AI Article Synopsis
- Most deliveries in the Dominican Republic happen in hospitals, but maternal mortality rates are still a significant issue, particularly in nonteaching hospitals where maternity auxiliary nurses primarily assist with births.
- A series of educational conferences, led by midwifery teams from the U.S. and Puerto Rico, were implemented to address this issue and led to the establishment of Proyecto ADAMES, a nongovernmental organization focused on enhancing the skills of these nurses.
- A qualitative evaluation showed that, while documentation of their improved skills was weak, the educational initiative positively impacted the knowledge, skills, and attitudes of the nurses, indicating that enhanced training may help reduce maternal mortality.
Article Abstract
Although most deliveries in the Dominican Republic occur within hospitals, maternal mortality in that nation remains high. In nonteaching hospitals, almost all of the vaginal births are attended by maternity auxiliary nurses. This article reports on a series of educational conferences for maternity auxiliary nurses in 1 hospital that were developed in response to the maternal mortality rate there. These conferences, taught by a team of midwives from the continental United States and Puerto Rico, used a midwifery curriculum with a participatory action methodology. The educational initiative has developed into a nongovernmental organization named Proyecto ADAMES to build capacity among auxiliary nurses. A qualitative evaluation of the effectiveness of Proyecto ADAMES in improving the knowledge, skills, and attitudes of the auxiliary nurses revealed positive behavioral changes despite weak documentation of their newly acquired knowledge and skills. Findings suggest that midwifery education for auxiliary maternity nurses in the Dominican Republic may contribute to maternal mortality reduction.
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| http://dx.doi.org/10.1016/j.jmwh.2005.02.017 | DOI Listing |
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