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Sexual health-related training of Canadian midwives and its association with practice outcome
Institution:1. School of Nursing, Queen’s University, Kingston, ON, Canada;2. Community Midwives of Kingston, Kingston, ON, Canada;3. Family Midwifery Care, Guelph, ON, Canada;4. Department of Family Medicine, Guelph, ON, Canada;5. Department of Psychology, University of New Brunswick, Fredericton, NB, Canada;6. Department of Psychology, Queen’s University, Kingston, ON, Canada;1. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;2. Madinet Kafr Shokr, Kafr Shokr, Al Qalyubia Governorate, Egypt;3. El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;4. Research coordinator at the Faculty of Egyptian Society of Royal College of Obstetrics and Gynaecology, (ERC-RCOG), 42 Abdel Monem Road, Mohandseen, Cairo, 11231, Egypt;1. University of Newcastle, Faculty of Health and Medicine, School of Nursing and Midwifery, University Drive, Callaghan, NSW, 2308, Australia;2. University of Newcastle, Faculty of Health and Medicine, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia;3. Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia;4. University of Newcastle, Priority Research Centre for Health Behaviour, Australia;5. Hunter New England Health Nursing, Midwifery Research Centre, Australia;6. University of Canberra, ACT Government Health Directorate, Australia;7. University of Newcastle, Priority Research Centre for Brain and Mental Health, Australia;1. Edith Cowan University, Perth, Western Australia, Australia;2. Charles Darwin University, Darwin, Northern Territory, Australia;3. King Edward Memorial Hospital, Perth, Western Australia, Australia;1. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. 1 W. Wilson St., Madison, WI, 53704, United States;2. Department of History and Social Sciences, Faculty of Liberal Arts, Universidad Adolfo Ibáñez, Diagonal Las Torres, Peñalolén, Santiago, 2640, Chile;3. Birth Place Lab., University of British Columbia, BC Women’s Hospital Shaughnessy Building E418 4500 Oak Street, Vancouver, BC V6H 3N1, Canada
Abstract:BackgroundAlthough promoting sexual health should be an integral part of midwifery practice, little is known about midwives’ preparation to address their clients’ sexual health concerns.AimsTo assess the formal and self-directed training on sexual health topics relevant to midwifery practice of Canadian midwives as well as the association between training and various practice outcomes.MethodsForty midwives registered in the Province of Ontario, Canada completed an online survey assessing their formal and self-directed sexual health training, knowledge, comfort, and practice related to 10 sexual health issues.FindingsIn terms of formal training, three of the 10 topics were coved in-depth and seven were covered in general terms only or not at all. Participants had received an average of 26.0 hours of formal training related to sexual health. Almost all (90%) participants had engaged in self-directed learning on at least one topic. Participants had asked at least one client about only 5 of the 10 topics and been asked by at least one client about 4.5 of them. Participants who reported more extensive formal training had been asked about more sexual health topics by their clients. More self-directed learning was associated with more positive attitudes toward midwives’ role in addressing sexual health concerns, feeling more knowledgeable, and being asked about and asking about more sexual health topics.ConclusionThe midwives in this sample had limited training in some important sexual health issues relevant to midwifery practice. Likely as a result, they often did not address these issues in practice.
Keywords:Sexual health  Sexual health education  Self-directed learning  Canada  Midwives
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