|Portfolio of practice evidence 100%
Formative assessment by mentor of professional behaviour and learning outcomes and review of student learning agreement
Formative meeting with personal tutor to view attendance, formative assessment, discussion of learning agreement and learning opportunities and student’s own assessment of progress
Practice assessment (Client Education)
Completion of all required practice documentation
Mentor grading of learning outcomes
A reflection on the care given to one mother or baby experiencing pain or distress (2,000 words)
|This module aims to enable the students to develop their skills in providing evidence-based care to low risk mothers and their families whilst recognising and responding to deviations from the normal, developing risks and clinical emergencies by providing learning opportunities mainly in the hospital environment. It also encourages them to develop communication and presentation skills that will enhance client education/health promotion and improve team working and client care.
The module focuses on the needs of women and their families undergoing a multiplicity of normal & challenging physiological, psychological and sociological childbearing experiences. Students will be able to demonstrate skills in supporting mothers and babies experiencing pain and distress and be able to demonstrate safe administration of a range of therapeutic substances. Emphasis will be placed on the application of research and critical reflection in order to provide safe and contemporary midwifery care. This module complements three theory modules at Level 3, where a range of obstetric emergencies will be practiced in the skills lab, and students will be encouraged to join in skills drills within their practice areas or simulate common emergencies with their mentors.
By the end of this period of practice students will be expected to work with minimal supervision in preparation for the 12 week supported practice module when they will be expected to provide total management of care of low risk clients and meet both the NMC proficiency statements and the outcomes of the essential skills clusters.
|By the end of the module the student should be able to:
Professional practice skills
1. participate in unit skills drills or simulations of common emergencies with a mentor/tutor or verbalise how they would respond in common emergencies
2. perform under supervision or in a simulated environment a range of skills required to meet the needs of mothers and neonates, experiencing normality or complications during the childbearing continuum, including appropriate timely referral and resuscitation of the newborn (see skills document)
3. demonstrate an ability to offer evidence based information and work with women to plan, implement and evaluate care which supports families and ,where possible, normality and choice through pregnancy, labour and postnatal period
4. deliver individualised client education and health promotion to meet the needs of women and their families from a diversity of backgrounds and participate in client education and health promotion to various groups
5. develop and evaluate evidence based plans of care to support women experiencing problems feeding or caring for their babies, including appropriate referral strategies.
6. understand the value of risk assessment during the childbearing continuum and demonstrate skills in accurately assessing women’s care needs, recognising and acting appropriately in the presence of medical or obstetric emergencies or in simulations of these events
7. demonstrate an understanding of the midwife’s sphere of practice when caring for women and neonates experiencing complications and work collaboratively with other practitioners and agencies demonstrating effective working across professional boundaries
8. demonstrate an understanding of adult resuscitation protocols in the maternity unit and familiarity with resuscitation equipment, also participate in resuscitation of the newborn or simulated use of neonatal resuscitation equipment in practice
9. demonstrate an evidence based understanding of fetal monitoring and the ability to take appropriate action when recognizing deviations from the normal on auscultation and cardiotocographs
10. demonstrate an increasing ability to assist and care for women experiencing pain throughout the childbearing continuum providing an evidence based rationale for their actions
11. contribute to the support and care needed by neonates who are experiencing pain
12. safely store and administer drugs permitted by University demonstrating safe monitoring of women and babies for the effects and side-effects of treatments they are receiving and a knowledge of relevant legislation and guidelines
13. recognise risks to health and safety in the healthcare environment and Identify and implement strategies aimed at reducing risk and liability
14. demonstrate an understanding of Midwifery Supervision in enabling professional development
15. identify areas of research required for practice development and Identify and implement strategies aimed at the successful management of change
16. deliver individualised client education and health promotion to meet the needs of women and their families from a diversity of backgrounds and participate in client education and health promotion to various groups
Values and attitudes
1. with mentor support, defend mothers' and babies’ rights and interests throughout the childbearing continuum
2. appreciate the needs of women experiencing complications during the childbearing continuum and the role of the midwife in providing empathetic and sensitive woman-centred care
3. practice in a way which respects and promotes individuals rights, interests, preferences, beliefs and cultures taking account of legal and ethical frameworks and be able, as part of a team, to support clients in their choices, irrespective of personal preferences
4. appreciate different perspectives relating to sexuality, disability and gender issues and how these may affect women’s and their families’ experiences of child bearing whilst understand the impact of stigma and labelling of clients experiencing care.
5. recognise and acknowledges the limitations of their own professional abilities and set learning goals to meet these
6. practice in accordance with the NMC Midwives’ Rules and Codes of Practice (NMC 2004) and demonstrate knowledge of professional and self-regulation
Knowledge and understanding
1. critically analyse research related to childbearing and relate it to past and current midwifery practice and management policies
2. evaluate and apply research findings to specific practice issues and situations
1. discuss rationales for their decisions with their mentor and reflect on the outcome of these decisions
2. use reflection to enhance their understanding of their own attitudes and reactions in practice particularly where theory/practice gaps are evident
1. demonstrate effective communication and presentation skills when giving information, advice and opinion to colleagues, clients and their relatives, both verbally and in writing
2. write and evaluate plans of care conforming to record keeping, data protection and confidentiality guidelines
|Methods of Teaching/Learning
Nursing and Midwifery Council (2007) Standards for medicines management NMC, London
Nursing and Midwifery Council (2007) NMC record keeping guidance NMC, London
Symon A. (Editor) (2006) Risk and Choice in Maternity Care: An International Perspective. Churchill Livingstone, Edinburgh.
This module relates evidence to what is actually happening in practice so it is important that as part of the essential reading students familiarise themselves with their units’ protocols and the evidence stated in them.
The module reading lists for all level 3 modules and further reading suggested by module tutors will inform this practice module.
No texts will be cited as required as students are expected to read around the situations they actually encounter in practice
The following texts are suggested to help students develop their reflective style and assist them to integrate women’s views of care into their thinking about care in acute settings.
Anderson T. and Podkolonski J. (2000) Reflections on midwifery care and the postnatal period In Alexander J., Roth C., Levy V. Midwifery practice : Core topics 3 Macmillan, Basingstoke pp1-18
Eartherton H. (2005) Trust in women…. Don’t trust the patient In Wickham S. Midwifery best practice Volume 3 Books for Midwives Press, Edinburgh pp 249-251
Fletcher G. and Buggins E. (2000) Empowerment – a gift bestowed or withheld? In Alexander J., Roth C., Levy V. Midwifery practice : Core topics 3 Macmillan, Basingstoke pp113-128
Kirkham M (Editor) (2004) Informed Choice in Maternity Care. Palgrave Macmillan, Basingstoke.
Lundgren I. and Dahlberg K. (2005) Midwives’ experience of the encounter with women and their pain during childbirth In Wickham S. Midwifery best practice Volume 3 Books for Midwives Press. Edinburgh pp 131-139
Phipps B. Normal birth – does it matter? (2005) In Wickham S. Midwifery best practice Volume 3 Books for Midwives Press. Edinburgh pp 140-142
Raynor M.D., Marshall J.E. & Sullivan A. (2005) Decision making in Midwifery Practice. Churchill Livingstone, Edinburgh.
British Journal of Midwifery
British Journal of Obstetrics and Gynaecology
Journal of Obstetric, Gynaecologic and Neonatal Nursing
The Practising Midwife
MIDIRS Midwifery Digest
Royal College of Midwives
Royal College of Anaesthetists
British Maternal & Fetal Medicine Society
Dept of Health
Nursing & Midwifery Council
Association for Improvements in the
National Electronic Library for Health
|29TH JULY 2010