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Research Article| Volume 33, ISSUE 5, P433-439, September 2020

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Midwifery students’ perspectives on how role models contribute to becoming a midwife: A qualitative study

Published:October 12, 2019DOI:https://doi.org/10.1016/j.wombi.2019.08.009

      Abstract

      Background

      The dynamics of maternal and newborn care challenge midwifery education programs to keep up-to-date. To prepare for their professional role in a changing world, role models are important agents for student learning.

      Objective

      To explore the ways in which Dutch and Icelandic midwifery students identify role models in contemporary midwifery education.

      Methods

      We conducted a descriptive, qualitative study between August 2017 and October 2018. In the Netherlands, 27 students participated in four focus groups and a further eight in individual interviews. In Iceland, five students participated in one focus group and a further four in individual interviews. All students had clinical experience in primary care and hospital. Data were analyzed using inductive content analysis.

      Results

      During their education, midwifery students identify people with attitudes and behaviors they appreciate. Students assimilate these attitudes and behaviors into a role model that represents their ‘ideal midwife’, who they can aspire to during their education. Positive role models portrayed woman-centered care, while students identified that negative role models displayed behaviors not fitting with good care. Students emphasized that they learnt not only by doing, they found storytelling and observing important aspects of role modelling. Students acknowledged the impact of positive midwifery role models on their trust in physiological childbirth and future style of practice.

      Conclusion

      Role models contribute to the development of students’ skills, attitudes, behaviors, identity as midwife and trust in physiological childbirth. More explicit and critical attention to how and what students learn from role models can enrich the education program.

      Keywords

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      References

        • Gottfreðsdóttir H.
        • Nieuwenhuijze M.J.
        Midwifery education: challenges for the future in a dynamic environment.
        Midwifery. 2018; 59: 78-80
        • Perry R.
        Role modeling excellence in clinical nursing practice.
        Nurse Educ Pract. 2009; 9: 36-44https://doi.org/10.1016/j.nepr.2008.05.001
        • Bandura A.
        Social learning theory.
        Prentice Hall, Englewood Cliffs1977
        • Cruess S.R.
        • Cruess R.L.
        • Steinart Y.
        Role modelling—making the most of a powerful teaching strategy.
        Br Med J. 2008; 336: 718-721https://doi.org/10.1136/bmj.39503.757847.BE
        • Benbassat J.
        Role modeling in medical education: the importance of a reflective imitation.
        Acad Med. 2014; 89: 550-554https://doi.org/10.1097/ACM.0000000000000189
        • Passi V.
        • Johnson S.
        • Peile E.
        • Wright S.
        • Hafferty F.
        • Johnson N.
        Doctor role modelling in medical education: BEME guide no. 27.
        Med Teach. 2013; 35: e1422-e1436https://doi.org/10.3109/0142159X.2013.806982
        • Tagawa M.
        Effects of undergraduate medical students’ individual attributes on perceptions of encounters with positive and negative role models.
        BMC Med Educ. 2016; 16: 164https://doi.org/10.1186/s12909-016-0686-1
        • Baldwin A.
        • Mills J.
        • Birks M.
        • Budden L.
        Reconciling professional identity: a grounded theory of nurse academics’ role modelling for undergraduate students.
        Nurse Educ Today. 2017; 59: 1-5https://doi.org/10.1016/j.nedt.2017.08.010
        • Jack K.
        • Hamshire C.
        • Chambers A.
        The influence of role models in undergraduate nurse education.
        J Clin Nurs. 2017; 26: 4707-4715https://doi.org/10.1111/jocn.13822
        • Bluff R.
        • Holloway I.
        The efficacy of midwifery role models.
        Midwifery. 2008; 24: 301-309https://doi.org/10.1016/j.midw.2005.02.008
        • Omer T.A.
        • Suliman W.A.
        • Moola S.
        Roles and responsibilities of nurse preceptors: Perception of preceptors and preceptees.
        Nurse Educ Pract. 2016; 16: 54-59
        • Burgess A.
        • Oates K.
        • Goulston K.
        Role modelling in medical education: the importance of teaching skills.
        Clin Teach. 2016; 13: 134-137https://doi.org/10.1111/tct.12397
        • Moser A.
        • Korstjens I.
        Series: practical guidance to qualitative research. Part 3: sampling, data collection and analysis.
        Eur J Gen Pract. 2017; 24: 1-9https://doi.org/10.1080/13814788.2017.137509
        • Polit D.F.
        • Beck C.T.
        Nursing research: generating and assessing evidence for nursing practice.
        10th ed. Wolters Kluwer Health, Philadelphia2012https://doi.org/10.1016/j.iccn.2015.01.005
        • Korstjens I.
        • Moser A.
        Series: practical guidance to qualitative research. Part 4: trustworthiness and publishing.
        Eur J Gen Pract. 2017; 24: 120-124https://doi.org/10.1080/13814788.2017.1375092
        • Tong A.
        • Sainsbury P.
        • Craig J.
        Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.
        Int J Qual Health Care. 2007; 19: 349-357https://doi.org/10.1093/intqhc/mzm042
        • Schrader C.
        Mother and child were saved: the memoirs (1693-1740) of the Frisian midwife.
        Rodopi, Amsterdam1987
        • Ólafsdóttir Ó.A.
        • Kirkham M.
        Narrative times: stories, childbirth and midwifery.
        in: McCourt M. Childbirth, midwifery and concepts of time. Berghahn Books, Oxford UK2009
        • Ulrich S.
        First birth stories of student midwives: keys to professional affective socialization.
        J Midwifery Womens Health. 2004; 49: 390-397https://doi.org/10.1016/j.jmwh.2004.04.013
        • Passi V.
        • Johnson N.
        The hidden process of positive doctor role modelling.
        Med Teach. 2016; 38: 700-707https://doi.org/10.3109/0142159X.2015.1087482
        • Feijen-de Jong E.I.
        • Kool L.
        • Peters L.L.
        • Jansen D.E.M.C.
        Perceptions of nearly graduated fourth year midwifery students regarding a’ good midwife’ in the Netherlands.
        Midwifery. 2017; 50: 157-162https://doi.org/10.1016/j.midw.2017.04.008
        • Halldorsdottir S.
        • Karlsdottir S.I.
        The primacy of the good midwife in midwifery services: an evolving theory of professionalism in midwifery.
        Scand J Caring Sci. 2011; 25: 806-817https://doi.org/10.1111/j.1471-6712.2011.00886.x
        • Pezaro S.
        • Clyne W.
        • Turner A.
        • Fulton E.A.
        • Gerada C.
        ‘Midwives overboard!’ Inside their hearts are breaking, their makeup may be flaking but their smile still stays on.
        Women Birth. 2016; 29: e59-e66https://doi.org/10.1016/j.wombi.2015.10.006
        • ICM
        ICM core document philosophy and model of midwifery care.
        2014 ([Accessed January 27, 2019])
        • Downe S.
        • Finlayson K.
        • Oladapo O.
        • Bonet M.
        • Gülmezoglu A.M.
        What matters to women during childbirth: a systematic qualitative review.
        PLoS One. 2018; 13e0194906https://doi.org/10.1371/journal.pone.0194906
        • Euro-Peristat Project
        • European Perinatal Health Report
        Core indicators of the health and care of pregnant women and babies in Europe in 2015.
        2018 ([Accessed 27 January 2019])
        • Jordan R.
        • Farley C.L.
        The confidence to practice midwifery: preceptor influence on student self-efficacy.
        J Midwifery Womens Health. 2008; 53: 413-420https://doi.org/10.1016/j.jmwh.2008.05.001
        • Lundgren I.
        • Berg M.
        • Nilsson C.
        • Ólafsdóttir O.A.
        Health professionals’ perceptions of a midwifery model of woman-centred care implemented on a hospital labour ward.
        Women Birth. 2019; (pii: S1871-5192(18)30155-0)https://doi.org/10.1016/j.wombi.2019.01.004
        • Bohlin H.
        Bildung and moral self-cultivation in higher education: what does it mean and how can it be achieved?.
        Forum Public Policy. 2008; ([Accessed 25 June 2019]): 1-10