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Peer-reviewedCC BY-NC-NDJournal of education and health promotion

Design, implementation, and evaluation of the effectiveness of a labor process application to enhance the confidence and self-efficacy of midwifery students.

  1. 1Department of Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
  2. 2Department of Midwifery, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
  3. 3Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.

Abstract

Background

Attention to the quantitative and qualitative aspects of midwifery education is of great importance. The virtual space can enhance the capabilities of midwifery students during the learning process of labor. The present study aims to design, implement, and evaluate the effectiveness of a labor process application to enhance the confidence and self-efficacy of midwifery students.Materials and methods

This study is of a semi-experimental type with a pre-test and post-test design conducted in two phases: In the first phase, the content of the program will be designed and implemented based on the midwifery curriculum (labor process by the Ministry of Health in Iran). In the second phase, the evaluation of the application's effectiveness will be conducted based on the Kirkpatrick model. Students will complete demographic characteristics form before the intervention. The Cooper-Smith Self-Esteem Inventory, Sherer's Self-Efficacy Questionnaire, and Visual Analog Scale Questionnaire will be completed before, immediately after, and 4 weeks after the intervention, along with the teaching satisfaction questionnaire, which will be completed immediately, and 4 weeks after the intervention. To analyze the data, version 26 of SPSS software (IBM Corp, Armonk, NY, USA) will be used, employing descriptive statistics, including minimum, maximum, mean, and standard deviation for quantitative variables, as well as frequency and percentage for qualitative variables. Additionally, paired t-tests and one-way analysis of variance will be used. The criterion for significance will be based on P < 0.05.Conclusion

The study is expected to provide evidence on the effectiveness of digital interventions in midwifery education. If successful, the application could complement traditional training, enhance clinical competence, standardize education, and inform national health policy by supporting integration of innovative digital tools into curricula. Ultimately, this intervention aims to strengthen students' practical skills, improve maternal and neonatal care, and contribute to a competent and responsive maternal health workforce.

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BibTeX
@article{gholamnezhad2026design,
  title = {{Design, implementation, and evaluation of the effectiveness of a labor process application to enhance the confidence and self-efficacy of midwifery students.}},
  author = {Fatemeh Gholamnezhad and Diana Azizi and Roya Nikbakht and Monireh BabouYeh Darabi and Jila Ganji},
  journal = {Journal of education and health promotion},
  year = {2026},
  month = sep,
  doi = {10.4103/jehp.jehp_1456_25},
  url = {https://europepmc.org/article/MED/42923779},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Design, implementation, and evaluation of the effectiveness of a labor process application to enhance the confidence and self-efficacy of midwifery students.
AU  - Fatemeh Gholamnezhad
AU  - Diana Azizi
AU  - Roya Nikbakht
AU  - Monireh BabouYeh Darabi
AU  - Jila Ganji
PY  - 2026
DA  - 2026/09/30
JO  - Journal of education and health promotion
DO  - 10.4103/jehp.jehp_1456_25
UR  - https://europepmc.org/article/MED/42923779
AB  - Background  Attention to the quantitative and qualitative aspects of midwifery education is of great importance. The virtual space can enhance the capabilities of midwifery students during the learning process of labor. The present study aims to design, implement, and evaluate the effectiveness of a labor process application to enhance the confidence and self-efficacy of midwifery students.Materials and methods  This study is of a semi-experimental type with a pre-test and post-test design conducted in two phases: In the first phase, the content of the program will be designed and implemented based on the midwifery curriculum (labor process by the Ministry of Health in Iran). In the second phase, the evaluation of the application's effectiveness will be conducted based on the Kirkpatrick model. Students will complete demographic characteristics form before the intervention. The Cooper-Smith Self-Esteem Inventory, Sherer's Self-Efficacy Questionnaire, and Visual Analog Scale Questionnaire will be completed before, immediately after, and 4 weeks after the intervention, along with the teaching satisfaction questionnaire, which will be completed immediately, and 4 weeks after the intervention. To analyze the data, version 26 of SPSS software (IBM Corp, Armonk, NY, USA) will be used, employing descriptive statistics, including minimum, maximum, mean, and standard deviation for quantitative variables, as well as frequency and percentage for qualitative variables. Additionally, paired t-tests and one-way analysis of variance will be used. The criterion for significance will be based on P < 0.05.Conclusion  The study is expected to provide evidence on the effectiveness of digital interventions in midwifery education. If successful, the application could complement traditional training, enhance clinical competence, standardize education, and inform national health policy by supporting integration of innovative digital tools into curricula. Ultimately, this intervention aims to strengthen students' practical skills, improve maternal and neonatal care, and contribute to a competent and responsive maternal health workforce.
SN  - 2277-9531
SN  - 2319-6440
ER  -