Exposure to disrespectful maternity care and perceptions of respectful maternity care among nursing and midwifery pre-registration students in China: A national cross-sectional study.

Autor: Huang J; School of Nursing, Capital Medical University, No.10 Xitoutiao Road, Fengtai District, Beijing 100069, China; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London SE18WA, UK., Fu L; School of nursing, Liaoning University of Traditional Chinese Medicine Shenyang, No 79 Chongshan East Road, Huanggu District, Shenyang 110847, China; School of Nursing, Peking University, No.38 Xueyuan Road, Haidian District, Beijing 100191,China., Fu Y; School of Nursing, Xinjiang Medical University, No.567 Shangde North Road, Shuimogou District, Urumqi 830017, China., Creedy DK; School of Nursing and Midwifery, Griffith University Logan Campus, University Drive, Meadowbrook, Queensland 4131, Australia., Gamble J; School of Nursing and Midwifery, Griffith University Logan Campus, University Drive, Meadowbrook, Queensland 4131, Australia., Da Z; Tibet Medical University, No.36 Jiangsu Road, Lhasa, Tibetan Autonomous Region 850000, China., Yao J; School of Nursing, Hebei Medical University, No.309 Jianhua Street, Yuhua District, Shijiazhuang, Hebei Province, China., Li J; Handan Vocational College of Science and Technology, No.1 Fuyang Road, Jinan New District, Handan City, Hebei Province 056046, China., Wang N; School of Nursing, Capital Medical University, No.10 Xitoutiao Road, Fengtai District, Beijing 100069, China. Electronic address: na_wang_3@163.com.
Jazyk: angličtina
Zdroj: Nurse education in practice [Nurse Educ Pract] 2024 Jul; Vol. 78, pp. 104026. Date of Electronic Publication: 2024 Jun 19.
DOI: 10.1016/j.nepr.2024.104026
Abstrakt: Aims: To 1) determine the prevalence and types of disrespectful maternity care witnessed by students; 2) describe students' perceptions of respectful maternity care and associated factors; and 3) investigate whether witnessing disrespectful care influences their perceptions of respectful maternity care.
Background: Limited evidence exists about nursing and midwifery students' perceptions of respectful maternity care and prevalence of disrespectful maternity care in China. Understanding students' perceptions can inform pre-registration curricula and clinical practice programs, promoting the implementation of respectful maternity care.
Design: An exploratory national online survey was conducted.
Methods: Data were analysed using bivariate analysis and multi-factor analysis of variance.
Results: Among 733 students, positive perceptions towards respectful maternity care were common. Approximately one-fifth witnessed disrespect, with physical violence, lack of communication and untimely care most frequently reported. A better understanding of respectful maternity care was associated with female students of Han ethnicity, majoring in midwifery, undertaking a longer internship/practicum and reporting fewer instances of observed disrespect. Although students reported positive perceptions of respectful maternity care, inadequate understanding was evident. Incorporating relevant content about respectful care into the curriculum is suggested. Reducing students' exposure to disrespectful maternity care may ensure that certain forms of disrespect or abuse do not become normalized among students. This requires system-level efforts to create a safe and supportive working environment for maternity health providers.
Conclusion: To promote respectful maternity care in China, system-level changes are warranted. Respectful maternity care needs to be essential content in pre-registration midwifery and nursing curricula. Encouraging students to identify poor practice and discuss good practice in a safe learning environment is warranted.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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