Document Type : Original Article


Department of Medical Education, Medical Education Development Center, Isfahan University of Medical Sciences, Isfahan, Iran


INTRODUCTION: As a part of healthcare providers of the Health System Reform Program, midwives
are required to master the necessary knowledge and skills to meet the related demands of society.
This study was aimed to assess the knowledge and skills training needs of practicing midwives of
health and medical centers of Isfahan.
METHODS: This study is a descriptive cross-sectional study. The statistical target population was
midwifery experts working in Isfahan health centers and the samples were selected through simple
random sampling (sample size 250). Data were collected by two questionnaires to assess knowledge
and skill needs. The validity of the questionnaires was confirmed by experts of the province and
city health centers and medical education experts and its reliability was calculated by Cronbach’s
alpha (98%). Data were analyzed using SPSS 23 software and descriptive and analytical statistical
methods (frequency, mean, variance).
RESULTS: The first five knowledge training priorities of employed midwives in health and medical
centers, which comprise most of the means values, are pregnancy complications and abnormalities
(3.64 ± 1.21); mammography and its interpretation (64.3 ± 1.30); skills and principles of parenting
(3.59 ± 1.24); shortness of breath and palpitations during pregnancy (3.58 ± 1.16); and common
mental disorders (3.57 ± 1.16). The most important skills training needs were Excel (1.21 ± 3.59),
PowerPoint (27.1 ± 54.3), internet (3.52 ± 1.25), and parameters registration and reporting in the SIB
system (3.49 ± 1.28). Employed midwives of the health and medical centers displayed a significant
difference in feeling the need for training in some subjects.
CONCLUSION: Needs assessment is the foundation of purposeful training, and better training leads
to improved performance of personnel and organizations. Therefore, it is imperative that reliable
and documented data be utilized for promotion and improvement of in-service training programs
of employed midwives of the health and medical centers of Isfahan province and also for revising
university curriculums. Taking these measures would lead to the empowerment of personnel and
general development of society.


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