Nursing Management إدارة التمريض

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Browsing Nursing Management إدارة التمريض by Author "Ala' wasef jameel Qa'dan"

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    Midwives’ Awareness, Attitudes, and Perceived Barriers Toward Reproductive Health of Women with Disabilities in the Northern Region of the West Bank
    (Al-Quds University, 2024-10-01) Ala' wasef jameel Qa'dan; الاء واصف جميل قعدان
    Introduction: Women with disabilities are among the most underserved groups when it comes to accessing sexual and reproductive health services, facing numerous barriers—physical, financial, attitudinal, and communication-related. Midwives play a crucial role in addressing and understanding the specific needs of these women. Therefore, it is essential for midwives to have adequate knowledge and cultivate a proper, supportive attitude to ensure inclusive and effective care. Aim: Assessing the midwife’s knowledge, attitudes, and perceived barriers toward reproductive health care services for women with disabilities in the northern region of the West Bank/Palestine. Methodology: The study implemented a cross-sectional, quantitative design on a convenient sample of 158 midwives who were currently working at the targeted governmental and private hospitals in the Northern West Bank—Palestine.They were asked to fill in a self-administered questionnaire that was analyzed using SPSS software, with full commitment to anonymity and confidentiality as essential ethical considerations. Results: Midwives had a median age of 29 years old and experience of 6 years, and mostly had bachelor’s degrees (n = 91 ,57.6%), were married (n = 99 , 62.7%), working in the private sector (n = 126 , 79.7%), and did not receive a specific training for reproductive health care for women with disabilities (n = 141 , 89.2%). Around half of the midwives had a high level of knowledge (n = 78 ,49.4%), while (n = 103 , 65.2%) had a moderate attitude, and (n = 76 , 48.1%) perceived a high level of barriers, with physical barriers being the most common category. Higher educational level was significantly associated with higher knowledge and perceived barriers, with higher attitudes among younger and single midwives, and a better attitude and higher perceived barriers among midwives who received related training (p-value< 0.05). Higher perceived barriers were significantly correlated with higher knowledge and lower attitudes (p-value = 0.001). Conclusion: The study reviewed an important topic in the field of sexual and reproductive health care for a highly vulnerable category of patients, and showed that midwives in Palestine tend to have a high level of knowledge and an acceptable level of attitude and perceived barriers. Level of knowledge and training play a significant role in having a better attitude and perceiving more barriers. It is recommended to train more midwives and implement qualitative research in this field for both women with disabilities and midwives in Palestine.