Evidence map›Paper›PMID 42495928›Full record

ArticleJournal of nursing management2026

Spiritual Care Empowerment and Midwives' Adherence to the Maternal Rights Charter: A Quasiexperimental Study Using 360-Degree Evaluation.

Soheila Jafarzadeh, Zahra Alipour, Hoda Ahmari Tehran, Zohre Khalajinia

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Soheila JafarzadehDepartment of Midwifery, School of Medicine, Qom University of Medical Sciences, Qom, Iran, muq.ac.ir.ORCID https://orcid.org/0009-0008-0486-9818
Zahra AlipourSpiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran, muq.ac.ir.ORCID https://orcid.org/0000-0001-5049-9784
Hoda Ahmari TehranSpiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran, muq.ac.ir.ORCID https://orcid.org/0000-0001-7389-6547
Zohre KhalajiniaSpiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran, muq.ac.ir.ORCID https://orcid.org/0000-0002-3815-2881

Funding

Qom University of Medical Science IR.MUQ.REC.1402.03
6 · The paper itself

Abstract

aimThis study examined whether participation in a spiritual care empowerment programme was associated with changes in midwives' adherence to the Maternal Rights Charter using a 360-degree evaluation.

backgroundAdherence to maternal rights reflects respectful, person-centred, dignity-preserving maternity care. Spiritual care empowerment may enhance relational and communication competencies, but its association with observable adherence to the Maternal Rights Charter remains underexplored.

methodsThis quasiexperimental, pretest-posttest control group study was conducted in a labour and delivery ward in Qom, Iran, from May to August 2023. Fifty-six eligible midwives were recruited through convenience sampling and assigned to the intervention or control group using simple random allocation by lottery. The final complete-case analysis included 51 midwives: 23 intervention and 28 control. The intervention group participated in an 8-h spiritual care empowerment workshop over 2 days, followed by 2 weeks of educational support; the control group received routine education only. Adherence was evaluated at baseline, 2 weeks and 2 months postworkshop using self, peer, supervisor and mother assessments. Data were analysed using two-way repeated-measures analysis of variance.

resultsSignificant time-by-group interactions were observed for total scores across all evaluator perspectives: self-assessment (F = 22.38, p < 0.001, ηp

conclusionParticipation in the spiritual care empowerment programme was associated with improved midwives' adherence scores for the Maternal Rights Charter across evaluator perspectives. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing and midwifery managers may consider structured spiritual care empowerment as one component of continuing professional development. Multisource assessment, including mothers' perspectives, may help identify training needs and monitor changes in rights-based maternity care.

Indexed as

EmpowermentMidwiferySpiritualityAdultFemaleHumansIranPregnancycharterempowermentmedicinepeer supportprofessional developmentspiritual care

Identifiers

PMID42495928
PMCPMC13397467

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.