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Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice

Received: 24 June 2019    Accepted: 4 August 2019    Published: 19 August 2019
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Abstract

Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.

Published in Central African Journal of Public Health (Volume 5, Issue 5)
DOI 10.11648/j.cajph.20190505.12
Page(s) 190-197
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Performance, Clinical Practice, Midwifery, Student Midwives, Clinical Instructors, Nursing and Midwifery Faculties

References
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Cite This Article
  • APA Style

    Millicent Gatwiri Kabiru, Blasio Osogo Omuga, Leila Geteri, Taratisio Ndwiga. (2019). Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice. Central African Journal of Public Health, 5(5), 190-197. https://doi.org/10.11648/j.cajph.20190505.12

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    ACS Style

    Millicent Gatwiri Kabiru; Blasio Osogo Omuga; Leila Geteri; Taratisio Ndwiga. Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice. Cent. Afr. J. Public Health 2019, 5(5), 190-197. doi: 10.11648/j.cajph.20190505.12

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    AMA Style

    Millicent Gatwiri Kabiru, Blasio Osogo Omuga, Leila Geteri, Taratisio Ndwiga. Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice. Cent Afr J Public Health. 2019;5(5):190-197. doi: 10.11648/j.cajph.20190505.12

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  • @article{10.11648/j.cajph.20190505.12,
      author = {Millicent Gatwiri Kabiru and Blasio Osogo Omuga and Leila Geteri and Taratisio Ndwiga},
      title = {Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice},
      journal = {Central African Journal of Public Health},
      volume = {5},
      number = {5},
      pages = {190-197},
      doi = {10.11648/j.cajph.20190505.12},
      url = {https://doi.org/10.11648/j.cajph.20190505.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190505.12},
      abstract = {Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice
    AU  - Millicent Gatwiri Kabiru
    AU  - Blasio Osogo Omuga
    AU  - Leila Geteri
    AU  - Taratisio Ndwiga
    Y1  - 2019/08/19
    PY  - 2019
    N1  - https://doi.org/10.11648/j.cajph.20190505.12
    DO  - 10.11648/j.cajph.20190505.12
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 190
    EP  - 197
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20190505.12
    AB  - Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.
    VL  - 5
    IS  - 5
    ER  - 

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Author Information
  • Faculty of Clinical Sciences, Kenya Medical Training College, Nairobi, Kenya

  • School of Nursing Sciences, Nairobi University, Nairobi, Kenya

  • Faculty of Community Health, Great Lakes University, Kisumu, Kenya

  • School of Public Health, Moi University, Eldoret, Kenya

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