“Working towards being ready”: A grounded theory study of how practising midwives maintain their ongoing competence to practise their profession

Calvert, Susan; Smythe, Elizabeth; McKenzie-Green, Barbara

doi:10.1016/j.midw.2017.03.006

Cited by 13 publications

(9 citation statements)

References 16 publications

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“…As in the case of general nurses, our study's participants repeatedly indicate training as one of the most important ways to improve the role of the midwives in terms of empowering women. This coincides with what has been indicated by other research on the necessity perceived by midwives from different geographical contexts to maintain competence to address some of the needs of the women with whom they work (Calvert et al, 2017;Anyichie & Nwagu, 2019) and the need to improve their communications skills (Jardim et al, 2019;Kuliukas et al, 2020).…”

Section: On Improving the Role Of The Midwifesupporting

confidence: 89%

Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care

Martin-Bellido

Martin-Fiscal²,

Morano-Gomez

et al. 2021

GENEROS

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Female empowerment is a key concept in the current healthcare environment, especially in perinatal care. The educational process offered by universities to train future nurses and midwives has a great influence on their professional attitude and performance. To be able to educate in a way that encourages empowerment, it is essential for higher education institutions to know the starting point relating to students’ opinions on the subject. It was conducted a cross-sectional descriptive observational study, at the University of Huelva. It used a self-developed, semi-structured questionnaire, previously validated, to gather quantitative and qualitative data. A total of 117 nursing student were surveyed. Participants consider that general nurses supplement the work of the midwife and acts as a facilitator for the process of women’s empowerment in the perinatal period. They believe that the midwife is the professional figure of reference and the one in which they place greater trust. Improvement proposals for both types of professionals are based on improving training and resources. To encourage the development of the profession and improve the quality of care, it is essential to introduce features related to women’s empowerment in the undergraduate training of future nurses and midwives.

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Section: On Improving the Role Of The Midwifesupporting

confidence: 89%

Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care

Martin-Bellido

Martin-Fiscal²,

Morano-Gomez

et al. 2021

GENEROS

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“…The participants indicated that availability and utilisation of clinical guidelines and protocols, and clinical supervisions, were the facilitators of competence and autonomy for safe practice. This re ects ndings in other studies that in-service education is crucial as a continuous development process of the midwife, with access to learning opportunities(56) (57). Utilisation of midwives with different skills sets, and mentorship by senior midwives of less experienced midwives, would support diversity of practice and career development (8,39,57,58) The ndings of this study indicated the need to standardise midwifery education and practice.…”

Section: Quali Cation Categoriessupporting

confidence: 79%

Exploring midwifery competence and confidence based on midwives' experiences and stakeholders' insights in Kenya: A descriptive phenomenological approach

Tallam

Kaura

Mash

2022

Preprint

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Background Midwives who are educated and regulated to international standards can provide ninety percent of the needed essential care for women and newborns and reduce preventable maternal and child mortalities. However, inadequacies in midwifery care, especially in low- and middle-income countries, leads to lack of competence and confidence among midwives to achieve their potential. The study objective was to explore midwives’ experiences and stakeholder insights into midwives’ competence and confidence in the four International Confederation of Midwives (ICM) domains; general competence, pre-pregnancy and antenatal care, labour and childbirth, and ongoing care of the woman and the baby. Methods A descriptive phenomenological study was utilised to explore these experiences. Ten midwives were purposively selected from subcounty, county and tertiary referral hospitals. Further, stakeholders (nine County Chief Nursing Officers and one Chief Executive Officer from the tertiary hospital in Kenya) were included. Interview guide questions were developed following the findings of the midwives’ self-perceived competence and confidence. All interviews were recorded, translated, and transcribed verbatim. Thematic analysis was done using the Colaizzi framework. Atlas. ti 9 software was utilised to assist with the coding categorisation and creating the themes. Findings Four themes emerged from the analysis. They included qualification categories, clinical practice experience, clinical practice environment and the need to optimise midwifery. In addition, multidisciplinary support and standardisation of midwifery practice were identified as key to promote the confidence and competence of midwives. Conclusions Midwives had disparities in competence and confidence during clinical practice, based on their different qualifications. A supportive environment emerged as necessary in enabling appropriate clinical experience, confidence, and competence. Standardisation of midwifery qualification promotes competence, which promotes the confidence of midwives in the clinical environment.

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“…It is critical for a midwife to be ready for each moment of practice regardless of geographic or practice setting (Calvert, 2015). However, the need to be ready to expect the unexpected and the expectancy of challenge form the lived reality of rural midwifery practice.…”

Section: Literature Reviewmentioning

confidence: 99%

‘Living the rural experience-preparation for practice’: The future proofing of sustainable rural midwifery practice through midwifery education

Kensington

Rankin

Gilkison

et al. 2018

Nurse Education in Practice

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Rural practice presents unique challenges and skill requirements for midwives. New Zealand and Scotland face similar challenges in sustaining a rural midwifery workforce. This paper draws from an international multi-centre study exploring rural midwifery to focus on the education needs of student midwives within pre-registration midwifery programmes in order to determine appropriate preparation for rural practice. The mixed-methods study was conducted with 222 midwives working in rural areas in New Zealand (n = 145) and Scotland (n = 77). Midwives' views were gathered through an anonymous online survey and online discussion forums. Descriptive analysis was used for quantitative data and thematic analysis was conducted with qualitative data. 'Future proofing rural midwifery practice' using education was identified as the overarching central theme in ensuring the sustainability of rural midwives, with two associated principle themes emerging (i) 'preparation for rural practice' and (ii) 'living the experience and seeing the reality'. The majority of participants agreed that pre-registration midwifery programmes should include a rural placement for students and rural-specific education with educational input from rural midwives. This study provides insight into how best to prepare midwives for rural practice within pre-registration midwifery education, in order to meet the needs of midwives and families in the rural context.

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“Working towards being ready”: A grounded theory study of how practising midwives maintain their ongoing competence to practise their profession

Cited by 13 publications

References 16 publications

Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care

Teaching to Get Nurses an Midwives Empowering Women: Nursing Students’ Perceptions on Professional´s Roles during Perinatal Care

Exploring midwifery competence and confidence based on midwives' experiences and stakeholders' insights in Kenya: A descriptive phenomenological approach

‘Living the rural experience-preparation for practice’: The future proofing of sustainable rural midwifery practice through midwifery education

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