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TUGAS TRANSLATE JURNAL

ProQuest

The experience of Egyptian male student

nurses during attending maternity nursing

clinical course

Eswi, Abeer; El Sayed, Yousria. Nurse Education in Practice11.2 (Mar 2011): 93-8.

---

Pengalaman siswa perawat laki-laki di Mesir

selama mengamati keperawatan

persalinan klinis

---

Perjemah:

SARWIDI

NIM: G0A015099

PROGRAM DIPLOMA III KEPERAWATAN

FAKULTAS ILMU KEPERAWATAN DAN KESEHATAN

(2)

HASIL TRANSLATE

Judul:

Pengalaman siswa perawat laki-laki di Mesir selama mengamati keperawatan

persalinan klinis

Abstrak

Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman belajar

dari Mesir siswa perawat laki-laki selama menghadiri keperawatan bersalin klinis

di Kairo Rumah Sakit Bersalin University.

Sebuah desain deskriptif dipergunakan untuk mengumpulkan data yang

diperlukan untuk menjawab pertanyaan penelitian; baik data kuantitatif dan

kualitatif dikumpulkan dengan menggunakan skala wawancara semi terstruktur.

Sebanyak 60 siswa yang baru saja selesai klinik bersalin saja di perguruan tinggi

Keperawatan, Universitas Kairo direkrut untuk penelitian.

(3)

sangat penting. Akhirnya, siswa laki-laki harus berorientasi dan didorong untuk

mengidentifikasi dengan teladan dari dokter kandungan laki-laki.

Naskah Lengkap

Pengenalan dan kajian literatur

Jumlah laki-laki memasuki profesi keperawatan telah meningkat di seluruh dunia,

sebagai konsekuensi dari langkah untuk lebih profesi gender yang seimbang,

perdebatan memiliki pun terjadi atas bagaimana intim perawatan harus dilakukan

ketika ini memerlukan perawat laki-laki secara fisik dekat dengan perempuan klien

Madoka et al. (2006).

Meskipun

perubahan

konstan

bahwa

perawatan

kesehatan

dampak,

ketidakseimbangan jenis kelamin profesi keperawatan tetap konstan (Villeneuve,

1994). Ini dapat dikaitkan dengan alasan sejarah dan sosial. Misalnya, setelah

Nightingale pindah untuk memodernisasi keperawatan, pria sengaja dikeluarkan

dari memasuki profesi (Evans, 2004; Mackintosh, 1997). Hal itu diyakini oleh

Florence Nightingale yang menyusui adalah perpanjangan alami dari wanita dan

ibu. Dia percaya bahwa semua perempuan dan laki-laki perawat tidak mampu

menjadi perawat dan dengan demikian tidak diperbolehkan untuk mendaftar di

keperawatan pendidikan / pelatihan (Nightingale, 1859).

Ada bukti, bagaimanapun, bahwa ada peningkatan jumlah orang yang memasuki

profesi keperawatan. Misalnya, di Irlandia, pada tahun 2005, ada 2.826 orang di

register aktif sebagai perawat umum dibandingkan dengan 1.541 di tahun 2002.

Namun, perempuan membuat hampir 96% dari tenaga kerja keperawatan umum

(An Dewan Altranias, 2006).

Di Amerika Serikat, pengalaman kebidanan untuk perawat laki-laki telah diterima

sejak tahun 1960. Hal ini dimungkinkan karena Liga Nasional untuk Keperawatan,

yang melaporkan bahwa kurikulum keperawatan dasar seharusnya tidak memiliki

diferensiasi untuk pria dan wanita (McKenna, 1991).

(4)

untuk pria yang bekerja di profesi yang didominasi perempuan (Evans, 2004;

Bartfay dan Bartfay, 2007;. Crigge et al, 2007) Masalah yang diajukan untuk peran

ketegangan ini mencakup bahwa semua orang di keperawatan adalah "gay" atau

menyimpang seksual, tidak mampu merawat, (Evans, 2004;. Mackintosh, 1997,

Yang et al, 2004).

Sebuah penelitian deskriptif dilakukan oleh Sherrod (1991) untuk menguji tingkat

peran ketegangan yang dialami di daerah kandungan oleh laki-laki dan sarjana

muda keperawatan perempuan siswa dan dinilai apakah peran noda lebih besar

untuk siswa laki-laki, hasil penelitian menunjukkan perbedaan yang signifikan

statistik (p = 0,01) dalam peran noda antara laki-laki dan perawat mahasiswi seperti

itu ketegangan peran yang lebih besar untuk laki-laki daripada perempuan.

Kesulitan yang dihadapi oleh mahasiswa keperawatan laki-laki di daerah

kandungan mungkin terkait dengan stereotip sosial.

Morin et al. (1999) melakukan penelitian deskriptif-fokus etnografi, dalam

penelitian ini, fokusnya adalah pada faktor-faktor yang mempengaruhi

pengambilan keputusan perempuan mengenai tugas siswa laki-laki di salah satu

rumah sakit komunitas kecil mengidentifikasi. Contoh kenyamanan purposive dari

32 wanita yang melahirkan bayi yang normal diwawancarai tentang bagaimana

mereka akan merasa atau merasa jika seorang mahasiswa keperawatan laki-laki

memeriksa mereka, terutama dalam pemulihan dan postpartum pengaturan.

Kira-kira, setengah dari wanita menggambarkan ide dirawat oleh perawat laki-laki

sebagai "tidak nyaman." Banyak peserta percaya bahwa izin harus diperoleh

sebelum ditugaskan untuk mahasiswa keperawatan laki-laki.

Sebuah studi fenomenologis dilakukan oleh (Patterson dan Morin, 2002) untuk

menilai pengalaman 8 siswa perawat laki-laki yang telah menyelesaikan rotasi anak

ibu mereka. Tiga tema yang muncul: prakonsepsi tentang rotasi anak ibu, abadi

pengalaman klinis dan bertahan rotasi klinis. Siswa mulai rotasi mereka dengan

perasaan campur aduk kecemasan, ketakutan, dan takut ditolak. Ibu menyusui anak

dipandang oleh siswa laki-laki sebagai domain wanita, di mana mereka

pengunjung. Mahasiswa melakukan tindakan pencegahan khusus saat melakukan

penilaian postpartum.

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bahwa staf kebidanan yang dingin dan bermusuhan selama penempatan dan

mahasiswa laki-laki dibuat merasa tidak nyaman selama penempatan, banyak siswa

laki-laki tidak diperbolehkan untuk berpartisipasi dalam berbagai intervensi peduli

selama penempatan obstetrik (Keogh dan Olynn, 2007)

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LAMPIRAN : NASKAH ASLI

The experience of Egyptian male student

nurses during attending maternity nursing

clinical course

Eswi, Abeer; El Sayed, Yousria. Nurse Education in Practice11.2 (Mar 2011): 93-8.

1. Full text

2. Full text - PDF

3. Abstract/Details

4. References 20

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Abstract

TranslateAbstract

The aim of this study was to explore the learning experience of Egyptian male student nurses during attendingmaternity nursing clinical course at Cairo University Maternity Hospital.

A descriptive design was utilized for collecting the data that are necessary to answer the research question; both quantitative and qualitative data were collected using a semi- structured interview scale. A total of 60 students who just finished the

clinic maternity course in college of Nursing, Cairo University were recruited for the study.

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procedures were assessment of the newborn, attending cesarean section and

providing mother classes for mother in both antenatal clinic and postpartum unit, 53% of the students reported that the women were dealing with them with restrictions, while (25%) reported that women refused to deal with them during labor, 50% described their experience in maternity nursing clinical course as useful, while (18%) described it as interesting and (39%) described it as very embarrassing for male student nurses.

Among the suggestions made by students to modify their clinical experience were: 1) substituting clinical training by the skill lab for male students and also adding clinical experience in andrology that refers to the medical specialty that deals with male health, particularly relating to the problems of the male reproductive system and urological problems (76%); 2) teaming with a female student during the clinical area (50%).

Based on the study findings, re-planning of some of the clinical rotations of Maternity

Nursing to include substitute clinical experience for the male student should be

considered. Furthermore, developing strategies to change male student's attitude toward child- bearing experience and fatherhood is crucial. Finally, male students should be oriented to and encouraged to identify with role model of male

obstetricians.

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Course grade

No %

F (<60%)

1

1.7

D (60%-<65%) 6

10

C (65 %-< 75%) 31 51.7

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A (>85%)

2

3.3

Total

60 100

Table 1 - Distribution of students according to academic achievement.

Topics

No %

a) Comprehensiveness of theoretical contents

43 71.7

b) Learning how to deal with high risk pregnant mothers

37 61.6

c) Gaining skills of caring for mother in labor and delivery 8

13.4

Table 2 - Satisfying aspects of studying maternity nursing as reported by male students.

Responses are not mutually exclusive.

Problems during clinical training

No %

High clinical training requirements

25 83.4

Unfavorable attitude of clinical instructors

16 53.6

Attending clinical training for labor & delivery in the afternoon 14 50.2

Difficulty of acquiring the skills

3

10

Table 3 - Distribution of students in relation to Problems faced during clinical training.

Responses are not mutually exclusive.

Item

No %

(9)

Male

40 66.7

Female

4

6.7

Both

16 26.7

Favorite clinical rotation (s)

Critical careunit for high risk pregnancy

28 46

Labor and delivery unit

22 36.7

Antenatal and gynecology clinic

20 33.3

Post partum unit

14 23.4

Andrology

12 20

Reasons of choosing special clinical rotation

Gaining knowledge about maternity care and newborn care 42 70

Presence of role model during clinical training

21 35

Minimal dealing with mothers through examination

11 18.3

Favourable attitude of clinical instructors

10 16.7

Table 4 - Distribution of students in relation to their preference of patient's gender and their favorite clinical rotations.

Responses are not mutually exclusive.

Stressors

N %

(10)

Nothing

10 16.7

Attitude of some clinical instructors

7 11.7

Rejection and un-cooperation of some mothers 7 15.7

Midterm exams during clinical training

4 6.7

Table 5 - Clinical training stressors as perceived by students.

Responses are not mutually exclusive.

Mothers' attitude toward male student nurse N %

Normal

13 21.7

Dealing with restriction

32 53.3

Refuse to receive care by male student nurse 15 25

Table 6 - Students' perceptions of mothers' attitude toward male student nurse.

Item

No %

The most embarrassing procedures

[black square] Abdominal examination

29 48.3

[black square] Breast examination

23 38.3

[black square] Examination of episiotomy

10 16.7

[black square] Perineal care

3

5

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The most embarrassing topic in mother class

[black square] Breast feeding

28 46.7

[black square] Dangerous sings during pregnancy

16 26.6

[black square] Minor discomfort during puerperium 16 26.6

[black square] Vaginal infection

9

15

[black square] Nothing

13 21

Table 7 - Frequency distribution of the study sample in relation to the most

embarrassing procedures they faced during the clinical training and their suggestions (n = 60).

Responses are not mutually exclusive.

Students' description of the clinical training in maternity nursing No %

Very effective

30 50

Interesting

11 18.3

Very embarrassing for the male student nurse

18 39

Boring

3

5

Table 8 - Frequency distribution of the study sample in relation to their description of the clinical training inmaternity nursing.

Responses are not mutually exclusive.

Students' suggestions

No %

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Maternity training should be for female only

14 23.3

Working mutually with female students

30 50

Table 9 - Students' suggestions toward the clinical training of maternity nursing.

Responses are not mutually exclusive.

Independent

variable

Total score of student's attitude toward pregnant

women and student's sociodemographic characteristics

r

p

Students' age

-.119

.366

Academic

achievement

-.088

.504

Religion

.039

.769

Nationality

-.151

.249

Original

residence

.142

.280

Table 10 - Correlation between total score of student's attitude toward pregnant women and students' sociodemographic characteristic.

Significance level at p < .05.

Independent variable

Total score of student's attitude toward

pregnant women scale

r

p

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Mothers' attitude toward

students

.320

.024

Description of clinical

training period

-.052

.694

Table 11 - Correlation between mothers' attitude toward students, description of clinical training period, and patient's sex preferences in relation to the total score of student's attitude toward pregnant women.

Introduction and review of literature

The number of men entering the nursing profession has increased worldwide, as a consequence of the move to a more gender-balanced profession, debates have ensued over how intimate care should be performed when this requires male nurses to be physically close to women clients Madoka et al. (2006).

Despite the constant changes that impact health care, the sex imbalance

of nursing profession remains constant (Villeneuve, 1994). This can be attributed to

both historical and social rationale. For instance, after Nightingale moved to modernize nursing, men were purposefully excluded from entering the profession (Evans, 2004; Mackintosh, 1997). It was believed by Florence Nightingale

that nursing was a natural extension of women and motherhood. She believed that all women were nurses and men were not capable of being nurses and thus were not allowed to enroll in nursing education/training (Nightingale, 1859).

There is evidence, however, that there is an increase in the number of men entering

the nursing profession. For example, in Ireland, in 2005, there were 2826 men on the

active register as general nurses compared with 1541 in the year 2002. However, women make up almost 96% of the general nursing workforce (An Board Altranias, 2006).

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The social context of men entering the profession of nursing has evolved from this historical context and is now seen as the major deterrent for men to enter the profession. The issue revolves around the perceptions of role strain for men working in a female dominated profession (Evans, 2004; Bartfay and Bartfay, 2007; Crigge et al., 2007) Issues that are put forth for this role strain include that all men

in nursing are "gay" or sexual deviants, are incapable of caring, (Evans, 2004; Mackintosh, 1997, Yang et al., 2004).

A descriptive study was conducted by Sherrod (1991) to examine the degree of role strain experienced in the obstetrical area by male and female

baccalaureate nursing students and assessed whether role stain was greater for the male students, results of the study indicated a statistical significant difference ( p =

.01) in role stain between male and female student nurse as it was greater role strain for male than female. Difficulties encountered by male nursing students in the

obstetrical area may be related to social stereotypes.

Morin et al. (1999) conducted a descriptive-research focused ethnography, in this study, the focus was on identifying factors that influenced women's decision making regarding male students assignments in one small community hospital. A purposive convenience sample of 32 women who give birth to normal newborn were

interviewed about how they would feel or had felt if a male nursing student examined them, particularly in the recovery and postpartum setting. Approximately, half of the women described the idea of being cared for by a male nurse as "uncomfortable." Many participants believed that their permission should be obtained before being assigned to a male nursing student.

A phenomenological study was conducted by (Patterson and Morin, 2002) to assess the experience of 8 male student nurses who had completed their maternal child rotation. Three themes were emerged: preconception about the maternal child rotation, enduring the clinical experience and surviving the clinical rotation. Students began their rotation with mixed feelings as anxiety, apprehension, and fear of

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A study conducted to examine the prevalence and perceived importance of gender-based barriers duringnursing education programs of men. The participants in the study were posted in obstetric ward, they reported that midwifery staff were cold and hostile during the placement and male student were made to feel uncomfortable during the placement, many male students were not allowed to participate in the full range of caring interventions during obstetric placement (Keogh and Olynn, 2007)

Although most western countries have men working in nursing jobs, they usually constitute a minority. Men have been part of nursing since before Florence Nightingale established modern nursing, and the numbers of male students are increasing each year (Streubert, 1994). Still, more efforts must be made to ensure improved educational opportunities for male nursing students. Though efforts to reduce discrimination are becoming evident in educational communities, scattered research has been published to explore student's perception of their learning

experience in areas where men are to provide care to female clients. So, the current study aims at exploring the male student nurses' experience of the

clinical maternity course. This might contribute to a better understanding of male nurse experience when working with women clients within health care system where they often feel excluded.

Aim of the study

The current study aims at exploring the learning experience of Egyptian male student nurses during attendingmaternity nursing clinical course at Cairo

University Maternity Hospital.

Research questions

1. What is the learning experience of male nurse students during attending the clinical maternity nursingcourse?

2. What are the factors perceived by male students as affecting their learning experience of clinical maternity nursing course?

3. What kind of stressors do male students face during their attending the clinical maternity nursing course?

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A descriptive design was used to answer the research questions under study, this design matched the aim of the study that intended to explore the subjects experience as lived by them.

* Both quantitative and qualitative data collection tools were used.

* Quantative data included a questionnaire that is filled in by the students.

* Qualitative data in which all the students were interviewed about their experience and perception of factors that affect their experience in maternity clinical training.

The questionnaire included 50 items related to student's sociodemographic

characteristics; their evaluation of the course experience; their feelings and attitudes toward maternity nursing study course, problems they faced during their attending of the clinical practice of the course; the amount and type of stressors as well as the favourable and gratifying experiences.

A total of 60 undergraduate male students who were enrolled in the BSN program at Cairo university' Faculty ofNursing and who just finished their clinical practice

in maternity Nursing course were recruited for this study. A written consent was

obtained from the students after they were informed about the nature and objectives of the study and after being assured that the data were to be confidential.

Data analysis

Statistical analyses were conducted using statistical analysis software SPSS version 12. Descriptive statistics including frequency distribution and measures of central tendency were calculated for all through descriptive. Qualitative data were analysed by content analysis where the most repetitive themes were identified and listed.

Human rights

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Approval was secured. No further approval to conduct the study was mandated by University authorities.

Results

Sociodemographic characteristics

Age, (65%) of students had a range of age between 18 and 20 years and 35% of them had a range of age from 21 to 23. Mean age was 21.7 ± 1.32.

Original residence, (76.7%) of the students were from rural areas compared with (23.3%) were from urban areas. They all graduated from public high schools in their districts, none of the students was married.

Academic achievement and learning satisfaction

Students' academic achievement was not normally distributed, 10% had (D); 51.7% had (C) grade; 33.3% had (B) grade; 3.3% had (A) grade; and 1.7% had (F) since that more than fifty percent had grade (C). (Table 1)

The most satisfying aspects of studying maternity nursing as reported by the students were: comprehensiveness of theoretical contents (71.7%); learning how to deal with high risk pregnant mothers (61.6%); and gaining skills of caring for mother in labor and delivery (13.4%) (Table 2)

Common problems reported by the students during clinical training

As for the problems reported by the students, (83%) indicated that the high clinical training requirements were one of the major problems they faced during their training. The unfavorable/non supportive attitude of the clinical instructors was the second problem as reported by (53.6%.). Attending clinical training in the afternoon

especially labor and delivery was reported by (50.2%) as a third problem, while the difficulty of acquiring the skills of maternity nursing was reported by (10%) of students as the fourth problem. (Table 3)

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Stressors during clinical training

As for stressors during clinical training (66.7%) of the students reported heavy clinical area requirements as most stressful; (15.7%) reported rejection and un-cooperation of some mothers as stressful; ( most of thenursing skills in the clinical training tend to be feminine such as episiotomy care, abdominal examination, even communication with mothers, all these issues were reported by the male nurses students as restrictions)while (11.7%) reported the unfavorable attitude of some clinical

instructors as stressful; and (6.7%) reported the mid-term examinations during days of clinical training as stressful as well. Only (16.7%) of students reported no stress. (Table 5)

Perception of mothers' attitude toward male student nurse

As shown in Table 6 below, more than half of the students (53.3%) reported that mothers were dealing with them with restrictions wile (25%) reported that mothers refused to receive care by male student nurse.

Student's training attitude toward mothers during their clinical training

None of the study sample had a rejecting attitude toward pregnant women. Majority of the study sample (85%) had a neutral attitude toward dealing with the pregnant woman as compared to only 15% who reported an accepting attitude.

Students' Psychological experience ranged from positive to negative feelings behaviors. Among the positive feelings were: feeling like gaining a lot of skills

(83.3%); feeling very happy when watching the birth process (61.7%); and feeling like crying while watching the birth process. Negative feelings involved being

embarrassed (68.3%); being afraid to cause problems to mother (66.7%); having shaky hands while dealing with pregnant mothers (35%); and feeling very anxious and afraid to ask questions (56.6%), (38.4%) of students reported that they tried to escape from the clinical rotation. (Table 7)

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mainly related to imagining causing harm to mothers and being scared to observe the process of labor that made them feeling to cry. Anxiety was related to having

observed mothers while suffering labor pains, having to perform procedures with shaky hands, and to be self-contained while feeling very uncomfortable.

Embarrassment was related to observing mothers breast feed their babies, observing vaginal examinations, and having to instruct mothers about self-hygiene and family planning.

As shown in Table 8 the most embarrassing procedure that is experienced by the students is performing abdominal examination (48.3%), breast examination,

examination of episiotomy, perineal care (38.3%), (16.7%), (5%) respectively. Also, the most embarrassing topic provided during the mother class is breast feeding (46.7%).

Positive aspects of more clinical training

Study results also revealed that the most interesting skills as reported by the students are; estimation of the expected date of delivery and calculation of gestational age (57.6%) and assessment and care of the newborn (45%), attending cesarean section delivery (30%), providing mother classes as well (15%).

As shown in Table 9, (50%) described the clinical training of maternity nursing as very effective, (18.3%) as interesting, while (39%) described it as very embarrassing for the male student nurse, only (5%) described the clinical training of maternity

nursing course as boring.

As shown in Table 10,(76.7) of the students suggested that labor and delivery training should be provided in the skill lab instead of the maternity hospital, (23.3%) suggested that maternity nursing clinical training should belong females only,

However, (50%) suggested that each student should work mutually with the assigned female student for the same case.

As for the relationship between sociodemographic characteristics of the students and their attitude toward pregnant women and care, there was no statistical significant correlation between, students' age, academic achievement, religion, nationality, and original residence and the student's attitude toward pregnant women r = -.119, -.088,

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There was no statistical significant correlation between the students experience during the clinical training period and the total score of student's attitude toward pregnant women care scale, when r = -.052 at p = .694. Meanwhile, there is

statistical significant correlation between total score of student's attitude toward pregnant women scale, patient's sex preferences, and mothers' attitude toward students when r = .260, .320 at p = .045, .024, respectively.

Discussion

The aim of the present study was to examine the Egyptian male student nurses' learning experience of clinicalmaternity nursing course. The questions of how was the clinical experience perceived by the students, what were the stressors they faced and the factors that affected their experience were all investigated.

Results indicated that the clinical experience of maternity nursing was academically satisfying yet stressful for the participants. More than half of the students (66.7%) preferred to deal with male rather than female patients. Eighty three percent of students decided not to attend regularly in order to escape from dealing with pregnant women; 85% wanted to cry when watched the process of labor and delivery; and 68% felt very embarrassed.

While these findings might be related to the rural background of the majority of students in the study sample (76.7%), it has also been supported in the literature among issues of male nurses providing care to women patients. Madoka et.al.(2006) pointed out that there is still argument over the perception of intimate care provided by male nurses to women clients specially those procedures that require physical closeness.

Kelly et al. (1996) reported that those male students who are engaged

in nursing studies reported psychological stress. Fears of being perceived as gay or

being feminine are negative perceptions in male students. Another aspect of stress recourse comes from nursing course pressure, some students considered dropping out because of pressure from nursing course.

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scores, most of them having to take make-up exams, also, male students were frequently absent from nursing courses.

As for Egyptian male students nurse, societal image of nursing as profession is considered one of the major reasons that put the male student under stress and lead to the sense of inferiority and embarrassment.

Moreover, students experienced high restrictions when dealing with mothers (53.3%); they were being rejected as male care givers (25%) and they faced lack of patient's cooperation (15.7%).Yaling et al. (2007) reported that role strain in

male nursing students was significantly higher than that in female nursing students when compared role strain between male and female nurse students, especially in terms of role incongruity.

Study findings were also similar to that reported by Wang et al. (2010) as the participants of the study felt that patients trust physicians more than nurses in the hospital. Patients didn't trust male students when receiving care from them; they prefer female nurses to give them procedures. In Egypt, in which the majority are Muslims, this might be more complicated in the case of women patients in Obstetric and Gynecology wards compared to those in medical or surgical wards, women considered male obstetricians as a trusted one, having more experience while, male students nurses are still young, not mature enough, might have inner feelings that could affect care provided by them.

This was evidence in the study when students preferred rotations in units similar to medical care such as high risk pregnancy unit to labor and delivery room or antenatal and gynecology clinics (46% vs. 36.7% and 33.3% respectively).

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perceived importance of gender-based barriers during nursing education programs of men. Participants who were posted in the obstetric wards reported that midwifery staff was cold and hostile during the placement, and many male students were made to feel uncomfortable, also many of them were not allowed to participate in the full range of caring interventions.

Wang et al. (2010) reported that male students encountered social pressure. It is still not widely socially acceptable for men to enter the nursing profession in China.

Liang et al. (2004) reported that the main barriers for male nurses were social values, relatives and friends laughing, and family's resistance. The stereotypes tie nursing to femininity and thus discourage men from becoming nurses.

Conclusions and recommendations

Egyptian male students nurse were facing more stressors than others, their experience was less satisfactory which is common in all programs even in western societies as for example. China. Cultural differences may be one of the contributing factors. Residence of the students could be one of the factors that contribute to their stressful experience. The main sources of stress were; rejection and incorporation of women to receive care by student male nurse as they have definite thoughts about male student nurses caring for them, clinical training requirements, attitude of clinical instructors and difficult dealing with some of maternity nursing skills. Pregnant women appear to have made their decisions about medical student participation by balancing personal needs with a sense of responsibility to help in the education of others. This study highlights the challenges experienced by male student nurse

in maternity nursing. It proposes strategies for nursingeducators to improve the

educational experience for male nursing students in maternity nursing clinical training. This study has important implications for nursing educators in helping male student's nurses to overcome such stressors during maternity nursing clinical practice.

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about receiving care by male nursing student is critical (Morin et al., 1999). Also, patients should be provided with an option to accept or refuse being assigned to a male nursing student. Furthermore, developing strategies to change male student's attitude toward child- bearing experience and fatherhood is crucial. Finally, male students should be oriented to and encouraged to identify with role model of male obstetricians. Re- planning of some of the clinical rotations of maternity nursing to include substitute clinical experience for the male student should be considered.

Acknowledgements

My gratitude and appreciation to our male students in faculty of Nursing, Cairo University, for helping us to accomplish such study that reflects their real experience

in maternity nursing, being patiet and honest in reflecting their opinion.

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Gambar

Table 2 - Satisfying aspects of studying maternity nursing as reported by male
Table 4 - Distribution of students in relation to their preference of patient's gender
Table 5 - Clinical training stressors as perceived by students.
Table 8 - Frequency distribution of the study sample in relation to their description of
+3

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