Preparedness of Prospective Nurses to Work as Midwives in Hospital and Community
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2012, Vol 1, Issue 1
Abstract
Background: It is desirable to have skilled midwives to provide competent care in hospital and community setting. Aims and Objectives: The objectives were to assess curriculum adequacy, preparedness and job preferences of prospective nurses. Materials and Methods: A descriptive survey was used for the study. The study was carried out at nursing institute in Ahmednagar District, Maharashtra, India. The participants were the 200 prospective Nurses (final year Nursing students) of General Nursing and B.Sc Nursing Programme, who had undergone midwifery examination. A semi structured, self reported questionnaire was used. Results: 20.57% and 89.1% students respectively felt that, the theory input and allotted clinical hours were adequate. During the clinical posting, 29.7% thaught that they did not get the opportunity to work in midwifery sections. 33.1% students expressed that they did not get cases as per the requirement prescribed by Indian Nursing Courses.13.7% and 33.7% students respectively agreed that they lacked confidence to perform abdominal palpation of antenatal cases and conduct deliveries independently. A few (26.2%) expressed inability to resuscitate the newborn. 89.1% felt that they needed more experience to work independently as midwives. Everyone felt the needed of in-service education and majority of 77.2% expressed that its duration should be either three months or more. Conclusion: Present study reveals that only 7% of the prospective nurses are ready to work in midwifery section. Only 13.7% of the prospective nurses are ready to work in rural area. Since there is a shortfall of 70.02% for specialty of obstetrics and gynecology in rural area GOI, 1997 and there are only 40 qualified nurse midwives per 100,000 births in India or only one midwife for 2500 births in rural areas, it is imperative to strengthen midwifery training to bridge this gap.
Authors and Affiliations
Pratibha A Chandekar
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