Objective: To assess the nurses-midwives' knowledge and practices regarding the management of second stage
of labor and to find out the association between their knowledge and practices and socio-demographic
characteristics and working years and experience.
Methodology: A descriptive study was carried out from March 22nd
, 2008 through 30th June, 2008. A purposive
sample of (75) Nurse-Midwives which was selected from (6) hospitals. A questionnaire was comprised of two
parts: (socio-demographic characteristics and the assessment tool for Nurse-Midwives' knowledge and health
practices performed by them). The questionnaire validity was determined by experts and its reliability was
determined through a pilot study. The correlation coefficient was (0.90) for knowledge and (0.83) for practices.
Data were collected through interview and observational tool and analyzed through the application of descriptive
and inferential statistical approaches.
Results: The study findings indicated that there was a high mean of scores in Nurse-Midwives' knowledge and a
low mean of scores for their practices in most of the items regarding second stage of labor. The study findings
also indicated that there is a significant association between nurses-midwives' practices and their educational
level, and birth number average.
Recommendations: The study recommends that; installing in-service educational program for Nurse-Midwives
to upgrade the techniques necessary to assess, evaluate and improve the quality of care rendered to laboring
women, and to put an emphasis on the Ministry of Health to conduct training course for the Nurse-Midwives in
order to change their malpractices and updating their knowledge with regular supervision on their performance.
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Occupies total quality management applications play a key role in the development of institutions of higher education performance and achieve its strategic objectives through the commitment of senior management and their employees to continuous improvement of the quality of performance in the various areas of work, and can be integrated knowledge management processes, which means identifying information of value and how to take advantage. The data were collected using the style of the questionnaire for the purpose of analyzing their results on a sample composed of 83 member of the administrative leadership in colleges as representing the decision-making centers in those colleges .
 
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