Document Type : Original Article
Authors
1 MSc of Midwifery, Larestan University of Medical Sciences, Larestan, Iran Graduate, Master of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor in Reproductive Health, Manager of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Ph.D in Biostatistics, Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
INTRODUCTION: Considering the trend of reducing fertility in recent decades, the level of awareness
and attitude of health workers to fertility has an important role in achieving the country’s demographic
goals. Improving attitudes and improving the scientific level and skills of health workers are the basic
pillars to improve the quality and quantity of health‑care services. Therefore, this study was conducted
with the aim of improving the level of awareness and attitude toward fertility and fertility counseling
skills of health workers with both face‑to‑face and virtual training methods.
MATERIALS AND METHODS: This study was a randomized controlled trial of three groups and
pre‑test‑posttest experiments performed on 108 midwives and health‑care workers working in
Mashhad Health Center and Community Health Centers and Health Centers in 2015. The tools
used in this study were four researcher‑made questionnaires that were validated and reliable. Data
analysis was performed by Chi‑square test, one‑way, and independent t‑analysis of variance using
SPSS software version 16.
RESULTS: The results showed a significant increase in awareness level, attitude toward fertility,
and counseling skills in the studied groups after the implementation of interventions (P < 0.001).
Furthermore, there was a significant inverse relationship between the attitude score of the research
units at the beginning of the study and the demographic variables with only the average work
experience.
CONCLUSION: Training is effective in raising the level of awareness and changing the attitude of
health workers. The use of group discussion methods in person as well as through a webinar in
which learners think, interact, and gain experience in promoting healthy fertility counseling promotes
awareness, attitudes toward fertility, and their counseling skills in providing healthy reproductive
counseling.
Keywords
the concept of continuous midwifery-led care and its dimensions
in prenatal, perinatal, and postnatal periods. Avicenna J Nurs
Midwifery Care 2017;25:24-34.
2. UN. Program Of Action International Conference on Population
and Development (POA, ICPD); 1995.
3. Mahmood-Abad SS, Shahidi F, Abbasi-Shavazi M, Shahrizadeh F.
Evaluating knowledge, attitude and behavior of women on
reproductive health subjects in seven central cities of Iran.
J Reprod Infertility 2007;7(4):391-400.
4. Ehsanpour S, Taheri S, Kohan S, Taghinejad H, Suhrabi Z,
Rezaei N, et al. Comparing the viewpoints of managers, employees
and clients regarding the cultural-religious barriers to family
planning counseling. Iran J Nurs 2013;26:43-35.
5. Khadivzadeh T, Latifnejad Roudsari R, Bahrami M, Taghipour A,
Abbasi Shavazi J. The influence of social network on couples’
intention to have the first child. IJRM. 2013;11(3):209-0.
6. Rahimian. Pathology of demographic policy of the Islamic
republic of Iran. Populat J 2019;25:27-151.
7. Afkhami A, Madrakian T, Shirzadmehr A, Tabatabaee M,
Bagheri H. New Schiff base-carbon nanotube-nanosilica-ionic
liquid as a high performance sensing material of a potentiometric
sensor for nanomolar determination of cerium (III) Ions. Sensors
Actuators B-Chem 2012;237:44-174.
8. Allameh Z. Foundamental and process of family planning
counselling. Tehran: MOH ME; 1997.
9. Solhi M, Mansoori N, Rimaz S, Irandoost SF. Comparison the
effect of education about teaching methods through using CD
and Leaflet on staff’s knowledge at West Tehran health center.
RSJ 2016;1:16-24.
10. Kianian T, Zare M, Ildarabadi E, Karimi Moonaghi H, Saber S.
Evaluation of training competency of health care workers in
training clients and patients. J Nurs Training 2014;3:51-60.
11. Shabani H. Educational and Research Skills. Tehran: Organization
for Study and Preparing the Educational Books; 2011.
12. Mahdizadeh H, Kazemi S, Azizi M. The chal-lenges in application
of information technologies (ICT) in medical science universities.
J Health Syst Res 2011;6:600-589.
13. Sadeghi A, Balali F, Razazade S. Attitude and performance of
health staff regarding health information resources; kerman
university of medical sciences. J Educ Community Health
2014;1:35-25.
14. Shokri A. The Effect of Web-Based Education on Students’
Awareness and Attitude Towards Youth Reproductive Health.
Masters Thesis, Qazvin University of Medical Sciences and Health
Services; 2017.
15. Tan WM, Klein MC, Saxell L, Shirkoohy SE, Asrat G. How do
physicians and midwives manage the third stage of labor? Birth
2008;35:220-9.
16. Torbatinezhad H, Amani H. Computer-Assisted Instruction (CAI),
Virtual Patients (VP), and Human Patient Simulation (HPS) in
Medical Education Based on Gagne’s Educational Design Pattern.
Jorjani Biomed J. 2018; 6(2):1-20
17. Lanken PN, Novack DH, Daetwyler C, Gallop R, Landis JR,
Lapin J, et al. Efficacy of an internet-based learning module and
small-group debriefing on trainees’ attitudes and communication
skills toward patients with substance use disorders: Results of a
cluster randomized controlled trial. Acad Med 2015;90:345-54.
18. Rashidi T. Comparing the Effects of Web-Based, Traditional
and Simulation Education on. [MSc Dissertation]. Iran Mashhad
University of Medical Science; 2013.
19. Iranian Statistic Center. Population and Housing Census.
Presidency Deputy; 2011.
20. Qhazizadeh Ehsani S, Shahriari Afshar S, Andalib P, Eslami M.
Counsiling Family Planning. Tehran: United Nations Population
Fund; 1997.
21. Khalaj Abadi Farahani F, Saraei H. Exploration of Underlying
Factors for Single Child Intention and Behavior in Tehran.
Women’s Strategic Studies (Ketabe Zanan). 2016;18(71):29-58.
22. Rahimikian F, Valizadeh MA, Mirmohammadali M, Moshrefi M,
Mehran A, Mirmolaee S. Evaluating the level of awareness in
health system personnel and their perception towards Emergency
Contraceptive methods (EC). Res J Biol Sci 2009;4:2-90.
23. Rezaei N, Tahbaz F, Kimyagar M, AlaviMajd H. The effect of
nutrition education on knowledge, attitude and practice of type 1
diabetic patients from Aligoodarz. J Shahrekord Uuniv Med Sci
2006;8(2):52-9.
24. Saatsaz S, Rezai R, Nazari R, Haji Hosseini F, Seyedi SJ. Effect of
educational intervention on condition of knowledge and practice
about breast cancer screening among employed teachers. Iran
Quarterly J Breast Dis 2010;2:28-35.
25. Seyed Emami R, Eftekhar Ardebili H, Golestan B. Effect of a health
education intervention on physical activity knowledge, Attitude
and behavior in health volunteers. J Faculty Nurs Midwifery
2011;16:55-48.
26. RahimiKian F, Moshrefi M, Mir Mohammad Aliee M, Mehran A,
Amel Valizadeh M. The effect of education contraceptive methods
on knowledge and attitude types of health workers in Medical
health centers. Tehran Univ Med Sci 2007;13:9-53.
27. OstadRahimi A, Safaeean A, Modaresi J, PourAbdollahi P. The
effect of nutrition education on knowledge, attitude and practice of women working in the nutritional University of Medical
Sciences. J Tabriz Univ Med Sci 2010;31:7-12.
28. Akbarinejad Z, Alidoosti K, Ghorashi Z, Asadollahi Z. The effect
of psychoeducational group counseling on postnatall sexual
intimacy of lactating women referring to urban health centers in
Rafsanjan City: An educational trial. JRUMS 2020;18:969-84.
29. Ahmadi Tabatabaei S, Taghdisi M, Sadeghi A, Nakhaei N, Balali F.
The effect of education in physical activities on knowledge,
attitude and behavior of Kerman health center’s staff. JRes Health
2012;137:44-2.
30. Jalilian N, Tavafian S, Aghamolaei T, Ahmadi S. Educational
intervention on the knowledge and attitudes of people with
hypertension: A clinical trial. J Health Promotion Health
Educ2014;1:44-37.
31. Moshki M, Shafaghi K, Seyedesani SK. Comparative Effectiveness
of group discussion and multimedia nutrition education among
pregnant women in learning domains. Quarterly J Sabzevar Univ
Med Sci 2014;21:52-441.
32. Pourteimour S, Hemmati maslakpak M, Jasemi M. The effect of
e-learning on the knowledge, attitude and practice of nursing
students about the prevention of drug errors in the pediatric unit.
Nurs Midwifery J 2018;16:12-21.
33. Ramazani A, Faraji O, Fatemi M, Solooki M. The effects of premarriage education and consultation on knowledge and attitude
of couples regarding to reproductive health. J Sch Public Health
Yazd2012;11:65-56.
34. Shojaeizadeh D. Evaluation of aids health education program
on knowledge, attitude and practice of experimental assistant
dentists in Shiraz. Med J 1997;116:20-6.
35. TaheriM, AbbasiM, MohammadiM, MohammadbeigiA, JokarA,
Mokhtari M, et al. The effectiveness of lectures and e-learning
education on cognitive taxonomy based on theory Bloom.
J Sabzevar Univ Med Sci 2018;24:95-102.
36. Ramezankhani A, Pooresmaeili A, Rakhshandehrou S. The Effect
of group discussion method Educational on Knowledge, Attitude
and Preventive Behaviors of high blood pressure in women 2049 years old Islamshahr Cit. RJMS 2017;24:11-9.
37. Motaghed Larijani Z, Vakili M, Gofranipour F ,
Mirmohammadkhani M. Effects of health education program
on Behvarz’s interpersonal communication skills in Semnan
University of Medical Sciences. Koomesh 2014;16:38-229.
38. Ahmadi A, Mohabati H. The effect of listening skills to
improve employee performance. Manag Stud Police Training
2015;8:16‑109
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