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An Outcome Evaluation of the Effectiveness of Pre-Registration Midwifery Programmes of Education.

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Bibliographic Details
Title:	An Outcome Evaluation of the Effectiveness of Pre-Registration Midwifery Programmes of Education.
Language:	English
Authors:	Fraser, Diane, Murphy, Roger, Worth-Butler, Michelle, English National Board for Nursing, Midwifery and Health Visiting, London.
Availability:	English National Board for Nursing, Midwifery and Health Visiting, Publications Department, Victory House, 170 Tottenham Court Road, London W1P 0HA, England, United Kingdom (15 British pounds).
Peer Reviewed:	N
Page Count:	346
Publication Date:	1997
Document Type:	Reports - Research
Descriptors:	Dropouts, Educational Certificates, Evaluation Methods, Experiential Learning, Foreign Countries, Graduate Surveys, Models, Nursing Education, Obstetrics, Outcomes of Education, Postsecondary Education, Program Effectiveness, Program Evaluation, Student Certification, Student Evaluation
Geographic Terms:	United Kingdom (Great Britain)
Abstract:	A project evaluated 23 preregistration midwifery education programs in Britain. Phase 1 reviewed the programs and identified a cohort of students for indepth study. Phase 2 followed this cohort into their first year in practice. A survey selected six case study sites. Findings showed a common cause of attrition was students being unable to balance program demands with family commitments and expectations. Personal qualities played a particularly vital role in determining competence for midwifery practice. All programs demonstrated good evidence of a variety of teaching and assessment methods, a student-centered approach to learning, and an emphasis on lifelong learning. Students with no learning experience as a midwife before the program ended felt less able to cope with the transition to midwife. A model of competence was developed that incorporated three essential interlinked dimensions of competence: professional/friend approach, individualized approach, and clinical competence. The midwives were well prepared to provide holistic midwifery care. Support for new midwives was needed on most delivery wards. By the end of the first year in practice, managers and supervisors described most midwives as competent, confident, and quick learners. Examples of good practice in assessment included written procedures and guidelines for assessors and clear assessment documents. An assessment matrix was produced. (Appendixes include methodology, Midwives Directives, conference papers, and 135 references.) (YLB)
Entry Date:	1998
Accession Number:	ED414486
Database:	ERIC

Description
Abstract:	A project evaluated 23 preregistration midwifery education programs in Britain. Phase 1 reviewed the programs and identified a cohort of students for indepth study. Phase 2 followed this cohort into their first year in practice. A survey selected six case study sites. Findings showed a common cause of attrition was students being unable to balance program demands with family commitments and expectations. Personal qualities played a particularly vital role in determining competence for midwifery practice. All programs demonstrated good evidence of a variety of teaching and assessment methods, a student-centered approach to learning, and an emphasis on lifelong learning. Students with no learning experience as a midwife before the program ended felt less able to cope with the transition to midwife. A model of competence was developed that incorporated three essential interlinked dimensions of competence: professional/friend approach, individualized approach, and clinical competence. The midwives were well prepared to provide holistic midwifery care. Support for new midwives was needed on most delivery wards. By the end of the first year in practice, managers and supervisors described most midwives as competent, confident, and quick learners. Examples of good practice in assessment included written procedures and guidelines for assessors and clear assessment documents. An assessment matrix was produced. (Appendixes include methodology, Midwives Directives, conference papers, and 135 references.) (YLB)