PMID- 33160156 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1532-2793 (Electronic) IS - 0260-6917 (Linking) VI - 96 DP - 2021 Jan TI - Evaluating the effect of an educational intervention on student midwife self-efficacy for their role as physiological childbirth advocates. PG - 104628 LID - S0260-6917(20)31478-7 [pii] LID - 10.1016/j.nedt.2020.104628 [doi] AB - INTRODUCTION: Midwifery education that strengthens self-efficacy can support student midwives in their role as advocates for a physiological approach to childbirth. METHODS: To assess the effect of an educational intervention on self-efficacy, a pre- and post-intervention survey was administered to a control group and an intervention group of third year student midwives. The General Self-Efficacy Scale (GSES) was supplemented with midwifery-related self-efficacy questions related to behaviour in home and hospital settings, the communication of evidence, and ability to challenge practice. RESULTS: Student midwives exposed to midwifery education designed to strengthen self-efficacy demonstrated significantly higher levels of general self-efficacy (p = .001) when contrasted to a control cohort. These students also showed significantly higher levels of self-efficacy in advocating for physiological childbirth (p = .029). There was a non-significant increase in self-efficacy in the hospital setting in the intervention group, a finding that suggests that education may ameliorate the effect of hospital settings on midwifery practice. DISCUSSION: In spite of the small size of the study population, education that focuses on strengthening student midwife self-efficacy shows promise. CI - Copyright (c) 2020 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Thompson, Suzanne M AU - Thompson SM AD - Midwifery Science, Zuyd University of Applied Sciences, Maastricht, the Netherlands; Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands. Electronic address: s.thompson@av-m.nl. FAU - Low, Lisa Kane AU - Low LK AD - School of Nursing, University of Michigan, Ann Arbor, United States. FAU - Bude, Luc AU - Bude L AD - Midwifery Science, Zuyd University of Applied Sciences, Maastricht, the Netherlands. FAU - de Vries, Raymond AU - de Vries R AD - Midwifery Science, Zuyd University of Applied Sciences, Maastricht, the Netherlands; Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands; Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, United States. FAU - Nieuwenhuijze, Marianne AU - Nieuwenhuijze M AD - Midwifery Science, Zuyd University of Applied Sciences, Maastricht, the Netherlands. LA - eng PT - Journal Article DEP - 20201020 PL - Scotland TA - Nurse Educ Today JT - Nurse education today JID - 8511379 MH - Female MH - Humans MH - *Midwifery MH - Parturition MH - Pregnancy MH - Self Efficacy MH - Students MH - Surveys and Questionnaires OTO - NOTNLM OT - Effect measurement OT - Evidence-based education OT - Midwifery education OT - Physiological childbirth EDAT- 2020/11/08 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/11/07 20:12 PHST- 2020/02/25 00:00 [received] PHST- 2020/09/25 00:00 [revised] PHST- 2020/10/13 00:00 [accepted] PHST- 2020/11/08 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/11/07 20:12 [entrez] AID - S0260-6917(20)31478-7 [pii] AID - 10.1016/j.nedt.2020.104628 [doi] PST - ppublish SO - Nurse Educ Today. 2021 Jan;96:104628. doi: 10.1016/j.nedt.2020.104628. Epub 2020 Oct 20.