{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:01:26Z","timestamp":1784894486500,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":204,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100015993","name":"Qom University of Medical Science","doi-asserted-by":"publisher","award":["IR.MUQ.REC.1402.03"],"award-info":[{"award-number":["IR.MUQ.REC.1402.03"]}],"id":[{"id":"10.13039\/501100015993","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study examined whether participation in a spiritual care empowerment programme was associated with changes in midwives\u2019 adherence to the Maternal Rights Charter using a 360\u2010degree evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adherence to maternal rights reflects respectful, person\u2010centred, dignity\u2010preserving maternity care. Spiritual care empowerment may enhance relational and communication competencies, but its association with observable adherence to the Maternal Rights Charter remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quasiexperimental, pretest\u2013posttest control group study was conducted in a labour and delivery ward in Qom, Iran, from May to August 2023. Fifty\u2010six eligible midwives were recruited through convenience sampling and assigned to the intervention or control group using simple random allocation by lottery. The final complete\u2010case analysis included 51 midwives: 23 intervention and 28 control. The intervention group participated in an 8\u2010h spiritual care empowerment workshop over 2\u2009days, followed by 2\u2009weeks of educational support; the control group received routine education only. Adherence was evaluated at baseline, 2\u2009weeks and 2\u2009months postworkshop using self, peer, supervisor and mother assessments. Data were analysed using two\u2010way repeated\u2010measures analysis of variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant time\u2010by\u2010group interactions were observed for total scores across all evaluator perspectives: self\u2010assessment (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200922.38,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.314), peer assessment (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200929.72,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.378), supervisor assessment (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200941.74,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.460) and mother assessment (\n                      <jats:italic>F<\/jats:italic>\n                      \u2009=\u200921.56,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.306).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participation in the spiritual care empowerment programme was associated with improved midwives\u2019 adherence scores for the Maternal Rights Charter across evaluator perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing and midwifery managers may consider structured spiritual care empowerment as one component of continuing professional development. Multisource assessment, including mothers\u2019 perspectives, may help identify training needs and monitor changes in rights\u2010based maternity care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/2125073","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T11:06:32Z","timestamp":1784891192000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spiritual Care Empowerment and Midwives\u2019 Adherence to the Maternal Rights Charter: A Quasiexperimental Study Using 360\u2010Degree Evaluation"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0486-9818","authenticated-orcid":false,"given":"Soheila","family":"Jafarzadeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5049-9784","authenticated-orcid":false,"given":"Zahra","family":"Alipour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7389-6547","authenticated-orcid":false,"given":"Hoda","family":"Ahmari Tehran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3815-2881","authenticated-orcid":false,"given":"Zohre","family":"Khalajinia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.7326\/M23-2676"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-021-01241-5"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-07133-3"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-025-01164-x"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_706_19"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-025-02119-6"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-026-09364-y"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.ijnmr_359_22"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07995-1"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2023.106006"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_186_18"},{"key":"e_1_2_13_12_2","first-page":"43","article-title":"Respect to the Bill of Mother\u2019s Rights in Labor and Delivery by Midwife Responsible for Delivery Through 360 Evaluation in Training Maternities Affiliated to Mashhad University of Medical Science in 2014","volume":"20","author":"Safaee M.","year":"2017","journal-title":"Iranian Journal of Obstetrics, Gynecology and Infertility"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06524-w"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15938"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0578"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_599_20"},{"key":"e_1_2_13_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0b013e318236cf78"},{"key":"e_1_2_13_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103488"},{"key":"e_1_2_13_19_2","doi-asserted-by":"publisher","DOI":"10.36834\/cmej.73775"},{"key":"e_1_2_13_20_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.361"},{"key":"e_1_2_13_21_2","first-page":"93","article-title":"A Study of the Influence of Implementing Patients\u2019 Rights Workshop for Midwives on Women\u2019s Viewpoints About Parturient Rights Respect","volume":"5","author":"Bayrami R.","year":"2007","journal-title":"Nursing and Midwifery 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