role play with traditional methods of delivering undergraduate medical education. Sex Transm Infect. 2001;77(5):376-80. doi: 1136/sti.77.5.376.
  18. Talebzadeh Shoshtari L, Pourshafaie H. Attributions of successful professors in promoting academic motivation in Birjand university students. Quarterly Journal of Research and Planning in Higher Education. 2023;17(2):81-97. [Persian].
  19. Boelens R, Voet M, De Wever B. The design of blended learning in response to student diversity in higher education: Instructors’ views and use of differentiated instruction in blended learning. Comput Educ. 2018;120:197-212. doi: 1016/j.compedu.2018.02.009.
  20. Mohamadi-Bolbanabad S, Farnam F, Pakgohar M. The effect of virtual education on midwifery students’ knowledge of child sexual training. Iran J Nurs Midwifery Res. 2019;24(5):337-42. doi: 4103/ijnmr.IJNMR_96_18.
  21. Santos MC. Nurses’ barriers to learning: an integrative review. J Nurses Staff Dev. 2012;28(4):182-5. doi: 1097/NND.0b013e31825dfb60.
  22. Nottingham S, Henning J. Feedback in clinical education, part II: approved clinical instructor and student perceptions of and influences on feedback. J Athl Train. 2014;49(1):58-67. doi: 4085/1062-6050-48.6.15.
  23. Grantcharov TP, Reznick RK. Teaching procedural skills. BMJ. 2008;336(7653):1129-31. doi: 1136/bmj.39517.686956.47.
  24. 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].