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Mastering Midwifery Competencies: Impact of the M.I.D.W.I.F.E. Program on the Knowledge, Clinical Confidence, and
Nashi M Alreshidi1, Afaf M Alrimali1, Wadida D Alshammari1
1Nursing Executive Administration, Hail, Saudi Arabia.
Background:
Midwives play a central role in maternal and newborn outcomes, yet many face gaps in clinical competence and confidence because of limited training.
Method:
This quasi-experimental study evaluated the Mastering Integrated Development for Women's and Infants' Focused Excellence (M.I.D.W.I.F.E.) program. A total of 32 midwives were randomly assigned to either an intervention group or a control group. The intervention included interactive lectures, simulation-based learning, and a supervised clinical practicum. Outcomes (knowledge, clinical competency, and confidence) were assessed at baseline, posttraining, and at 3-month follow-up with validated tools.
Results:
The intervention group showed significant improvements in knowledge (from 80.19% to 86.88%, p < .001, Cohen's d = 2.8), clinical competency (91.3% vs. 81.4%, p < .001, d = 3.7), and confidence across all domains (p < .001, d > 2.0). Confidence gains were sustained at follow-up.
Conclusion:
The M.I.D.W.I.F.E. program effectively enhanced knowledge, skills, and confidence. Structured, simulation-based training with supervised practice holds promise for improving the quality of midwifery care.
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