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|Title: ||Exposure to disrespectful patient care during training:Data from midwifery students at 15 midwifery schools in Ghana|
|Authors: ||Moyer, Cheryl A.|
Nakua, Emmanuel Kweku
Dzomeku, Veronica Millicent
Lori, Jody R.
|Issue Date: ||2016|
|Citation: ||Midwifery 41(2016)39–44|
|Abstract: ||Objective: to determine what midwifery students throughout Ghana were witnessing,perceiving,and
learning with regard to respectful care during labour and childbirth.
Design: cross-sectional survey.
Setting: public midwiferyschoolsinall10regionsofGhana.
Participants: all graduating midwifery students in Ghana.
Measurements: 929 final-year students at 15 public midwifery schools in Ghana were asked to complete
a self-administered computerised survey addressing a range of topics,including experiences during
training. All data were collected anonymously and analyzed using Stata 13.0.
Findings: 853 students completed the questionnaire(91.8% response rate):72.0% said maltreatment was
a problem in Ghana and 77.4% said women are treated more respectfully in private than public facilities.
Students described providers :telling women to
stop making noise(78.5%),shouting at women(68.8%),
scolding women if they didn’t bring birth supplies(54.5%),treating educated/wealthy women better than
less educated/poor women(41.5%/38.9%),detaining women who couldn’t pay(37.9%),and speaking
disrespectfully to women(34%).Only 4% of students reported not witnessing any disrespectful treatment.
Students reported providers being overworked(76.5%),stressed(74.2%),and working without adequate
resources(64.1%).Where students performed their clinical training(teaching hospital,district hospital,
public health clinic,private facility)had no effect on perception of maltreatment as a problem.However,
students who trained in district hospitals witnessed more types of disrespectful care than those who did
not train in district hospitals(p¼0.01).
Conclusions and implications: a majority of midwifery students throughout Ghana witness disrespectful
care during their training.Implications include the need for provider curricula that address psychosocial
elements of care,as well as the need to improve monitoring,accountability,and consequences for
maltreatment within facilities without creating a culture of blame.|
|Description: ||An article published in Midwifery 41(2016)39–44|
|Appears in Collections:||College of Health Sciences|
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