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Challenges to implement evidence-based midwifery care in Bangladesh. An interview study with medical doctors mentoring health care providers.
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2022 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 31, article id 100692Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In 2013 the first midwives in Bangladesh to be educated according to international standards completed their course and were awarded a diploma. Sixty percent of their training took place in clinical placement sites. In order to achieve appropriate mentor support while in clinical practice, a mentorship programme was initiated whereby local doctors were appointed by Save the Children. The aim of this study is to describe the mentors' purpose and the actions they took to improve midwifery care at clinical placement sites. Their appointment was intended to support local Health Care Providers (HCPs) at clinical placement sites meant for educating midwifery students in evidence-based midwifery care.

METHODS: An open-ended interview study with 14 mentors. The data was analysed using content analysis.

RESULTS: The main category, the theme that emerged from the analysis was "Creating commitment". "Creating commitment" describe how the mentors; the medical doctors employed by Save the Children, "Motivate", "Educate", "Mentor", "Advocate" and "Communicate" (subcategories) to creating commitment for quality midwifery care "In the organization of care" and "In clinical care practices" (categories). As intended, they enabled HCPs, midwifery students, and newly graduated midwives to provide quality midwifery care.

CONCLUSIONS: Using medical doctors' status and power to support the development of a newly emerging midwifery cadre in a country where midwifery is just emerging as a profession is because midwives integrated in the health system will improve the birthing process, improve life chances for newborns, and reduce morbidity and mortality in Bangladesh. It is recommended for implementation in other similar national contexts.

Place, publisher, year, edition, pages
2022. Vol. 31, article id 100692
Keywords [en]
Bangladesh, Content analysis, Medical doctors, Mentors, Midwifery education
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-39321DOI: 10.1016/j.srhc.2021.100692ISI: 000800444300007PubMedID: 34990978Scopus ID: 2-s2.0-85122407316OAI: oai:DiVA.org:du-39321DiVA, id: diva2:1627553
Available from: 2022-01-13 Created: 2022-01-13 Last updated: 2023-03-17Bibliographically approved

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Byrskog, UlrikaErlandsson, Kerstin

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf