Preventing Obstetric Violence Through Training: Outcomes for Midwives, Nurses, and Women in Türkiye—A Cluster Randomized Trial


Özçalkap N., UÇAR T.

Perspectives in Psychiatric Care, cilt.2026, sa.1, 2026 (SCI-Expanded, SSCI, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 2026 Sayı: 1
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1155/ppc/7464227
  • Dergi Adı: Perspectives in Psychiatric Care
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, Psycinfo
  • Anahtar Kelimeler: care, communication, midwife, nurse, obstetric, violence
  • İnönü Üniversitesi Adresli: Evet

Özet

Introduction: Obstetric violence, defined as disrespectful or abusive treatment of women during healthcare services, is a significant global health issue affecting women during pregnancy, childbirth, and the postpartum period. Objective: This study aimed to investigate the outcomes of a training program on preventing obstetric violence, focusing on midwives, nurses, and the women receiving care. Methods: A cluster randomized trial design was adopted, and the sample included 84 midwives and nurses in the experimental group and 84 midwives and nurses in the control group. In addition, independent samples consisting of 158 women who received care before the training program and 158 women who received care after the training program were also included. Women received care as part of prenatal follow-up, childbirth-related services, postnatal care, and women’s health services. A 16-session training program was applied to the experimental group, covering obstetric violence, women’s and fetal rights, factors leading to obstetric violence, communication skills, and evidence-based care practices. Data were collected using the Caring Behaviors Inventory-30, Communication Skills Scale, and Care Satisfaction Evaluation Form. Statistical analyses were performed using SPSS software with independent/paired samples t-tests and chi-square tests. Statistical significance was accepted at p < 0.05. Results: The positive care perceptions and communication skills of midwives and nurses in the experimental group increased significantly after the training program, and the difference between the experimental and control groups was found to be statistically significant (p < 0.001). Furthermore, the perceptions of care and satisfaction levels of women receiving care after the training program increased significantly compared to women receiving care before the program (p < 0.001), with large effect sizes observed across the main outcomes. Conclusion: The findings indicate that the training program improved midwives’ and nurses’ communication skills and perceptions of care, as well as the perceptions of care and satisfaction among women receiving care. It is recommended that obstetric violence prevention training programs be integrated into routine in-service training for healthcare professionals.