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the follow-through experience is an innovative midwifery education strategy that facilitates learning for midwifery students. Challenges need to be addressed at a systematic level and new strategies developed to support the learning opportunities presented by the follow-through experience.

Despite these challenges, there were significant learning opportunities. Future work and research needs to ensure than an integrated approach is taken to enhance learning.

Aesthetics; Support), each comprising design principles which are further differentiated into specific assessable design items. In the process of developing measurement tools, content validity must be established. Aim:To establish the content validity of the BUDSET from the perspective of women and midwives.Design: Mixed-methods study with a survey assessing agreement with BUDSET items and indepth interviews. Survey results were analysed using an Item-level content validity index (I-CVI) and a Survey-level validity index (S-CVI). Interview data were analysed using a directed content analysis approach. Settings:The study was conducted in two locations; a major maternity hospital and a midwifery research centre, in Australia. Participants: 10 women and 2 midwifery academics Conclusion:This study has established the BUDSET is content-valid for assessing the optimality of birthing environments. Some further refinement of the tool is now possible.

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