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Midwives' Thoughts on Professional Proficiency and Competency: A Qualitative Study

Year 2025, Volume: 15 Issue: 2, 186 - 197, 22.05.2025
https://doi.org/10.33631/sabd.1443158

Abstract

Aim: This study was conducted in a qualitative method in order to determine the thoughts of midwives on professional proficiency and competency.
Material and Methods: A preliminary study was conducted and the scores of 278 midwives from The Perceptions Empowerment in Midwifery Scale (PEMS) were determined. Between those individuals, 5 midwives with highest and 5 midwives with lowest PEMS score were chosen. The data were collected with the Midwife Descriptive Information Form and Semi-Structured Interview Form and online face-to-face interview method. The data recorded during the interview were evaluated by making frame analysis.
Results: The opinions of the midwives; themes of Proficiency (“Public Health”, “Pregnancy”, “Birth”, “Postpartum”, “Newborn”, “Women”, “Counseling”, and “Research”) and Competency (“General Competencies”, “Pre-pregnancy and Antenatal”, “Care during labor and birth”, “Ongoing care of women and newborns”) was evaluated. It was observed that there was high compatibility in Proficiency for the themes of “Pregnancy”, “Birth” “Postpartum”, “Newborn” and “Counseling” and in Competency for the themes of “General Competencies”, “Antenatal” and “Care during labour and birth”. While it was observed that there was low compatibility in Proficiency for the themes of “Public Health”, “Women”, “Research”, and in Competence for the theme of “Pre-pregnancy”.
Conclusion: While midwives consider themselves competent and proficient during pregnancy, childbirth and postpartum periods; limited mention of their competencies and proficiencies in community health, pre-pregnancy and research. Improvements can be made in the undergraduate education curriculum for areas where midwives do not feel proficiency and competency.

References

  • Karahan N. Midwifery history. In: Kaya N, editor. Philosophy of midwifery. Istanbul: Academy Press and Publishing; 2022. p. 7-34.
  • The International Confederation of Midwives (ICM). The international confederation of midwives (ICM) essential competencies for midwifery practice framework. 2019. Available from: https://internationalmidwives.org/our-work/policy-and-practice/essential-competencies-for-midwifery-practice.html
  • Yok.int [Internet]. Council of Higher Education (Türkiye). Midwifery National Core Education Program (MNCEP) 2016. [Updated: 2016; Cited: 2023 October 9]. Available from: https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/ebelik.pdf. 2016
  • Tdk. int [Internet]. Turkish Language Association; 2023. [Updated: 2023; Cited: 2023 October 9]. Available from: https://sozluk.gov.tr/
  • Camb. int [Internet]. Cambridge Dictionary; 2023. [Updated: 2023; Cited: 2023 October 9]. Available from: https://dictionary.cambridge.org
  • Who. int [Internet]. World Health Organization. Regional Office for Europe. Nurses and midwives for health: WHO European strategy for nursing and midwifery education: Section 1–8: guidelines for Member States on the implementation of the strategy. 2001. World Health Organization. Regional Office for Europe. [Updated: 2001; Cited: 2023 October 9]. Available from: https://iris.who.int/handle/10665/108405
  • Güdücü N. International midwifery competencies and accreditation of midwifery education. In: Kaya N, editor. Philosophy of midwifery. Istanbul: Academy Press and Publishing; 2022. p. 97-140.
  • Çolak MB, Can HÖ. Competence, competency and use of technology in midwives. Turkiye Klinikleri J of Health Sci. 2021; 6(2): 340-9. https://doi.org/10.5336/healthsci.2020-75575
  • Matthews A, Scott PA, Gallagher P. The development and psychometric evaluation of the perceptions of empowerment in midwifery scale. Midwifery. 2009; 25(3): 327-35. https://doi.org/10.1016/j.midw.2007.02.006
  • Murat Öztürk D, Sayıner FD, Bayar A. Turkish adaptation of perceptions of empowerment in midwifery scale: validity and reliability study. Gümüşhane University J of Health Sci. 2018; 7(1): 28-34.
  • Lukasse M, Pajalic Z. Norwegian midwives' perceptions of empowerment. Sexual & reproductive healthcare: Official Journal of the Swedish Association of Midwives. 2016; 7: 58-64. https://doi.org/10.1016/j.srhc.2015.11.010
  • Tallam EC, Kaura D, Mash R. Self-perceived competency of midwives in Kenya: A descriptive cross-sectional study. African Journal of Primary Health Care & Family Med. 2022; 14(1): e1–e9. https://doi.org/10.4102/phcfm.v14i1.3477
  • Choy LT. The strengths and weaknesses of research methodology: Comparison and complimentary between qualitative and quantitative approaches. IOSR J of Humanities and Social Sci. 2014; 19(4): 99-104.
  • Tashakkori A, Johnson RB, Teddlie C. Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences (2nd ed.). Thousand Oaks, CA: SAGE Publications 2021.
  • Gökduman Keleş M, Altinkaya S. The opinions of midwives about their competence: A qualitative study. J of Health Sci. 2022; 31(2): 145-51. https://doi.org/10.34108/eujhs.915118
  • Doğan E, Duman R, Uncu B, Kaya N. Investigation of perception of empowerment in midwifery in terms of related variables. Atlas Journal of Medicine. 2025; 5(12). https://doi.org/10.54270/atljm.2025.73
  • Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology. 2013; 13: 117. https://doi.org/10.1186/1471-2288-13-117
  • Kessler JL, Phillippi JC. Incorporating a primary care practicum in midwifery education. Journal of Midwifery & Women's Health 2015. 60(3): 258-62. https://doi.org/10.1111/jmwh.12296
  • McNeill J, Doran J, Lynn F, Anderson G, Alderdice F. Public health education for midwives and midwifery students: a mixed methods study. BMC Pregnancy and Child. 2012; 12: 142. https://doi.org/10.1186/1471-2393-12-142
  • Nove A, Ten Hoope-Bender P, Boyce M, Bar-Zeev S, de Bernis L, Lal G, et al. The state of the world's midwifery 2021 report: findings to drive global policy and practice. Human Resources for Health 2021; 19(1): 146. https://doi.org/10.1186/s12960-021-00694-w
  • rcog. int [Internet]. Royal College of Midwives (RCOG). Midwives and public health. 2023. [Updated: 2023; Cited: 2023 October 9]. Available from: https://www.rcm.org.uk/promoting/professional-practice/midwives-public-health/
  • Botfield JR, Tulloch M, Contziu H, Bateson D, Phipps H, Wright SM, et al. Who is responsible for postpartum contraception advice and provision? The perspective of hospital-based maternity clinicians in New South Wales, Australia. The Australian & New Zealand J of Obstetrics & Gynaecology. 2022; 10.1111/ajo.13627. Advance online publication. https://doi.org/10.1111/ajo.13627
  • Yurdakul M, Ardıç Çobaner A. A qualitative resarch on the changing role of family health centers’ midwives and nurses in family planning services. Inter. Refereed J of Gynaecological Diseases and Maternal Child Health 2016; 6: 34-47. https://doi.org/10.17367/JACSD.2016619468
  • East CE, Biro MA, Fredericks S, Lau R. Support during pregnancy for women at increased risk of low birthweight babies. The Cochrane Database of Systematic Reviews 2019; 4(4): CD000198. https://doi.org/10.1002/14651858.CD000198.pub3
  • Liu Y, Li T, Guo N, Jiang H, Li Y, Xu C, et al. Women's experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China. BMC Pregnancy and Child. 2021; 21(1): 151. https://doi.org/10.1186/s12884-021-03638-3
  • Lohmann S, Mattern E, Ayerle GM. Midwives' perceptions of women's preferences related to midwifery care in Germany: A focus group study. Midwifery. 2018; 61: 53-62. https://doi.org/10.1016/j.midw.2018.02.005
  • Gerzen L, Tietjen SL, Heep A, Puth MT, Schmid M, Gembruch U, et al. Why are women deciding against birth in alongside midwifery units? A prospective single-center study from Germany. J of Perinatal Med. 2022; 50(8): 1124-34. https://doi.org/10.1515/jpm-2022-0041
  • Zondag LDC, Maas VYF, Beuckens A, Nieuwenhuijze MJ. Experiences, beliefs, and values influencing midwives' attitudes toward the use of childbirth interventions. J of Midwifery & Women's Health .2022; 67(5): 618-25. https://doi.org/10.1111/jmwh.13392
  • Demir R. Women’s social support preferences and experiences at birth: A qualitative study. Balikesir Health Sci. J. 2023; 12 (1): 201-10. https://doi.org/10.53424/balikesirsbd.1125091
  • hacettepe.int [Internet]. Türkiye Demographic and Health Survey (TDHS). Türkiye demographic and health survey advanced analysis report. hacettepe university institue of population studies, republic of Türkiye ministry of health. 2018. [Updated: 2018; Cited: 2023 October 9]. Available from: https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20-%20raporlar/2018%20TNSA/TNSA_2018_ileri_analiz_raporu.pdf
  • Eikemo R, Vikström A, Nyman V, Jonas W, Barimani M. Support during the postnatal period: Evaluating new mothers' and midwives' experiences of a new, coordinated postnatal care model in a midwifery clinic in Sweden. Scandinavian J of Caring Sci. 2023; 37(1): 260-70. https://doi.org/10.1111/scs.13103
  • Dani C, Papini S, Iannuzzi L, Pratesi S. Midwife-to-newborn ratio and neonatal outcome in healthy term infants. Acta Paediatrica (Oslo, Norway: 1992). 2020; 109(9): 1787-90. https://doi.org/10.1111/apa.15180
  • Menage D, Bailey E, Lees S, Coad J. Women's lived experience of compassionate midwifery: Human and professional. Midwifery. 2020; 85: 102662. https://doi.org/10.1016/j.midw.2020.102662
  • Bradfield Z, Hauck Y, Kelly M, Duggan R. "It's what midwifery is all about": Western Australian midwives' experiences of being 'with woman' during labour and birth in the known midwife model. BMC Pregnancy and Child. 2019; 19(1): 29. https://doi.org/10.1186/s12884-018-2144-z
  • Gonzalez-Plaza E, Bellart J, Arranz Á, Luján-Barroso L, Crespo Mirasol E, Seguranyes G. Effectiveness of a step counter smartband and midwife counseling intervention on gestational weight gain and physical activity in pregnant women with obesity (pas and pes study): randomized controlled trial. JMIR Mhealth and Health. 2022; 10(2): e28886. https://doi.org/10.2196/28886
  • Goemaes R, Beeckman D, Goossens J, Shawe J, Verhaeghe S, Van Hecke A. Advanced midwifery practice: An evolutionary concept analysis. Midwifery. 2016; 42: 29-37. https://doi.org/10.1016/j.midw.2016.09.004
  • Gilkison A, Rankin J, Kensington M, Daellenbach R, Davies, L, Deery R, Crowther S. A woman's hand and a lion's heart: Skills and attributes for rural midwifery practice in New Zealand and Scotland. Midwifery. 2018; 58: 10916. https://doi.org/10.1016/j.midw.2017.12.009
  • Huang J, Lu H, Li J, Zhou N, Zang Y, Ren L, Wang J. Comparison of midwives' self-perceived essential competencies between low and high maternal mortality ratio provinces in China. J of Clinical Nurs. 2020; 29(23-24): 4733-47. https://doi.org/10.1111/jocn.15514
  • Netshisaulu KG, Maputle MS. Expected clinical competence from midwifery graduates during community service placement in Limpopo province, South Africa. Health SA=SA Geson. 2018; 23: 1166. https://doi.org/10.4102/hsag.v23i0.1166
  • Siegle A, Sayn-Wittgenstein FZ, Roes M. Sustainability of hospital-based midwife-led antenatal care consultation - a qualitative study. BMC Health Services Res. 2021; 21(1): 858. https://doi.org/10.1186/s12913-021-06863-w
  • Shikuku DN, Tanui G, Wabomba M, Wanjala D, Friday J, Peru T, et al. The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study. BMC Pregnancy and Chil. 2020; 20(1): 708. https://doi.org/10.1186/s12884-020-03405-w
  • Aune I, Amundsen HH, Skaget Aas LC. Is a midwife's continuous presence during childbirth a matter of course? Midwives' experiences and thoughts about factors that may influence their continuous support of women during labour. Midwifery. 2014; 30(1): 89-95. https://doi.org/10.1016/j.midw.2013.02.001
  • Adams YJ, Ray HE, Sladek L, Amason J. Knowledge of immediate newborn care and management of complications among midwives in Ghana. Midwifery. 2023; 121: 103654. https://doi.org/10.1016/j.midw.2023.103654
  • Swerts M, Westhof E, Bogaerts A, Lemiengre J. Supporting breast-feeding women from the perspective of the midwife: A systematic review of the literature. Midwifery. 2016; 37: 32-40. https://doi.org/10.1016/j.midw.2016.02.016
  • Adams YJ, Sladek L. A descriptive, cross-sectional study of postpartum education: midwives' self-reported knowledge and teaching of postpartum complications in Ghana. Rep. Health. 2022; 19(1): 77. https://doi.org/10.1186/s12978-022-01376-z
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Ebelerin Mesleki Yetkinlik ve Yeterliliğe İlişkin Düşünceleri: Kalitatif Bir Çalışma

Year 2025, Volume: 15 Issue: 2, 186 - 197, 22.05.2025
https://doi.org/10.33631/sabd.1443158

Abstract

Amaç: Bu çalışma ebelerin mesleki yetkinlik ve yeterliliğe ilişkin düşüncelerini belirlemek amacıyla kalitatif türde yapılmıştır.
Gereç ve Yöntemler: Ön araştırma yapılarak 278 ebenin Ebelik Mesleğinin Yetkileri ile İlgili Algı Ölçeği'nden aldıkları puanlar belirlendi. Bu kişiler arasından ölçek puanı en yüksek ve en düşük olan 5 ebe seçildi. Veriler Ebe Tanımlayıcı Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu ile çevrimiçi yüz yüze görüşme yöntemiyle toplanmıştır. Görüşme sırasında kaydedilen veriler çerçeve analizi yapılarak değerlendirilmiştir.
Bulgular: Ebelerin görüşlerinin; Yetkinlik için “halk sağlığı”, “gebelik”, “doğum”, “postpartum”, “yenidoğan”, “kadın”, “danışmanlık” ve “araştırma”; Yeterlilik için “genel yeterlilikler”, “gebelik öncesi ve doğum öncesi”, “doğum ve doğum sırasında bakım”, “kadın ve yenidoğanın sürekli bakımı” temalarına uyumu değerlendirildi. Yüksek uyumun yetkinlik için “gebelik”, “doğum”, “postpartum”, “yenidoğan” ve “danışmanlık”; yeterlilik için “genel yeterlilikler”, “doğum öncesi” ve “doğum ve doğum sırasında bakım” temalarında olduğu, düşük uyumun yetkinlik için “halk sağlığı”, “kadın” ve “araştırma”, yeterlilik için “gebelik öncesi” temalarında olduğu görüldü.
Sonuç: Ebeler gebelik, doğum ve doğum sonu dönemlerde kendilerini yetkin ve yeterli görürken; toplum sağlığı, gebelik öncesi dönem ve araştırmaya ilişkin yetkinlik ve yeterliliklerinden sınırlı olarak bahsettiler. Ebelerin yetkinlik ve yeterliliklerini hissetmedikleri alanlara yönelik lisans eğitim müfredatında iyileştirmeler yapılabilir.

References

  • Karahan N. Midwifery history. In: Kaya N, editor. Philosophy of midwifery. Istanbul: Academy Press and Publishing; 2022. p. 7-34.
  • The International Confederation of Midwives (ICM). The international confederation of midwives (ICM) essential competencies for midwifery practice framework. 2019. Available from: https://internationalmidwives.org/our-work/policy-and-practice/essential-competencies-for-midwifery-practice.html
  • Yok.int [Internet]. Council of Higher Education (Türkiye). Midwifery National Core Education Program (MNCEP) 2016. [Updated: 2016; Cited: 2023 October 9]. Available from: https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/ebelik.pdf. 2016
  • Tdk. int [Internet]. Turkish Language Association; 2023. [Updated: 2023; Cited: 2023 October 9]. Available from: https://sozluk.gov.tr/
  • Camb. int [Internet]. Cambridge Dictionary; 2023. [Updated: 2023; Cited: 2023 October 9]. Available from: https://dictionary.cambridge.org
  • Who. int [Internet]. World Health Organization. Regional Office for Europe. Nurses and midwives for health: WHO European strategy for nursing and midwifery education: Section 1–8: guidelines for Member States on the implementation of the strategy. 2001. World Health Organization. Regional Office for Europe. [Updated: 2001; Cited: 2023 October 9]. Available from: https://iris.who.int/handle/10665/108405
  • Güdücü N. International midwifery competencies and accreditation of midwifery education. In: Kaya N, editor. Philosophy of midwifery. Istanbul: Academy Press and Publishing; 2022. p. 97-140.
  • Çolak MB, Can HÖ. Competence, competency and use of technology in midwives. Turkiye Klinikleri J of Health Sci. 2021; 6(2): 340-9. https://doi.org/10.5336/healthsci.2020-75575
  • Matthews A, Scott PA, Gallagher P. The development and psychometric evaluation of the perceptions of empowerment in midwifery scale. Midwifery. 2009; 25(3): 327-35. https://doi.org/10.1016/j.midw.2007.02.006
  • Murat Öztürk D, Sayıner FD, Bayar A. Turkish adaptation of perceptions of empowerment in midwifery scale: validity and reliability study. Gümüşhane University J of Health Sci. 2018; 7(1): 28-34.
  • Lukasse M, Pajalic Z. Norwegian midwives' perceptions of empowerment. Sexual & reproductive healthcare: Official Journal of the Swedish Association of Midwives. 2016; 7: 58-64. https://doi.org/10.1016/j.srhc.2015.11.010
  • Tallam EC, Kaura D, Mash R. Self-perceived competency of midwives in Kenya: A descriptive cross-sectional study. African Journal of Primary Health Care & Family Med. 2022; 14(1): e1–e9. https://doi.org/10.4102/phcfm.v14i1.3477
  • Choy LT. The strengths and weaknesses of research methodology: Comparison and complimentary between qualitative and quantitative approaches. IOSR J of Humanities and Social Sci. 2014; 19(4): 99-104.
  • Tashakkori A, Johnson RB, Teddlie C. Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences (2nd ed.). Thousand Oaks, CA: SAGE Publications 2021.
  • Gökduman Keleş M, Altinkaya S. The opinions of midwives about their competence: A qualitative study. J of Health Sci. 2022; 31(2): 145-51. https://doi.org/10.34108/eujhs.915118
  • Doğan E, Duman R, Uncu B, Kaya N. Investigation of perception of empowerment in midwifery in terms of related variables. Atlas Journal of Medicine. 2025; 5(12). https://doi.org/10.54270/atljm.2025.73
  • Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology. 2013; 13: 117. https://doi.org/10.1186/1471-2288-13-117
  • Kessler JL, Phillippi JC. Incorporating a primary care practicum in midwifery education. Journal of Midwifery & Women's Health 2015. 60(3): 258-62. https://doi.org/10.1111/jmwh.12296
  • McNeill J, Doran J, Lynn F, Anderson G, Alderdice F. Public health education for midwives and midwifery students: a mixed methods study. BMC Pregnancy and Child. 2012; 12: 142. https://doi.org/10.1186/1471-2393-12-142
  • Nove A, Ten Hoope-Bender P, Boyce M, Bar-Zeev S, de Bernis L, Lal G, et al. The state of the world's midwifery 2021 report: findings to drive global policy and practice. Human Resources for Health 2021; 19(1): 146. https://doi.org/10.1186/s12960-021-00694-w
  • rcog. int [Internet]. Royal College of Midwives (RCOG). Midwives and public health. 2023. [Updated: 2023; Cited: 2023 October 9]. Available from: https://www.rcm.org.uk/promoting/professional-practice/midwives-public-health/
  • Botfield JR, Tulloch M, Contziu H, Bateson D, Phipps H, Wright SM, et al. Who is responsible for postpartum contraception advice and provision? The perspective of hospital-based maternity clinicians in New South Wales, Australia. The Australian & New Zealand J of Obstetrics & Gynaecology. 2022; 10.1111/ajo.13627. Advance online publication. https://doi.org/10.1111/ajo.13627
  • Yurdakul M, Ardıç Çobaner A. A qualitative resarch on the changing role of family health centers’ midwives and nurses in family planning services. Inter. Refereed J of Gynaecological Diseases and Maternal Child Health 2016; 6: 34-47. https://doi.org/10.17367/JACSD.2016619468
  • East CE, Biro MA, Fredericks S, Lau R. Support during pregnancy for women at increased risk of low birthweight babies. The Cochrane Database of Systematic Reviews 2019; 4(4): CD000198. https://doi.org/10.1002/14651858.CD000198.pub3
  • Liu Y, Li T, Guo N, Jiang H, Li Y, Xu C, et al. Women's experience and satisfaction with midwife-led maternity care: a cross-sectional survey in China. BMC Pregnancy and Child. 2021; 21(1): 151. https://doi.org/10.1186/s12884-021-03638-3
  • Lohmann S, Mattern E, Ayerle GM. Midwives' perceptions of women's preferences related to midwifery care in Germany: A focus group study. Midwifery. 2018; 61: 53-62. https://doi.org/10.1016/j.midw.2018.02.005
  • Gerzen L, Tietjen SL, Heep A, Puth MT, Schmid M, Gembruch U, et al. Why are women deciding against birth in alongside midwifery units? A prospective single-center study from Germany. J of Perinatal Med. 2022; 50(8): 1124-34. https://doi.org/10.1515/jpm-2022-0041
  • Zondag LDC, Maas VYF, Beuckens A, Nieuwenhuijze MJ. Experiences, beliefs, and values influencing midwives' attitudes toward the use of childbirth interventions. J of Midwifery & Women's Health .2022; 67(5): 618-25. https://doi.org/10.1111/jmwh.13392
  • Demir R. Women’s social support preferences and experiences at birth: A qualitative study. Balikesir Health Sci. J. 2023; 12 (1): 201-10. https://doi.org/10.53424/balikesirsbd.1125091
  • hacettepe.int [Internet]. Türkiye Demographic and Health Survey (TDHS). Türkiye demographic and health survey advanced analysis report. hacettepe university institue of population studies, republic of Türkiye ministry of health. 2018. [Updated: 2018; Cited: 2023 October 9]. Available from: https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20-%20raporlar/2018%20TNSA/TNSA_2018_ileri_analiz_raporu.pdf
  • Eikemo R, Vikström A, Nyman V, Jonas W, Barimani M. Support during the postnatal period: Evaluating new mothers' and midwives' experiences of a new, coordinated postnatal care model in a midwifery clinic in Sweden. Scandinavian J of Caring Sci. 2023; 37(1): 260-70. https://doi.org/10.1111/scs.13103
  • Dani C, Papini S, Iannuzzi L, Pratesi S. Midwife-to-newborn ratio and neonatal outcome in healthy term infants. Acta Paediatrica (Oslo, Norway: 1992). 2020; 109(9): 1787-90. https://doi.org/10.1111/apa.15180
  • Menage D, Bailey E, Lees S, Coad J. Women's lived experience of compassionate midwifery: Human and professional. Midwifery. 2020; 85: 102662. https://doi.org/10.1016/j.midw.2020.102662
  • Bradfield Z, Hauck Y, Kelly M, Duggan R. "It's what midwifery is all about": Western Australian midwives' experiences of being 'with woman' during labour and birth in the known midwife model. BMC Pregnancy and Child. 2019; 19(1): 29. https://doi.org/10.1186/s12884-018-2144-z
  • Gonzalez-Plaza E, Bellart J, Arranz Á, Luján-Barroso L, Crespo Mirasol E, Seguranyes G. Effectiveness of a step counter smartband and midwife counseling intervention on gestational weight gain and physical activity in pregnant women with obesity (pas and pes study): randomized controlled trial. JMIR Mhealth and Health. 2022; 10(2): e28886. https://doi.org/10.2196/28886
  • Goemaes R, Beeckman D, Goossens J, Shawe J, Verhaeghe S, Van Hecke A. Advanced midwifery practice: An evolutionary concept analysis. Midwifery. 2016; 42: 29-37. https://doi.org/10.1016/j.midw.2016.09.004
  • Gilkison A, Rankin J, Kensington M, Daellenbach R, Davies, L, Deery R, Crowther S. A woman's hand and a lion's heart: Skills and attributes for rural midwifery practice in New Zealand and Scotland. Midwifery. 2018; 58: 10916. https://doi.org/10.1016/j.midw.2017.12.009
  • Huang J, Lu H, Li J, Zhou N, Zang Y, Ren L, Wang J. Comparison of midwives' self-perceived essential competencies between low and high maternal mortality ratio provinces in China. J of Clinical Nurs. 2020; 29(23-24): 4733-47. https://doi.org/10.1111/jocn.15514
  • Netshisaulu KG, Maputle MS. Expected clinical competence from midwifery graduates during community service placement in Limpopo province, South Africa. Health SA=SA Geson. 2018; 23: 1166. https://doi.org/10.4102/hsag.v23i0.1166
  • Siegle A, Sayn-Wittgenstein FZ, Roes M. Sustainability of hospital-based midwife-led antenatal care consultation - a qualitative study. BMC Health Services Res. 2021; 21(1): 858. https://doi.org/10.1186/s12913-021-06863-w
  • Shikuku DN, Tanui G, Wabomba M, Wanjala D, Friday J, Peru T, et al. The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study. BMC Pregnancy and Chil. 2020; 20(1): 708. https://doi.org/10.1186/s12884-020-03405-w
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There are 47 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Betül Uncu 0000-0001-7691-6590

Elif Doğan 0000-0003-3374-1764

Rukiye Duman 0000-0002-7007-7922

Nurten Kaya 0000-0003-0414-3589

Publication Date May 22, 2025
Submission Date February 26, 2024
Acceptance Date February 7, 2025
Published in Issue Year 2025 Volume: 15 Issue: 2

Cite

Vancouver Uncu B, Doğan E, Duman R, Kaya N. Midwives’ Thoughts on Professional Proficiency and Competency: A Qualitative Study. VHS. 2025;15(2):186-97.