The Effect of Problem-Solving Skills Training on the Frequency of Selective Episiotomy among Midwives.
Background & aim: The decision on whether or not to do episiotomy is ultimately made by midwives. Problem-solving is an essential skill in the workplace situations, which help overcoming unpredictable circumstances without relying on the others. The aim of this study was to investigate the effect of...
| Publicado en: | Journal of Midwifery & Reproductive Health Vol. 7; no. 3; pp. 1765 - 1777 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mashhad University of Medical Science
Jul2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137393675&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137393675 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23454792 HCMN jtl: Journal of Midwifery & Reproductive Health issn: 23454792 maglogo: N pubinfo: dt: Jul2019 vid: 7 iid: 3 pid: 51616 pub: Mashhad University of Medical Science artinfo: ui: 137393675 137393675 137393675 10.22038/jmrh.2019.18341.1192 137393675 ppf: 1765 ppct: 12 formats: fmt: @attributes: type: P tig: atl: The Effect of Problem-Solving Skills Training on the Frequency of Selective Episiotomy among Midwives. aug: au: Ghalenovi, Mina Abedian, zahra Mazloom, Seyed Reza Asghari, Negar affil: Graduate, MSc in Midwifery, Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran sug: subj: Midwives Education Problem Solving Education Skill Acquisition Episiotomy Decision Making Outcomes of Education Human Randomized Controlled Trials Random Assignment Prevalence Iran Primiparas Delivery, Obstetric Questionnaires Checklists Data Analysis Software Chi Square Test Mann-Whitney U Test Descriptive Statistics Summated Rating Scaling Pretest-Posttest Design Seminars and Workshops Brainstorming Fisher's Exact Test Adult Female Adult: 19-44 years Female ab: Background & aim: The decision on whether or not to do episiotomy is ultimately made by midwives. Problem-solving is an essential skill in the workplace situations, which help overcoming unpredictable circumstances without relying on the others. The aim of this study was to investigate the effect of problem-solving skills training on the frequency of selective episiotomy among midwives. Methods: This randomized clinical trial was conducted on 60 midwives with a minimum of 6 months work experience at selected maternity hospitals in Mashhad, Iran in 2012. The participants were assigned into two intervention (N=30) and control (N=30) groups. The intervention included two 4-hour problem-solving skills training sessions. The midwives in the intervention group conducted two primiparous births before and two after the intervention. The control group just conducted four births. Both groups were asked to complete demographic, occupational as well as Baron problem-solving questionnaire before and after the study and their practice was assessed as selective or non-selective episiotomy based on a checklists. Data were analyzed in SPSS software (version 16) using the Chi-square, Wilcoxon and Mann-Whitney U tests. Results: There was no significant difference between mean scores of the problemsolving skills among midwives in intervention group before and after the intervention (23.2±2.2 vs 23.1±2, P=0.320). It was the same for control group (P=0.537). Also, no significant difference was observed between the two groups regarding selective episiotomy before (P=0.847) and after the intervention (P = 0.582); although, the rate of selective episiotomy in the intervention group was higher before than after intervention (33.3% vs 41.7%). Conclusion: Problem-solving skills training had no effects on the increased number of selective episiotomies. More research studies with larger sample size are recommend. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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