Self-efficacy of midwives in order to provide reproductive health services in disasters, Tehran, ۲۰۱۴

Introduction: In addition to the knowledge and skills, midwives should have adequate self-efficacy in order to provide effective reproductive health services in disasters; because self-efficacy is one of the factors influencing proper performance in emergency and stressful situations. Sudden onset disasters indicate the need to evaluate the midwives self-efficacy more, as a predictor of the performance in providing reproductive health services. Method: In this cross-sectional survey, ۳۶۱ midwives who work in three areas of Tehran public hospitals, north, south and center after completing informed consent form, were participated by cluster random sampling. Data was collected by using a self-administered questionnaire and statistically analyzed by SPSS.   Findings: The results are as follows: a total of ۵۵, the self-efficiency score of midwives was moderate (۳۸.۳±۸) and only ۱۹% of the midwives had a good level of self-efficacy; The highest score of self-efficacy belonged to "collaborate with other team members in disaster" and the lowest score related to "adaptation to psychological stress with distress". There were significant correlation between self-efficacy with clinical experience (P=۰.۰۳۶), age (P=۰.۰۴), previous exposure to disasters (P=۰.۰۱) and completing the previous training course (P=۰.۰۴). Conclusion: With Consideration to average midwives self-efficacy scores and its relationship with training courses, preparing midwives by education seems necessary.

Keywords:

midwife , reproductive health , disaster , self-efficacy , خودکارآمدی , خدمات بهداشت باروری , بلایا , ماما.