The investigation of the impact of education on sexual health/reproductive health knowledge levels of nurses and midwives in extraordinary situations – evidence from Turkey
DOI:
https://doi.org/10.15584/ejcem.2023.4.22Keywords:
education, extraordinary, midwife, nurse, reproductive health, sexual healthAbstract
Introduction and aim. In extraordinary situations, sexual/reproductive health services are very important for the health of the whole society, especially women and children. The aim of this study is to assess the impact of training provided on sexual health/reproductive health during extraordinary situations on the knowledge levels of nurses and midwives.
Material and methods. The research was conducted using a single-group pre-test-post-test follow-up test measurement quasi-experimental design. It was completed between November 2021–June 2022 with 140 participants working in a province in Turkey. The data were collected with the “Descriptive Information Form” and the “Sexual Health and Reproductive Health Knowledge Assessment Form for Extraordinary Situations”. Training was given with the Sexual Health/Reproductive Health Training Booklet for Extraordinary Situations.
Results. It was found that the participants scored 20.82±4.47 on the Sexual Health and Reproductive Health Knowledge Assessment Form for Extraordinary Situations in the pre-test, 27.63±2.67 in the post-test, and 27.07±3.46 in the follow-up test. As a result of the training, it was determined that the difference between the scores they got from the Sexual Health and Reproductive Health Knowledge Assessment Form for Extraordinary Situations was due to the pre-test (p<0.05).
Conclusion. In the study, the participants scored above the average in the pre-test, while they achieved significantly higher scores in the post-test and follow-up test. This shows that the training given to nurses and midwives is effective.
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T.R. Presidency Legislation Information System State of Emergency Law. https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=2935&MevzuatTur=1&MevzuatTertip=5 Accessed July 17, 2022.
Erkal T, Değerliyurt M. Disaster management of Turkey. Eastern Geographical Review. 2009;14(22):147-164.
Ahmad A, Mahmud SM, O’Mathuna DPO. Evidence and Healthcare Needs During Disasters. In: Disaster Bioethics: Normative Issues When Nothing is Normal. O’Mathúna D, Gordijn B, Clarke M, ed. Public Health Ethics Analysis, Springer, Dordrecht; 2013:2. doi: 10.1007/978-94-007-3864-5_7
Myers A, Sami S, Adhiambo Onyango M, Karki H, Anggraini R, Krause S. Facilitators and barriers in implementing the Minimum Initial Services Package (MISP) for reproductive health in Nepal post-earthquake. Confl Health. 2018;12:35. doi: 10.1186/s13031-018-0170-0
Adhiambo Onyango M, Lynne Hixson B, McNally S. Minimum initial service package (MISP) for reproductive health during emergencies: time for a new paradigm? Glob Public Health. 2013;8(3):342-356. doi: 10.1080/17441692.2013.765024
IAWG. Chapter 3: Minimum initial service package (MISP). https://iawgfieldmanual.com/manual/misp#introduction. Accessed June 14, 2021.
Foster AM, Evans DP, Garcia M, et al. The 2018 inter-agency manual on reproductive health in humanitarian settings: revising the global standards. RHM. 2017;25:18-24. doi: 10.1080/09688080.2017.1403277
Nabulsi D, Saad MA, Ismail H, Doumit MAA, El Jamil F, Kobeissi L, Fouad FM. Minimum initial servica package (MISP) for sexual and reproductive health for women in a displacement setting: a narrative review on the Syrian refugee crisis in Lebanon. Reprod Health. 2021;18:58. doi: 0.1186/s12978-021-01108-9
Çöl M, Bilgili Aykut N, Usturalı Mut N, et al. Sexual and reproductive health of Syrian refugee women in Turkey: a scoping review within the framework of the MISP objectives. Reprod Health. 2020;17:99. doi: 10.1186/s12978-020-00948-1
UNDP. The sustainable development goals in Tukey. https://www.tr.undp.org/content/turkey/tr/home/sustainable-development-goals.html. Accessed July 17, 2021.
Heidari S, Onyango MA, Chynoweth S. Sexual and reproductive health and rights in humanitarian crises at ICPD25+ and beyond: consolidating gains to ensure access to services for all. SRHM. 2019;27(1):343-345. doi: 10.1080/26410397.20191676513
Lisam S. Minimum initial service package (MISP) for sexual and reproductive health in disaster. JEBM. 2014;7(4):245-248. doi: 10.1111/jebm.12130
Koç Akgül S. State of Emergency, Communication and News Reporting Approaches. TRT Academi. 2017;2(3):6-47.
United Nations. The relevance of soft infrastructure in disaster management and risk reduction. https://www.un.org/en/chronicle/article/relevance-soft-infrastructure-disaster-management-and-risk-reduction. Accessed July 17, 2021.
WHO. Disasters & Emergencies. https://apps.who.int/disasters/repo/7656.pdf. Accessed July 17, 2021.
Kalanlar B, Kubilay G. An Important concept of protecting public health in disaster situations: disaster nursing. Florence Nightingale J Nurs. 2015;23(1):57-65.
Demirbaş H, Sezer A, Ergun A. Public health nurses’ roles and responsibilities in disaster management. Florence Nightingale J Nurs. 2013;21(2):122-128.
Gasseer NA, Dresden E, Keeney GB, Warren N. Status of women and infants in complex humanitarian emergencies. JMWH. 2004;49(4):7-13. doi: 10.1016/j.jmwh.2004.05.001
Karaçam Z, Eroğlu K. Nursing and Midwifery: Similarities and Differences in Tasks, Authorities and Responsibilities. Lokman Hekim Journal. 2019;9(2):211-227 doi: 10.31020/mutftd.524807
Bektaş Akpınar N, Aşkın Ceran M. Current approaches about disasters and role and responsibilities Of Dısaster Nurse. JOPEHS. 2020;1(1):28-40.
Loke AY, Fung OWM. Nurses’ competencies in disaster nursing: implications for curriculum development and public health. Int J Environ Health Res. 2014;11(3):3289-3303.
Crofts JF, Ellis D, Draycott TJ, Winter C, Hunt LP, Akande VA. Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomised controlled trial of local hospital, simulation centre and teamwork training. BJOG. 2007;114(12):1534-1541. doi: 10.1111/j.1471-0528.2007.01493.x
Singh NS, Aryasinghe S, Smith J, Khosla R, Say L, Blanchet K. A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises. BMJ Glob Health. 2018;3(2):e000682. doi: 10.1136/bmjgh-2017-000682.
Cohen J. Statistical Power Analysis for the Behavioral Sciences, 2nd Ed. NJ: Lawrence Erlbaum, Hillsdale; 1988.
Avcı S, Kaplan B, Ortabağ T. The Level of knowledge and awareness of nursing students about disasters. Resilience. 2020;4(1):89-101. doi: 10.32569/resilience.619897
Cirban Ekrem E, Kurt A, Önal Y. The relationship between sexual myths and interculturalsensitivity in university students. PPC. 2022;58(4):2910-2917. doi: 10.1111/ppc.13140
Taner A, Demirel Bozkurt Ö. Impact of the planned reproductive health training provided to visually ımpaired women on knowledge level and satisfaction. Turkiye Klinikleri J Nurs Sci. 2021;13(2):239-250. doi: 10.5336/nurses.2020-75588.
UNFPA. Minimum initial service package (MISP) for SRH in crisis situations. https://www.unfpa.org/resources/minimum-initial-service-package-misp-srh-crisis-situations. Accessed July 18, 2021.
Cirban Ekrem E. Sexual/reproductive health and nursing approach in disasters. Gülcan D, ed. Efe Academi Broadcasts; 2021.
Jonas K, Roman N, Reddy P, Krumeich A, Borne B, Crutzen R. Nurses’ perceptions of adolescents accessing and utilizing sexual and reproductive healthcare services in Cape Town, South Africa: A qualitative study. Int J Nurs Stud. 2019;97:84-93. doi: 10.1016/j.ijnurstu.2019.05.008
Joyce C, Maureen B. Did I learn enough to practice? Reflections of new nurse practitioner graduates in providing sexual and reproductive health care. JAANP. 2022;34(1):109-118. doi: 10.1097/JXX.0000000000000552
Rassem M, Siddiqui, M, Wunder S, Ganshorn K, Kraushaar J. Sexual health counselling in patients with spinal cord injury: Health care professionals’ perspectives. J Spinal Cord Med. 2022;45(2):280-286. doi: 10.1080/10790268.2020.1786322
Simmonds K, Hewitt CM, Aztlan A, Skinner E. Pathways to competence in sexual and reproductive health care for advanced practice nurses. JOGNN. 2017;46(5):168-179. doi: 10.1016/j.jogn.2017.02.007
Bülbül E. Assesment of nursing students’ self-efficieny in disaster response. JEADS. 2022;1(2):45-49.
Hisar KM, Yurdakul A. The Evaluation of Information about Health Services in Disasters of Nursing Students of a University. MAKU J Health Sci Inst. 2015;3(2):54-65.
Taşkıran G, Baykal Ü. Nurses’ opınıons experiences and preparedness perceptions related to disasters. J Res Nurs. 2017;10:36-58. doi: 10.17371/UHD2017.2.03
Çiftçi Baykal D, Kardaş Özdemir F, Beydağ KD. Disaster Preparedness of University Students in Nursing and Midwifery Education and Affecting Factors. SSRJ. 2023;12(3):401-411.
Kismödi E, Pitchforth E. Sexual and reproductive health, rights and justice in the war against Ukraine 2022. SRHM. 2022;30(1):1-5. doi: 10.1080/26410397.2022.2052459
Chaudhary P, Vallese G, Thapa M, et al. Humanitarian response to reproductive and sexual health needs in a disaster: the Nepal Earthquake 2015 case study. SRHM. 2017;25(51):25-39. doi: 10.1080/09688080.2017.1405664
Women’s Commission for Refugee Women and Children. Reproductive health priorities in an emergency: assessment of the minimum initial service package in tsunami-affected areas in Indonesia [online]. New York: Women’s Commission for Refugee Women and Children. http://www.womensrefugeecommission.org/research-resources/reproductive-health-in-an-emergency-assessment-of-the-minimum-initial-service-package-in-tsunami/. Accessed November 26, 2022.
Curry DW, Rattan J, Huang S, Noznesky E. Delivering high-quality family planning services in crisis-affected settings II: results. GHSP. 2015;3(1):25-33. doi: 10.9745/GHSP-D-14-00112
Logie CH, Daniel C, Newman PA, Weaver J, Loutfy MR. A psycho-educational HIV/STI prevention intervention for internally displaced women in Leogane, Haiti: results from a non-randomized cohort pilot study. PLoS One. 2014;9(2):e89836. doi: 10.1371/journal.pone.0089836
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