UTILIZATION OF EFFECTIVE CLINICAL TEACHING PRACTICES AND ASSOCIATED FACTORS AMONG MIDWIVES AND NURSES EDUCATORS IN PUBLIC UNIVERSITIES OF TIGRAY, ETHIOPIA 2025

Abstract

Background: Effective clinical teaching is important for preparing competent midwives and nurses to provide high-quality of health care services. However, studies in Ethiopia have shown that many midwives and nurses educators do not apply effective clinical teaching practices, resulting in a low level of student’s clinical competence. Although effective clinical teaching practices is important in Tigray, Ethiopia, there is limited data regarding utilization of effective clinical teaching practices. Objective: To assess the utilization of effective clinical teaching practices and associated factors among midwives and nurses educators in public universities of Tigray. Methods: A cross-sectional study was conducted from September 25 to November 10, 2025. The sample size was initially calculated using a single population proportion yielding a sample size of 421. However, since the total number of midwives and nurses educators was 292, a census sampling technique was employed, and all eligible midwives and nurse educators in public universities of Tigray, were included. Data were collected using pretested self-administered structured questionnaire. Variables with a P-value less than 0.2 in bivariate analysis were entered into final model and adjusted odds ratio with corresponding 95% confidence interval was estimated to identify associated factors with effective clinical teaching practices using multivariable logistic regression. Statistical significance was declared at 𝑃-value <0.05. Results: This study found that 70% of midwives and nurse educators were utilized effective clinical teaching practices. Factors significantly associated with effective clinical teaching practices included: higher diploma training(AOR =4.70:95%CI[2.15, 10.25]), 5–8students-per-clinical-unit(AOR=3.30;95%CI[1.30,8.32],providing clear clinical learning objectives (AOR=3.56:95%CI[1.69, 7.47]), using performance-based assessment tools (AOR = 5.37: 95%CI[2.44, 11.81]), always providing timely feedback (AOR =3.04: 95%CI[1.49,6.23]) and good interest in clinical teaching (AOR=3.24: 95%CI[1.48,7.11]). Conclusion and recommendations: The majority of midwives and nurses educators of Tigray universities utilized effective clinical teaching practices. Higher diploma training, students per clinical unit, providing clear clinical learning objectives, use performance based assessment, providing timely feedback and good interest in clinical teaching were significant factors to utilized effective clinical teaching practice. Therefore, Tigray universities should strengthening these areas through encouraging training opportunities, limit student per clinical unit, reinforcing use of performance based assessment method and timely feedback to improve clinical learning outcomes in midwifery and nursing programs.