Background and aims: Job stress is one of the most common occupational diseases, significant effect on quality of the service care and creativity which is the core of clinical practice. According to the surveys, the effect of stressful conditions on the creativity needs further study. The present study was conducted to determine, correlation between job stress with creativity and job stress predictors in midwives. Methods: This cross-sectional study was performed on 114 midwives had been working in teaching and medical hospitals of Ilam-Iran from October to December 2018. Job stress and creativity was assessed using the job stress HSE and CT questionnaires. Pearson correlation test was used investigated the relationships between job stress and creativity, General linear model was used to determine job stress predictors. Data analysis was performed with SPSS software version 21. Results: The most of the midwives (62.3%) were under a low level of job stress and 35% had no job stress. Mean total score of job stress was 3.3 ± 0.5 from the attainable score of 1-5. Mean  creativity was 131.5 ± 14.7 from the attainable score of 60-180. Job stress and sub domains were not associated with creativity. Having Low level of education (B=0.5, CI 95%= 0.1 to 0.9, P= 0.014) and having hospital work satisfaction (B=0.2, CI 95%= 0.05 to 0.4, P= 0.010) indicated as job stress predictors. Conclusion: Due to the low levels of job stress and the high level of creativity, hospital managers can use these factors with employment satisfaction in the hospital to provide quality clinical services.   [1] Health and Safety Executive [2] Abedi Creativity Test

Background & Aims: Students' curriculum textbooks play an important role in the formation of their professional identities and their learning. The study of the attitudes of people associated with a profession is necessary to create optimization in education and improve the performance of the individuals involved in it. The purpose of this study is to determine the attitude of midwifery in order to benefit more from midwifery textbooks in midwifery education. Therefore, the aim of this study is to design and assess the reliability and validity of midwifery attitude questionnaire towards midwifery lessons. Materials & Methods: This is an analytical study. To determine the content validity, the Lavasian table method was used. Acceptance of phrases based on the score of at least 0. 62 for content validity ratio and 0. 79 for content validity index. For reliability, the questionnaire was completed by 30 midwifery teachers and then reliability was calculated using Cronbach's alpha and acceptance criteria was 0. 75. The calculations were performed using SPSS software version 17. Results: According to interviews, 17 terms were determined. The three words were deleted because the content validity ratio was less than 0. 62. The average value of the content validity ratio for the remaining terms was 0. 83. Cronbach's alpha coefficient was 0. 89. Conclusion: The midwives' attitude about midwifery textbooks is a lasting instrument and can measure the attitudes of various midwifery groups such as instructors, students and midwifery graduates to midwifery lessons.

Background and Aim: Stress is one of the factors that upset body regulation by changing internal stability. Today, stress is considered as inseparable part of life that has a negative effect on functional competence and health of the person. The purpose of this study was to identify midwifes occupational stressors from the viewpoints of midwifery students studying at medical sciences universities of Tehran in 2006.Materials and Methods: In this descriptive study a number of 260 midwifery students, studying at Tehran medical sciences universities were selected through census. Data were collected by a questionnaire consisting two parts: demographic characteristics and stressors. The data were analyzed by SPSS program (Pearson correlation coefficient and ANOVA). Results: The majority of students rated stressors as intermediate or high and the most important stressor were crisis during working (dangerous situations for mother and fetus) and exposure to blood and its products. There was positive correlation between interest to the career and rating stressors and there were significant relationship between mother's occupation and father's education with rating the stressors.Conclusion: Regarding the findings of this study it can be concluded that improving standards and increasing manager supports of staff may have a crucial influence on reducing stressors.

Background & Objectives: Continued evaluation, recognition of strengths and correction of weaknesses are necessary to improve clinical education; in this regard, opinions of students as the main element of education process can help us to develop futures programs.Materials& Methods: In this descriptive research 44 senior midwifery students studying at Tabriz Nursing and Midwifery Faculty were selected. Their Opinion about problems of midwifery clinical education was evaluated by a questionnaire consisted of 7 sections: demographic characteristics, clinical instructors, the students, clinical teaching environments, educational planning and Evaluation.Data were analyzed by using Descriptive Statistics in SPSS.Results: The problems mentioned by the students were, in order of importance: student factors (82%), clinical teaching environments (61%), Educational planning (56%), Evaluation (56%) and clinical instructors (36%).Conclusion: Findings showed that many of the clinical education problems can be reduced by providing facilities for students, creating interest in them and recruitment of competent instructors.

Background and Aim: Motivation is an internal feeling that provokes, sterenghtens and finally leads behaviors. For activities such as learning, there are various incentives drives. The aim of the present study was to identify the motivational factors in choosing midwifery as a career form perspectives of midwifery students studying at Semnan Azad University, Iran, in 2010.Materials and Method: This descriptive study was conducted with a sample of of 120 midwifery students of Semnan Azad University. The subjects were selected by census sampling method. Data were collected by a questionaire whose validity and reliability were provided. Data were analyzed by SPSS program.Results: "Career interest" and "having a career with suitable spare times" were, respectively, the most and the least important motivational factors in choosing midwifery as a career. "Social perestige" and "job opurtunities" were not important motivational factors in choosing the midwifery career.Conclusion: It can be concluded that only personal motivation, morality and the nature of the occupation is important in choosing midwifery career and ideal social status and meeting life standards do not have any impotance. Authorities should search for solving occupational problems and shed light to real position of the proffesoin to provide more job openings for the youth.

Introduction: As the literature indicates community-oriented midwifery can play an important role in woman health improvement. This study aimed at investigating midwives’ and midwifery students' awareness about and attitude toward community oriented midwifery in Shahroud University of Medical Sciences in 2009.Methods: In this cross sectional study, a self –made questionnaire including 20 items on awareness about and 25 items on attitude toward community oriented midwifery was used for data collection. The questionnaires were distributed among 102 midwifery students and midwives and 90 questionnaires were answered back. Awareness scores were categorized into three groups: low (less than 75), moderate (75-95) and high (more than 95) awareness scores, and attitude scores were categorized into three groups of negative (25-55), no idea (56-85) and positive (more than 85). The validity and reliability of the questionnaire were evaluated using expert opinion and test- retest respectively.Results: Mean of attitude score was 95.8±10.4 and mean of awareness score was 89.8±12.1. There were no significant differences between midwives and midwifery students in their awareness and attitude (P>0.05). Awareness scores of midwifery student with continuous education were significantly higher than students that their education was non-continuous (P<0.05).Conclusion: Positive attitude towards community oriented among participants indicates the appropriacy of the background for any intervention to apply a community-oriented midwifery program. The moderate level of awareness scores in the sample population and their opinions about current educational programs imply the necessity of further specific education on community oriented midwifery.

Background: The COVID-19 pandemic significantly impacted educational systems, leading to the rapid adoption of distance education. This shift affected midwifery departments in Turkey, raising items about its appropriateness for such a practical discipline. Objectives: This study aimed to evaluate the attitudes of educators in Turkish university midwifery departments toward distance education during the pandemic. Methods: This cross-sectional study was conducted on 87 academic midwives in midwifery departments of universities in Turkey from June to December 2020. Data was collected online using a structured survey by a researcher. A survey was developed by trainers based on literature to understand the attitudes and opinions of the trainers towards distance education during the COVID-19 pandemic. Results: The mean (SD) age of participants was 36.13 (12.92) years and 12.64 (8.83) years of university teaching experience. A majority strongly disagreed that distance education suits midwifery curricula (36.8%), and 77% strongly disagreed with using distance education for practical courses. However, 27.6% were undecided on its suitability for theoretical classes. Conclusion: Most midwifery educators believe that distance education is not entirely suitable for teaching the midwifery curriculum. To increase the effectiveness of distance education, a hybrid education model should be adopted; theoretical courses should be conducted remotely, and practical courses should be conducted face-to-face. Digital simulations and virtual laboratories should be expanded to support practical training. Academicians should be trained on interactive methods to increase student participation, the infrastructure of universities' distance education systems should be strengthened, and access problems should be resolved.

Background and Aim: Examination of the observance of midwifery code of ethics among midwifery students as future employees of the health system is a necessary issue. This study was carried out with the purpose of investigating midwifery students’ compliance with their professional ethical codes and some of the related factors.Methods: In this descriptive-cross sectional study, 125 midwifery students who were training in Teaching Hospitals of Hamedan University of Medical Sciences in 2015, selected by Census sampling.The data was collected by using of researcher made questionnaire which Consisted of 6 areas and 40 questions about midwifery Code of ethics. Data were analyzed by using SPSS 16 software.Ethical considerations: After obtaining permission from the university ethics committee on research, explaining the research goals, emphasizing on confidentiality and obtaining informed consent, questionnaires distributed for completion.Findings: The mean age of the midwifery students was 25.4±5.9.The observance rates in each domain were as follows: health care provider’s rights (89.4%), Professional commitments (86.7%), relationship with other students (85.2%), relationship with patients and their families (83.6%), education and research (81.7%), management (81.7%). There was statistical significant relationship between the semester (p=0.02), degree (p=0.04), job experience (p=0.01), marital status (p=0.02), ethnicity (p=0.01) with observance of midwifery code of ethics.Conclusion: The results stressed on the need to increase training courses for midwifery students with midwifery code of ethics, especially, in basic domains. Regarding to importance of respect for pregnant women and its role in health system revolution, Planning for training of professional ethics, especially in less-compliance domains, as well as providing the necessary conditions, including the status of midwifery profession in promoting reproductive health in order to comply with ethical norms and codes by graduates is necessary.