The Study On Core Competency Of Midwives In Changchun

Objectives:Investigate the core competency of midwives in Changchun City, analysis the wholesituation and influencing factors, provide a reference for midwifery education and practice,in order to improve the midwifery core competency, and promote the further improvement ofthe level of maternal and child health.Methods:The midwife core competency scale and general information questionnaire were givento all midwives in all midwifery institutions in Changchun City for the survey, duringJuly-September2011. The obtained data was statistically analyzed by using SPSS17.0.Mean±SD was used to descript the measurement data, statistical description of the countdata as a percentage. Comparing scores of midwives with different years of practice inmidwifery, different initial-educated, different end-educated, different ages, different job title,different work experience time, different employment form, different further learning timeuse t/t’ test,one-way ANOVA, or the rank sum test. Multivariate analysis used stepwisemultiple regression analysis.Results:1. The score of core competency for midwives was higher in Changchun.The overall score of midwife core competency was179.77±29.60,83.22%of totalscore, is at a higher level. The scores of dimensions from highest to lowest were deliverycare (3.41±0.62), prenatal care (3.39±0.64), postpartum care(3.36±0.59),newborncare(3.30±0.59), public health(3.29±0.58), preconception care(3.11±0.72).2．Years of practice in midwifery mainly affected core competency.Univariate analysis showed that there were statistically significant differences in thetotal score and dimensions score among midwives with different years of practice inmidwifery (P＜0.05). Stepwise multiple regressions showed that only years of practice inmidwifery was into the regression equation, the regression coefficient was1.042.3. Level of education least affected core competency.There was no statistically significant difference in total score and dimensions scoreamong midwives with different initial-educated (P＞0.05). There was statistically significantdifference only in preconception care score among midwives with different end-educated (P ＜0.05).4. Age, job title, work experience time, form of employment, further learning timeaffected the core competency in different degree.There were statistically significant differences in delivery care, postpartum care,newborn care, public health care and the total score among midwives with different age (P＜0.05). There were statistically significant differences in delivery care and postpartum carescore among midwives with different job title (P＜0.05). There were statistically significantdifferences in prenatal care, delivery care, newborn care, public health and the total scoreamong midwives with different work experience time (P＜0.05). There were statisticallysignificant differences in preconception care, prenatal care, delivery care, postpartum care,newborn care and total score among midwives with different employment form (P＜0.05).There were statistically significant differences in prenatal care, public health and the totalscore among midwives with different further learning time (P＜0.05).Conclusions:Core competency of midwives in Changchun was at a higher level，from best to worstwere the competency on maternity care, prenatal care, postpartum care, newborn care, publichealth, preconception care. Years of practice in midwifery mainly affected core competency,level of education least affected core competency. Age, job title, work experience time, formof employment, further learning time affected the core competency in different degree.