The Effectiveness of The Training Program Given to Midwives and Nurses to Prevent Obstetric Violence (Violence)

Effectiveness of the Education Program for Preventing Obstetric Violence to mi̇dwi̇fe and Nurses:Results of Ebe, Nurses and Women Taking Care

In the study, 84 midwives and nurses working in hospital delivery and puerperal services and family health centers in Adiyaman province constituted the experimental group, and the control group of 84 midwives and nurses working in the delivery room and postpartum services of hospital Child and Gynecology Hospital in Malatya and family health centers', determined by randomization in the study. While the training program for the prevention of obstetric violence consisting of 16 sessions was applied by the researcher to the midwives and nurses in the experimental group, no intervention was applied to the midwives and nurses in the control group. The second phase of the study was conducted with women who received care from the hospital delivery and postpartum services and family health centers in Adiyaman province before and after the training program applied to the midwives and nurses in the experimental group (158 women before the training, 158 after the training). Data were collected with Introductory Information Forms, Caring Behaviors Inventory-30, Communication Skills Scale and Care Satisfaction Evaluation Form.

Study Overview

• Status: Completed
• Conditions: Counseling
• Intervention / Treatment: Behavioral: obstetric violence prevention education intervention

Detailed Description

The research was conducted between November 2020 and December 2021. In the study, 84 midwives and nurses working in hospital delivery and puerperal services and family health centers in Adiyaman province constituted the experimental group, and the control group of 84 midwives and nurses working in the delivery room and postpartum services of hospital Child and Gynecology Hospital in Malatya and family health centers', determined by randomization in the study. While the training program for the prevention of obstetric violence consisting of 16 sessions was applied by the researcher to the midwives and nurses in the experimental group, no intervention was applied to the midwives and nurses in the control group. The second phase of the study was conducted with women who received care from the hospital delivery and postpartum services and family health centers in Adiyaman province before and after the training program applied to the midwives and nurses in the experimental group (158 women before the training, 158 after the training). Data were collected with Introductory Information Forms, Caring Behaviors Inventory-30, Communication Skills Scale and Care Satisfaction Evaluation Form.

• Study Type: Interventional
• Enrollment (Actual): 484
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Malatya, Turkey, 44050
    • Inonu University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• 18 years and over,
• Those who do not have any problems during pregnancy, birth and postpartum period (such as heart disease, preeclampsia, diabetes, difficult birth, fetal anomaly),
• No psychological health problems according to medical records,
• Those who are open to communication and cooperation.

Exclusion Criteria:

• Not meeting the inclusion criteria

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: obstetric violence prevention education intervention; The training program for the prevention of obstetric violence was given to the midwives and nurses in the experimental group by the researcher in the form of group training in the training hall of the relevant institution. The trainings were completed in a total of 16 sessions, two sessions a day and four sessions a week. Sessions were held between 16:00 and 18:00 on weekdays, each lasting approximately 40-45 minutes, with a 10-minute break between sessions. Thus, the training program applied to the experimental group was completed in 4 weeks. The main purpose of the training program is to prevent obstetric violence perpetrated by midwives and nurses. The training content created for this purpose included the definition of obstetric violence, pregnant and fetus rights, factors causing obstetric violence and strategies to be used to reduce obstetric violence. Other Names: • group-ED	Behavioral: obstetric violence prevention education intervention; While the training program for the prevention of obstetric violence consisting of 16 sessions was applied by the researcher to the midwives and nurses in the experimental group, no intervention was applied to the midwives and nurses in the control group.
Experimental: Standard of care; Midwives and nurses in this group did not perform any practice. . group- SB	Behavioral: obstetric violence prevention education intervention; While the training program for the prevention of obstetric violence consisting of 16 sessions was applied by the researcher to the midwives and nurses in the experimental group, no intervention was applied to the midwives and nurses in the control group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Caring Behaviors Scale-30	Caring Behaviors Inventory-30: Wolf et al. In 1994, he evaluated patient care from a philosophical and ethical point of view (136). The scale consists of 30 items and consists of three sub-dimensions: respect for others, professional knowledge and attitude, and accessibility by the individual. The 6 Likert-type scales have options never (1), rarely (2), sometimes (3), usually (4), almost always (5), and always (6). The minimum score that can be obtained from the total of the scale is 30, and the maximum score is 180. The minimum score that can be obtained from each sub-dimension of the scale is 10, and the maximum score is 60. As the sub-dimension and total scale score increase, the care perception of patients and/or caregivers increases positively.	through study completion, an average of 1 year
Communication Skills Scale	It was developed by Korkut in order to understand how individuals evaluate their communication skills. The scale, which is a five-point Likert type, consists of 25 statements. The scale has options never (0), rarely (1), sometimes (2), often (3), and always (4). The minimum score that can be obtained from the scale is 0, and the maximum score is 100. As the scores obtained from the scale increase, it means that individuals evaluate their communication skills positively. The Cronbach's alpha reliability coefficient of the scale was found to be 0.80. In this study, α=0.94 of the scale was found.	through study completion, an average of 1 year

Collaborators and Investigators

• Sponsor: Inonu University
• Investigators: Principal Investigator: Nurten ÖZÇALKAP, Msc, Adiyaman Training and Research Hospital

Publications and helpful links

General Publications

• Mannava P, Durrant K, Fisher J, Chersich M, Luchters S. Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Global Health. 2015 Aug 15;11:36. doi: 10.1186/s12992-015-0117-9.

Helpful Links

• Manuscript full text

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2021
• Primary Completion (Actual): August 25, 2021
• Study Completion (Actual): September 30, 2021

Study Registration Dates

• First Submitted: May 19, 2022
• First Submitted That Met QC Criteria: October 12, 2022
• First Posted (Actual): October 17, 2022

Study Record Updates

• Last Update Posted (Actual): October 17, 2022
• Last Update Submitted That Met QC Criteria: October 12, 2022
• Last Verified: October 1, 2022

More Information

Terms related to this study

• Keywords: communication; nurse; midwife; care; obstetric violence
• Other Study ID Numbers: 2020-1235

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: Data may be obtained either from study investigators.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No