Abstract
Aim
To investigate the experiences, perspectives and plans of students who had a six-month
placement with the midwifery group practice.
Methods
Focus groups were conducted with fifteen third – year Bachelor of Midwifery students
who had undertaken an extended placement at a midwifery group practice in a large
tertiary referral hospital in Queensland, Australia.
Results
Four main themes were identified in the data: Expectations of the Placement; Facilitating
learning within a midwifery group practice model; Transitioning between models of
care and Philosophy and culture of midwifery group practice.
Discussion and conclusion
Third-year midwifery students valued the experience of working one-on-one for an extended
placement with a midwife providing continuity of care within a caseload model. The
experience was the highlight of their degree and they learned ‘how to be a midwife’.
Most students found reintegrating back into the hospital system of care challenging,
reporting that their developed skills of supporting women holistically and facilitating
normal birth were not fully utilised when returning to the task-orientated birth suite.
Students valued thoughtful, kind and supportive midwifery preceptors who supported
them to transition back into the hospital.
Implications and recommendations
Undertaking an extended placement within a midwifery group practice provides students
with a rich and holistic learning experience and helps them develop a sense of professional
identity. Student placements situated within models of care which provide continuity
of midwifery care should be proactively enabled by health services and universities.
Research of the longer-term impacts of an extended midwifery group practice clinical
placement on midwifery graduates’ capabilities and competencies 3–5 years post registration
should be conducted.
Keywords
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References
- Preceptors’ perspectives on recruitment, support, and retention of preceptors.J. Nurs. Educ. 2010; 49: 198-206
- Being a preceptor—a Nordic qualitative study.Nurse Educ. Today. 2014; 34: 1420-1424
- Acknowledging the primacy of continuity of care experiences in midwifery education.Women Birth. 2019;
- The curriculum and pedagogic properties of practice-based experiences: the case of midwifery students.Vocations Learn. 2013; 6: 237-257
- ‘ISeeYou’: a woman-centred care education and research project in Dutch bachelor midwifery education.Health Educ. J. 2018; 77: 899-914
- Learning to be a midwife in the clinical environment tasks, clinical practicum hours or midwifery relationships.Nurse Educ. Pract. 2016; 16: 294-297
- Midwifery students’ perspectives on how role models contribute to becoming a midwife: a qualitative study.Women Birth. 2019;
- The FIRST curriculum: cultivating speaking up behaviors in the clinical learning environment.J. Contin. Educ. Nurs. 2019; 50: 355-361
- Oxytocin improves "mind-reading" in humans.Biol. Psychiatry. 2007; 61: 731-733
- Teamwork in healthcare: key discoveries enabling safer, high-quality care.Am. Psychol. 2018; 73: 433-450
- The mental health and wellbeing of midwifery students: an integrative review.Midwifery. 2019; 72: 80-89
- Workplace culture and the practice experience of midwifery students: a meta‐synthesis.J. Nurs. Manag. 2018; 26: 302-313
- Midwife Accreditation Standards 2014.ACT 2601: ANMAC, Canberra City2014: 1-35
- Midwife‐led continuity models versus other models of care for childbearing women.Cochrane Database Syst. Rev. 2016;
- Midwife Accreditation Standards.ANMAC, Canberra2014: 35
- "Continuity of care" experiences in midwifery education: perspectives from diverse stakeholders.Nurse Educ. Pract. 2014; 14: 573-578
- ‘Freedom to flourish’: University of Salford student midwives’ placement link with the Isle of Man.Br. J. Midwifery. 2017; 25: 253-256
- The continuity of care experience in Australian midwifery education—what have we achieved?.Women Birth. 2017; 30: 200-205
- An exploration of the midwifery continuity of care program at one Australian University as a symbiotic clinical education model.Nurse Educ. Today. 2013; 33: 262-267
- Workplace culture and the practice experience of midwifery students: a meta-synthesis.J. Nurs. Manag. 2018; 26: 302-313
- An exploratory, comparative study investigating attrition and retention of student midwives.Midwifery. 2009; 25: 79-87
- Improving student midwives’ workplace learning by moving from self- to co-regulated learning!.Women Birth. 2019; 32: e384-e390
- The experiences of a first cohort of Bachelor of Midwifery students, Victoria, Australia.Aust. Midwifery. 2005; 18: 9-16
- The clinical learning environment of a maternity ward: A qualitative study.Women Birth. 2019; 32: e523-e529
- An exploration of the perceived factors that affect the learning and transfer of skills taught to student midwives.Midwifery. 2013; 29: 831-837
- Midwifery students’ experiences of learning clinical skills in Iran: a qualitative study.Int. J. Med. Educ. 2018; 9: 64-71
- Australian midwives’ experiences of their workplace culture.Women Birth. 2017; 30: 137-145
- Midwifery student exposure to workplace violence in clinical settings: an exploratory study.Nurse Educ. Pract. 2016; 17: 123-127
- Resilience, stress and burnout in student midwives.Nurse Educ. Today. 2019; 79: 188-193
- Australian midwives’ intentions to leave the profession and the reasons why.Women Birth. 2019; 32: e584-e593
- Personal, professional and workplace factors that contribute to burnout in Australian midwives.J. Adv. Nurs. 2018; 74: 852-863
- Surviving, not thriving: a qualitative study of newly qualified midwives’ experience of their transition to practice.J. Clin. Nurs. 2012; 21: 2054-2063
- The challenge of employing and managing new graduate midwives in midwifery group practices in hospitals.J. Nurs. Manag. 2016; 24: 614-623
- Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care.Lancet. 2014; 384: 1129-1145
- Relationships between working conditions and emotional wellbeing in midwives.Women Birth. 2019; 32: 521-532
- The impact of pre-registration education on the motivation and preparation of midwifery students to work in continuity of midwifery care: an integrative review.Nurse Educ. Pract. 2020; 48102859
- The emotional and professional wellbeing of Australian midwives: a comparison between those providing continuity of midwifery care and those not providing continuity.Women Birth. 2018; 31: 38-43
- A literature review exploring student midwives’ experiences of continuity of mentorship on the labour ward.Br. J. Midwifery. 2019; 27: 115-119
- “There are guiding hands and there are controlling hands”: student midwives experience of mentorship in the UK.Midwifery. 2011; 27: 477-483
- Role-modelling and the hidden curriculum: new graduate nurses’ professional socialisation.J. Clin. Nurs. 2018; 27: 3157-3170
- Essentials of Nursing Research: Appraising Evidence for Nursing Practice.8th edition. Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia2014
- Analysing focus group data.in: Silverman D. Qualitative Research. Sage Publications, London2016: 83-98
- Using thematic analysis in psychology.Qual. Res. Psychol. 2006; 3: 77-101
- Partner, learn, progress: a conceptual model for continuous clinical education.Nurse Educ. Today. 2006; 26: 104-109
- The ‘follow-through’ experience in three-year bachelor of midwifery programs in Australia: a survey of students.Nurse Educ. Pract. 2012; 12: 258-263
- Optimising the continuity experiences of student midwives: an integrative review.Women Birth. 2020;
- Exploring the impact of clinical placement models on undergraduate midwifery students.Women Birth. 2013; 26: e21-e55
- Students’ perceptions of the follow-through experience in 3 year bachelor of midwifery programmes in Australia.Midwifery. 2013; 29: 400-406
- Acknowledging the primacy of continuity of care experiences in midwifery education.Women Birth. 2020; 33: 111-118
- Midwifery students’ experiences of working within a midwifery caseload model.Midwifery. 2019; 74: 21-28
- A qualitative study exploring student midwives’ experiences of carrying a caseload as part of their midwifery education in England.Midwifery. 2011; 27: 786-792
- Conflicting ideologies as a source of emotion work in midwifery.Midwifery. 2004; 20: 261-272
- ‘No Man׳s Land’: an exploration of the traumatic experiences of student midwives in practice.Midwifery. 2015; 31: 858-864
- “A powerful midwifery vision”: Dutch student midwives’ educational needs as advocates of physiological childbirth.Women Birth. 2019; 32: e576-e583
- Midwifery students׳ experiences of an innovative clinical placement model embedded within midwifery continuity of care in Australia.Midwifery. 2015; 31: 765-771
Article info
Publication history
Published online: January 28, 2021
Accepted:
January 2,
2021
Received in revised form:
December 28,
2020
Received:
October 5,
2020
Identification
Copyright
© 2021 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.