Acknowledging the primacy of continuity of care experiences in midwifery education.


Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 14 07 2019
revised: 12 09 2019
accepted: 13 09 2019
pubmed: 3 10 2019
medline: 29 7 2020
entrez: 3 10 2019
Statut: ppublish

Résumé

Continuity of midwifery care is the best maternity care model for women at any risk level, and there is a global imperative to improve access to midwifery-led care. However, diverse perspectives about how best to prepare graduates for working in midwifery continuity of care models persist. The continuity of care experience standard in Australia was anticipated to address this. To challenge the dearth of published information about the structures and processes in midwifery education programs by identifying: the educational value and pedagogical intent of the continuity of care experience; issues with the implementation, completion and assessment of learning associated with continuity of care experience; and discuss curriculum models that facilitate optimal learning outcomes associated with this experience. We discuss the primacy of continuity of care experience in midwifery education programs in Australia. The inclusion of continuity of care experience in midwifery programs in Australia became mandatory in 2010 requiring 20, however this number was reduced to 10 in 2014. Research has shown the beneficial outcomes of continuity of care experience to both students and women. Continuity of care experience builds mutual support and nurturing between women and students, fosters clinical confidence, resilience, and influences career goals. We require curriculum coherence with both structural and conceptual elements focusing on continuity of care experience. Education standards that preference continuity of care experience as the optimal clinical education model with measurable learning outcomes, and alignment to a whole of program philosophy and program learning outcomes is required.

Sections du résumé

BACKGROUND BACKGROUND
Continuity of midwifery care is the best maternity care model for women at any risk level, and there is a global imperative to improve access to midwifery-led care. However, diverse perspectives about how best to prepare graduates for working in midwifery continuity of care models persist. The continuity of care experience standard in Australia was anticipated to address this.
AIM OBJECTIVE
To challenge the dearth of published information about the structures and processes in midwifery education programs by identifying: the educational value and pedagogical intent of the continuity of care experience; issues with the implementation, completion and assessment of learning associated with continuity of care experience; and discuss curriculum models that facilitate optimal learning outcomes associated with this experience. We discuss the primacy of continuity of care experience in midwifery education programs in Australia.
DISCUSSION CONCLUSIONS
The inclusion of continuity of care experience in midwifery programs in Australia became mandatory in 2010 requiring 20, however this number was reduced to 10 in 2014. Research has shown the beneficial outcomes of continuity of care experience to both students and women. Continuity of care experience builds mutual support and nurturing between women and students, fosters clinical confidence, resilience, and influences career goals. We require curriculum coherence with both structural and conceptual elements focusing on continuity of care experience.
IMPLICATIONS AND RECOMMENDATIONS UNASSIGNED
Education standards that preference continuity of care experience as the optimal clinical education model with measurable learning outcomes, and alignment to a whole of program philosophy and program learning outcomes is required.

Identifiants

pubmed: 31575454
pii: S1871-5192(19)30476-7
doi: 10.1016/j.wombi.2019.09.002
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

111-118

Informations de copyright

Copyright © 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Auteurs

Jennifer Gamble (J)

School of Nursing and Midwifery, Griffith University, Australia; Trans-Tasman Midwifery Education Consortium, Australia and New Zealand. Electronic address: j.gamble@griffith.edu.au.

Mary Sidebotham (M)

School of Nursing and Midwifery, Griffith University, Australia; Trans-Tasman Midwifery Education Consortium, Australia and New Zealand.

Andrea Gilkison (A)

Auckland University of Technology, New Zealand; Trans-Tasman Midwifery Education Consortium, Australia and New Zealand.

Deborah Davis (D)

University of Canberra, Australia; Trans-Tasman Midwifery Education Consortium, Australia and New Zealand.

Linda Sweet (L)

Deakin University, Australia; Trans-Tasman Midwifery Education Consortium, Australia and New Zealand.

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