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Titre : | Promoting respectful maternal and newborn care using the Dignity game: A quasi-experimental study (2023) |
Auteurs : | Valentina Actis Danna ; Carol Bedwell ; Angela Chimwaza ; Isabella Chisuse ; Kutemba Lyangenda ; Chisomo Petross ; Khuzuet Tuwele ; Vicky P. Taxiarchi ; Tina Lavender |
Type de document : | Article |
Dans : | Nurse Education in Practice (Vol. 66, January 2023) |
Article en page(s) : | 103519 |
Note générale : | https://doi.org/10.1016/j.nepr.2022.103519 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Afrique subsaharienne ; Apprentissage par le jeu ; Elève infirmier ; Élève sage-femme ; Enseignement infirmier ; Femmes ; Promotion de la santé ; Relations entre professionnels de santé et patients ; Respect ; Soins centrés sur le patient |
Mots-clés: | Soins centrés sur les femmes |
Résumé : | Aim This study assessed a) the impact of playing the Dignity board game on participants? understanding of respectful maternal and newborn care and b) participants? perceptions of how the game influenced their subsequent practice in Malawi and Zambia. Background Nurse-midwives? poor understanding of respectful maternal and newborn care can lead to substandard practice; thus, effective education is pivotal. Used in several disciplines, game-based learning can facilitate skills acquisition and retention of knowledge. Design a quasi-experimental study, using mixed-methods of data collection. Methods Data were collected between January and November 2020. Nurse-midwives (N = 122) and students (N = 115) were recruited from public hospitals and nursing schools. Completion of paper-based questionnaires, before and after game-playing, assessed knowledge of respectful care principles and perceptions around behaviours and practice. Face-to-face interviews (n = 18) explored perceived impact of engaging with the game in clinical practice. Paired and unpaired t-test were used to compare scores. Qualitative data were analysed and reported thematically. Results The study was completed by 215 (90.7 %) participants. Post-test scores improved significantly for both groups combined; from 25.91 (SD 3.73) pre-test to 28.07 (SD 3.46) post-test (paired t = 8.67, 95 % confidence interval 1.67?2.65), indicating an increased knowledge of respectful care principles. Nurse-midwives performed better than students, both before and after. In Malawi, the COVID pandemic prevented a third of nurse-midwives? from completing post-game questionnaires. Qualitative findings indicate the game functioned as a refresher course and helped nurse-midwives to translate principles of respectful care into practice. It was also useful for self-reflection. Conclusions The Dignity board game has the potential to enhance understanding and practice of respectful maternal and newborn care principles in low-resource settings. Integration into nursing and midwifery curricula and in-service training for students and healthcare workers should be considered. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1471595322002335 |