Volume 16, Issue 51 (2023)                   JMED 2023, 16(51): 13-23 | Back to browse issues page

Ethics code: IR.VUMS.REC.1400.020


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mojtahedzadeh R, Akbari Kamrani M. Designing, implementing and evaluating the education program ‘tele- continuing postpartum care’ in the family health internship of master's midwifery students. JMED 2023; 16 (51) :13-23
URL: http://edujournal.zums.ac.ir/article-1-1690-en.html
1- Department of E-Learning in Medical Education, School of Medicine, Center of Excellence for E-Learning in Medical Education, Tehran University of Medical Sciences, Tehran,Iran
2- Department of Midwifery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran , akbarikamrani21@gmail.com
Abstract:   (1081 Views)
Background & Objective: Changing the type of care in the family health internship curriculum towards continuing care programs can lead to the development of the professional identity of learners. This study was conducted with the aim of designing, implementing and evaluating a tele-continuous care program after delivery for midwifery students.
Materials & Methods: In this educational process, each student under the direction of the support team was responsible for the continuing care of his client for 6 weeks after delivery. The program was designed based on Taylor's curriculum development model and the evaluation of learners was done by qualitative interviews and completion of portfolios during the course at two levels of reaction and learning Kirkpatrick's model.
Results: Data in the three main categories was categorized as  "learning", "continuous care" and "health provider" with sub-categories include new concept of postpartum period, knowing more about the profession of midwifery, improving communication skills with the client, strengthening the student's self-confidence, eagerness to learn, new experience of taking history, not being judged by others, daring to ask questions, synergy of knowledge, walking in mother's shoes, increasing intimacy, anticipating upcoming issues, availability, ability of follow-up, sense of pleasantness, sense of support,  earlier familiarization of the client with the conditions ahead, trust of the client and more motivation to provide service.
Conclusion: It appears that placing midwifery students in a continuing care model will provide them the opportunity to experience a rich holistic learning.
Full-Text [PDF 398 kb]   (382 Downloads) |   |   Full-Text (HTML)  (364 Views)  
Article Type : Orginal Research |
Received: 2022/09/2 | Accepted: 2023/07/19 | Published: 2023/08/15

References
1. Kerber KJ, Graft-Johnson JE, Bhutta ZA, et al. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. The Lancet. 2007; 370(9595):1358-69. [DOI]
2. Sandall J, Soltani H, Gates S, et al. Midwife‐led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016. [DOI]
4. Asgarova S, MacKenzie M, Bates J. Learning from patients: Why continuity matters. Academic Medicine. 2017; 92(11S):S55-60. [DOI]
5. Aune I, Dahlberg U, Ingebrigtsen O. Relational continuity as a model of care in practical midwifery studies. British Journal of Midwifery. 2018; 19(8):515-23. [DOI]
6. Dyrbye LN, Sciolla AF, Dekhtyar M, et al. Medical school strategies to address student well-being: A national survey. Academic Medicine. 2019; 94: 861–868. [DOI]
7. Brown-Johnson CG, Chan GK, Winget M, et al. Primary Care 2.0: Design of a transformational team-based practice model to meet the quadruple aim. American Journal of Medical Quality. 2019; 43: 339–347. [DOI]
8. 7. Williams L. Patient' follow up' as a pedagogical technique for medical students. Res Medica. 2013; 21(1):82-4. [DOI]
9. Özdemir F, Öztürk A, Karabulutlu Ö, et al. Determination of the life quality and self-care ability of the mothers in post-partum period. The Journal of the Pakistan Medical Association. 2018; 68(2): 210-5. [DOI]
10. Hainsworth N, Dowse E, Ebert L, et al. ‘Continuity of Care Experiences’ within pre-registration midwifery education programs: A scoping review. Women and Birth. 2021; 34 (6):514-30. [DOI]
11. Mohammadi E. Women’s Perception of Continuity of Team Midwifery Care in Iran: A Qualitative Study. BMC Pregnancy and Childbirth. 2021. [DOI]
12. Sidebotham M, Fenwick J. Midwifery students’ experiences of working within a midwifery caseload model. Midwifery. 2019; 74: 21-8. [DOI]
13. Aune I, Dahlberg U, Ingebrigtsen O. Relational continuity as a model of care in practical midwifery studies. British Journal of Midwifery. 2017; 19(8): 515-23. [DOI]
14. Hildingsson I, Karlström A, Larsson B. Childbirth experience in women participating in a continuity of midwifery care project. Women and Birth. 2020. [DOI]
15. Henschen BL, Bierman JA, Wayne DB, et al. Four-year educational and patient care outcomes of a team-based primary care longitudinal clerkship. Academic Medicine. 2015; 90(11 Suppl):S43–S49. [DOI]
16. Lawrence C, Mhlaba T, Stewart KA, et al. The hidden curricula of medical education: A scoping review. Academic Medicine. 2018; 93: 648–656. [DOI]
17. Heiman HL, O’Brien CL, Curry RH, et al. Description and early outcomes of a comprehensive curriculum redesign at the Northwestern University Feinberg School of Medicine. Academic Medicine. 2018; 93: 593–599. [DOI]
18. Pedersen SJ, Cooley PD, Cruickshank VJ. Caution regarding exergames: A skill acquisition perspective. Physical Education and Sport Pedagogy. 2017; 22(3): 246-56. [DOI]
19. Alsalamah A, Callinan C. Adaptation of Kirkpatrick’s four-level model of training criteria to evaluate training programmes for head teachers. Education Sciences. 2021; 11(3): 116. [DOI]
20. Sim J, Radloff A. Enhancing reflective practice through online learning: impact on clinical practice. Biomedical Imaging and Intervention Journal. 2008; 4(1). [PubMed]
21. 20. Shava GN, Hleza S, Tlou F, et al. Qualitative content analysis utility, usability and processes in educational research. International Journal of Research and Innovation in Social Science. 2021; 5(7): 553-8. [Article]
22. Lincoln YS, Guba EG. Naturalistic inquiry. Sage; 1985. [DOI]
23. Sidebotham M, Fenwick J. Midwifery students’ experiences of working within a midwifery caseload model. Midwifery. 2019; 74:21-8. [DOI]
24. Gray J, Taylor J, Newton M. Embedding continuity of care experiences: An innovation in midwifery education. Midwifery. 2016; 100(33):40-2. [DOI]
25. Evans J, Taylor J, Browne J, et al. The future in their hands: Graduating student midwives’ plans، job satisfaction and the desire to work in midwifery continuity of care. Women and Birth. 2020; 33 (1):e59-66. [DOI]
26. Arundell F, Mannix J, Sheehan A, et al. Workplace culture and the practice experience of midwifery students: A meta‐synthesis. Journal of Nursing Management. 2018; 26(3): 302-13. [DOI]
27. Filby A, McConville F, Portela A. What prevents quality midwifery care? A systematic mapping of barriers in low and middle-income countries from the provider perspective. PloS ONE. 2016; 11(5): e0153391. [DOI]
28. Yani LY, Yanti AD. The Influence of countinuity of care to the increasing of cognitive, affecting and psychomotor aspects of midwifery care to students of midwifery study program. International Journal of Nursing and Midwifery Science. 2019; 3(2):80-8. [DOI]
29. Billett S. Learning through health care work: premises، contributions and practices. Medical education. 2016; 50(1): 124 [DOI]
30. Tierney O, Sweet L, Houston D, et al. The continuity of care experience in Australian midwifery education—what have we achieved? Women and Birth. 2017; 30(3): 200-5. [DOI]
31. Arundell F, Mannix J, Sheehan A, et al. Workplace culture and the practice experience of midwifery students: A meta‐synthesis. Journal of nursing management. 2018; 26(3): 302-13. [DOI]
32. Fenwick J, Sidebotham M, Gamble J, et al. The emotional and professional wellbeing of Australian midwives: a comparison between those providing continuity of midwifery care and those not providing continuity. Women and Birth. 2018; 31(1): 38-43. [DOI]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.