Exploring and developing student midwives' experiences (ESME)-An appreciative inquiry study.


Journal

Midwifery
ISSN: 1532-3099
Titre abrégé: Midwifery
Pays: Scotland
ID NLM: 8510930

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 03 07 2020
revised: 16 09 2020
accepted: 20 09 2020
pubmed: 9 10 2020
medline: 4 8 2021
entrez: 8 10 2020
Statut: ppublish

Résumé

There is increased focus on investing in midwifery students as our future workforce. Inquiring into what helps to support an enriched learning experience for student midwives in clinical placements is timely. To work collaboratively with key stakeholders (student midwives, midwives) in clinical placements to generate an experience-based understanding of what works well in relation to the student midwife experience and from this understanding, co-create ways to enhance students' experiences. An appreciative inquiry approach was used to discover what matters and what works well at present in the student midwife experience from the perspective of student midwives, midwives, and midwifery managers and to use this knowledge to create enhanced experiences in the future. Data were generated across four local health districts in New South Wales, Australia. Data were analysed using immersion crystallisation and then mapped to the 'Senses Framework'. Four midwifery units in tertiary teaching public hospitals in NSW. There were 124 participants in this study: 45 midwifery students and 76 employed midwives. The data culminated in the refinement of the 'Senses Framework' for use in the midwifery learning context. Student midwives and midwives valued experiences that helped them to feel safe, to feel that they belong, to experience continuity in their learning and work, to have a sense of purpose, to have their achievements and their contributions to be recognised and to feel that they matter. Furthermore, the midwives themselves valued the experience of these senses in supporting them to be facilitators of learning in the workplace. The relational framework for learning together in the workplace has the potential to support achievement of the sense of security, belonging, continuity, purpose, achievement and significance for all involved. There is much to celebrate in what is being achieved currently in promoting excellence in learning experiences in the midwifery context. In particular this study has made conscious the contribution that student midwives and midwives can and do make to enable the positive and reciprocal relationships that develop in the student midwife experience that support the nurturing of enriched learning environments. This study emphasised that learning in the workplace is a relational endeavour, rooted in the day to day engagement between student midwives, midwives and others. By mapping these positive processes to the senses framework these processes are made more explicit and provide guidance for enhancing the learning experience in the midwifery context. The framework and related inquiry tools developed from the study may be useful in other settings to further test out the impact of this relational approach to learning for student midwives.

Sections du résumé

BACKGROUND BACKGROUND
There is increased focus on investing in midwifery students as our future workforce. Inquiring into what helps to support an enriched learning experience for student midwives in clinical placements is timely.
AIM OBJECTIVE
To work collaboratively with key stakeholders (student midwives, midwives) in clinical placements to generate an experience-based understanding of what works well in relation to the student midwife experience and from this understanding, co-create ways to enhance students' experiences.
DESIGN METHODS
An appreciative inquiry approach was used to discover what matters and what works well at present in the student midwife experience from the perspective of student midwives, midwives, and midwifery managers and to use this knowledge to create enhanced experiences in the future. Data were generated across four local health districts in New South Wales, Australia. Data were analysed using immersion crystallisation and then mapped to the 'Senses Framework'.
SETTING METHODS
Four midwifery units in tertiary teaching public hospitals in NSW.
PARTICIPANTS METHODS
There were 124 participants in this study: 45 midwifery students and 76 employed midwives.
MEASUREMENTS AND FINDINGS RESULTS
The data culminated in the refinement of the 'Senses Framework' for use in the midwifery learning context. Student midwives and midwives valued experiences that helped them to feel safe, to feel that they belong, to experience continuity in their learning and work, to have a sense of purpose, to have their achievements and their contributions to be recognised and to feel that they matter. Furthermore, the midwives themselves valued the experience of these senses in supporting them to be facilitators of learning in the workplace. The relational framework for learning together in the workplace has the potential to support achievement of the sense of security, belonging, continuity, purpose, achievement and significance for all involved.
KEY CONCLUSIONS CONCLUSIONS
There is much to celebrate in what is being achieved currently in promoting excellence in learning experiences in the midwifery context. In particular this study has made conscious the contribution that student midwives and midwives can and do make to enable the positive and reciprocal relationships that develop in the student midwife experience that support the nurturing of enriched learning environments. This study emphasised that learning in the workplace is a relational endeavour, rooted in the day to day engagement between student midwives, midwives and others. By mapping these positive processes to the senses framework these processes are made more explicit and provide guidance for enhancing the learning experience in the midwifery context.
IMPLICATIONS FOR PRACTICE CONCLUSIONS
The framework and related inquiry tools developed from the study may be useful in other settings to further test out the impact of this relational approach to learning for student midwives.

Identifiants

pubmed: 33032157
pii: S0266-6138(20)30216-3
doi: 10.1016/j.midw.2020.102844
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

102844

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None declared.

Auteurs

Belinda Dewar (B)

Wee Culture Working to Explore and Enhance Culture Through Appreciative Inquiry Part of the Community #growaswego, University of West Scotland, Adjunct Professor University of West Scotland, School of Health and Life Sciences, Lanarkshire Campus, Stephenson Place, Hamilton International Technology Park, South Lanarkshire, Scotland; University of West Scotland, School of Health and Life Sciences, Lanarkshire Campus, Stephenson Place, Hamilton International Technology Park, South Lanarkshire, Scotland.

Virginia Stulz (V)

Western Sydney University & Nepean Blue Mountains Local Health District, Centre for Nursing and Midwifery Research, First Floor - Court Building - Nepean Hospital, Nepean Blue Mountains Local Health District, PO Box 63, Penrith, NSW, 2751, Australia. Electronic address: V.stulz@westernsydney.edu.au.

Alexa Buliak (A)

The Sutherland Hospital, Nursing and Midwifery Practice and Workforce Unit, Buruwan, Level 1, Cnr Kingsway & Kareena Rd, Caringbah, NSW, 2229, Australia.

Louise Connolly (L)

The Sutherland Hospital, Nursing and Midwifery Practice and Workforce Unit, Buruwan, Level 1, Cnr Kingsway & Kareena Rd, Caringbah, NSW, 2229, Australia.

Dr Karen McLaughlin (DK)

The University of Newcastle, Health and Medicine/ School of Nursing and Midwifery, University Drive, Callaghan, NSW, 2308, Australia.

Katie Newport (K)

Nepean Blue Mountains Local Health District, Centre for Research and Practice Development, Nursing and Midwifery Directorate, Nepean Executive Unit, PO Box 63, Penrith, NSW, 2750, Australia.

Susan Rebolledo (S)

Western Sydney Local Health District, Practice Development & Quality Improvement Coordinators, PO Box 533, Wentworthville, NSW, 2145, Australia.

Loraine Stephenson (L)

Western Sydney Local Health District, Practice Development & Quality Improvement Coordinators, PO Box 533, Wentworthville, NSW, 2145, Australia.

Tamsin MacBride (T)

University of West Scotland, School of Health and Life Sciences, Lanarkshire Campus, Stephenson Place, Hamilton International Technology Park, South Lanarkshire, Scotland.

Kelley Lennon (K)

Nursing & Midwifery Office, 100 Christie Street, St Leonards, NSW, 2065, Australia.

Nicola Drayton (N)

Nepean Blue Mountains Local Health District, Centre for Research and Practice Development, Nursing and Midwifery Directorate, Nepean Executive Unit, PO Box 63, Penrith, NSW, 2750, Australia.

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