The Proportions, Regulations, and Training Plans of Male Midwives Worldwide: A Descriptive Study of 77 Countries

2019 ◽  
Vol 9 (1) ◽  
pp. 5-18
Author(s):  
Masana Sannomiya ◽  
Emi Sasagawa ◽  
Naoko Hikita ◽  
Kaori Yonezawa ◽  
Megumi Haruna

ObjectivesThe proportions of male midwives as well as regulations and training plans targeting male midwives were investigated.MethodsQuestionnaires were sent to 109 United Nations member countries where midwifery associations had opened their e-mail addresses. Respondents were persons in charge of midwifery education or policy recommended by midwifery associations, researchers, or acquaintances. The questionnaire inquired about the number of midwives and obstetrician-gynecologists by gender in the country, as well as regulations and training plans relevant to male ones. For those countries that either failed to respond or provided insufficient information, supplemental Internet searches were conducted.ResultsData from 77 countries were analyzed (57 countries returned the questionnaires, and data on another 20 were obtained through Internet searches). Of the 19 countries without male midwives, five did not allow men to become midwives. In 37 countries with male midwives whose proportion data were available, the median proportion was 0.63%. Respondents in 13 countries described regulations respecting women who unwanted care by male midwives and in other two explained training plans for male midwives considering their specific characteristics.ConclusionThe proportion of male midwives is small, and regulations and training plans for male midwives varied depending on social content in countries.

Author(s):  
Kyuri Lee ◽  
Dukyoo Jung

This study aimed to identify educational needs and determine priorities in nursing care for home visit nurses providing services within the national long-term care insurance system in South Korea. This cross-sectional descriptive study assessed the educational needs of 92 home visit nurses. Participants’ characteristics were analyzed using percentages, averages, and standard deviations. Educational needs were calculated for participants’ current and required competency levels, utilizing the paired t-test, Borich’s educational needs formula, and the locus for focus model. Four main categories were identified as top priorities: (1) health assessment, (2) cognitive function care, (3) disease management, and (4) medication management. The study’s findings could support the development of appropriate and responsive education and training programs for home-visit nurses—as it reflects the actual needs of this group.


2021 ◽  
pp. bmjmilitary-2020-001690
Author(s):  
Giles Nordmann ◽  
J Ralph ◽  
J E Smith

This paper examines the development and evolution of the deployed medical director (DMD) role and argues for the re-establishment of a formal selection process and training pathway. Recent deployments into new areas of operations, deployment of smaller medical treatment facilities (MTFs), the reduced numbers of deployments for clinicians, working with various multinational partners and both military and civilian organisations all pose specific problems for DMDs. The initial and then continued deployment of a secondary care role 2 MTF as part of the United Nations Mission in South Sudan illustrated some of these challenges. Although a novel operation, the broad categories of these new challenges were similar to the historical challenges facing the first DMDs in Afghanistan. Corporate memory loss may be unavoidable to some degree due to rapid turnover in appointments, particularly in single service and joint headquarters. However, individual memory and experience remains extant within the military medical deployable workforce. After the cessation of UK military deployed hospital care involvement in Afghanistan, the UK DMD formal training pathway ended. This paper argues for the re-establishment of a more formal DMD selection process and training pathway to ensure that organisational learning is optimised.


2015 ◽  
Vol 71 (1) ◽  
Author(s):  
Kebogile Mokwena ◽  
Koketso Phetlhe

Background: The integration of health promotion in the treatment of patients should be included in all academic curricula in primary training of health professionals. However, the extent to which health promotion is included in the various curricula at undergraduate level is not known.Objective: To assess the extent to which health promotion content is integrated in undergraduate physiotherapy training programmes in South Africa. Method: This was a qualitative and descriptive study, using in-depth interviews with representatives of physiotherapy academic departments.Results: All universities have some content of health promotion, with the weighting varying between 12% and 40%. Health promotion is taught at various levels of study, and health promotion training blocks are in both urban and rural settings and include communities, schools and old-age homes. The theories of advocacy, enabling and mediation are covered, but there is limited practical training on these elements. There are limited human resources trained in health promotion, as well as a lack of clear processes of developing and reviewing teaching and training materials.Conclusion: There is lack of consensus on the weighting of health promotion, the level at which it is taught and how it is evaluated across universities. Challenges to integrate health promotion in physiotherapy curricula include lack of frequent curricula reviews, inadequate training of lecturers and lack of conducive practical sites.The physiotherapy profession needs to reach a consensus on minimum standards for integration of health promotion in undergraduate training, and the physiotherapy professional board has the potential to provide the required leadership.


2020 ◽  
Vol 29 (5) ◽  
pp. 640-649 ◽  
Author(s):  
Amy Barrette ◽  
Katherine Harman

Context: Pain in sport has been normalized to the point where athletes are expected to ignore pain and remain in the game despite the possible detrimental consequences associated with playing through pain. While rehabilitation specialists may not have an influence on an athlete’s competitive nature or the culture of risk they operate in, understanding the consequences of those factors on an athlete’s physical well-being is definitely in their area of responsibility. Objective: To explore the factors associated with the experiences of subelite athletes who play through pain in gymnastics, rowing, and speed skating. Design: The authors conducted semistructured interviews with subelite athletes, coaches, and rehabilitation specialists. They recruited coach participants through their provincial sport organization. Athletes of the recruited coaches who were recovering from a musculoskeletal injury and training for a major competition were then recruited. They also recruited rehabilitation specialists who were known to treat subelite athletes independently by e-mail. Setting: An observation session was conducted at the athlete’s training facility. Interviews were then conducted either in a room at the university or at a preferred sound-attenuated location suggested by the participant. Participants: The authors studied 5 coaches, 4 subelite athletes, and 3 rehabilitation specialists. Interventions: The authors photographed athletes during a practice shortly before an important competition, and we interviewed all the participants after that competition. Our photographs were used during the interview to stimulate discussion. Results: The participant interviews revealed 3 main themes related to playing through pain. They are: Listening to your body, Decision making, and Who decides. Conclusion: When subelite athletes, striving to be the best in their sport continue to train with the pain of an injury, performance is affected in the short-term and long-term consequences are also possible. Our study provides some insight into the contrasting forces that athletes balance as they decide to continue or to stop.


2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Victória Prates Pasqualotto ◽  
Mariene Jaeger Riffel ◽  
Virgínia Leismann Moretto

ABSTRACT Objective: To describe and analyze the practices suggested in social media for the elaboration of Birth Plans, available on Blogs/Sites and not included in the WHO recommendations. Method: Qualitative, exploratory, descriptive study with thematic analysis. A total of 41 e-mail addresses were selected for analysis among the 200 web addresses previously identified between March and July 2016. Three web addresses were in Portugal and the others in Brazil. Results: 48 practices not included in the recommendations of the World Health Organization (WHO) were identified. Conclusion: Blogs/Websites, as means of transmission, circulation and production of knowledge, enable the horizontal expression of values, encourage women to plan the events considered important for their deliveries and put childbirth decisions on the hands of women, which has caused controversy in the discourse of humanization of childbirth.


Author(s):  
Hélder Fanha Martins

Some of the very first Internet technologies to be used for learning or distance education and training were the World Wide Web and e-mail. The World Wide Web allowed multimedia or hypermedia-based instructional content to be loaded on a Web server and browsed using HTML-based browsers, and Internet-based e-mail systems allowed learners and facilitators to correspond asynchronously—anytime, anyplace. However, one of the most significant contributions of Internet-based technologies toward training and collaboration in the last few years has been the introduction of synchronous collaboration technologies. Synchronous collaboration technologies truly create a new medium that brings facilitators and participants together in a dynamic and live environment through which highly interactive communication can occur—closing down the barriers for communication and learning.


2019 ◽  
Vol 28 ◽  
Author(s):  
Andreia Correia de Souza Cioffi ◽  
Mara Regina Rosa Ribeiro ◽  
Juarez Coimbra Ormonde Júnior

ABSTRACT Objective: to estimate the validity of the competence profile content developed for the training of the generalist nurse in the health and administrative and managerial attention areas. Method: descriptive study, with quantitative approach. The data collection and validation occurred through the Delphi technique, in a virtual way, with questionnaire sent by e-mail, between April and May 2016, with the participation of 28 professional judges and 26 nursing specialists judges from all regions of the country. For the calculation of the degree of agreement among the answers of the experts, signed in at least 70% for the Content Validity Index, and the binomial test for dichotomous analysis of the proportion of the answers of the specialists. Results: considering the 14 items of the care area profile, a content degree of 93% by professional area and 97% by education area was obtained. The 18 items of the administrative and management profile were approved with a degree of agreement of 95% by the professional area and 99% by the education area. Conclusion: the competence profile validated in content may help undergraduate nursing courses in the country and is a safe educational tool, aiming at the implementation of the Course Pedagogical Projects.


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Alessandra Lima Fontenele ◽  
Graziani Izidoro Ferreira ◽  
Maria da Graça Camargo Neves ◽  
Dirce Bellezi Guilhem

Objetivo: analisar as opiniões e conhecimentos que os acadêmicos de Enfermagem, de uma universidade pública do Distrito Federal (DF), possuem acerca do tema do aborto previsto em lei. Métodos: trata-se de um estudo quantitativo do tipo exploratório-descritivo, com delineamento transversal. Participaram da pesquisa 46 acadêmicos do curso de graduação em Enfermagem. Os dados foram coletados por meio da aplicação de questionário eletrônico enviado por e-mail individualmente aos estudantes. Utilizou-se estatística descritiva para a análise dos dados, verificando-se a frequência do aparecimento de determinados elementos nas respostas dos participantes.Resultados: segundo apontaram os acadêmicos, haveria uma fragilidade na formação acadêmica no que se refere ao tema do aborto.Verificou-se que o principal enfoque dado às disciplinas voltadas para esta temática estão direcionados às questões sociais e culturais, levando a uma valorização destes aspectos em detrimento aos demais conteúdos, o que poderia ocasionar um despreparo teórico e prático destes futuros profissionais de saúde. Conclusão: compreende-se a importância da abordagem e discussão sobre essas temáticas no contexto universitário, uma vez que essas questões têm sido pouco trabalhadas no processo de formação profissional, interferindo na forma como os estudantes e futuros profissionais sentem-se capacitados ou confortáveis em relação a este tipo de atendimento.


2020 ◽  
Vol 15 (1) ◽  
pp. 22
Author(s):  
Puji Dwi Noratikasari ◽  
Yunus Ariyanto ◽  
Mury Ririanty

Background: Leprosy sufferers who were not treated immediately deteriorate their disease and increase the risk of complications such as permanent defects in skin, hands, feet and eyes. Disability in leprosy patients can be prevented by early diagnosis and routine treatment of multi drug therapy (MDT). Regular MDT only kill leprosy germs but not permanent defects that should need more optimal efforts. The role of KPD was to help lepers in facing disabilities and also to empower them in improving socio-economic status. This study aims to describe the roles of KPD in leprosy patients in Jember District. Method: This is a descriptive study which conducted in two health centers in Jenggawah and Anggrek Sumberbaru. This study involved 27 leprosy patients which selected purposively (patient with permanent defects). Data was collected using partially structured questionnaire includes open ended question and observations. Data analysed using univariate, bivariate and categorizing open ended questionnaire.Results: The role of KPD in two health centers has been conducted mostly in helping leprosy patient to do defects’ self care. The KPDs also provided counseling and training to patient and family to take routine medication. The results also showed that the limited facilities including budget for doing self care by leprosy patients was the barriers to comply take complete medication. In terms of empowering the lepers, KPDs have done minimally because of limited resources. This study recommended that to improve the socio-economic patient needs to cooperate with other sectors including private parties in order to obtain more funding.


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