A National Evaluation of Undergraduate Nursing and Midwifery Curricula.

documentation evaluation research focus groups midwifery mixed method design nurse education survey designs

Journal

Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811

Informations de publication

Date de publication:
05 Sep 2024
Historique:
revised: 20 06 2024
received: 18 04 2024
accepted: 14 08 2024
medline: 5 9 2024
pubmed: 5 9 2024
entrez: 5 9 2024
Statut: aheadofprint

Résumé

To conduct a comprehensive review of Undergraduate Nursing and Midwifery Curricula leading to registration in Ireland. A mixed methods approach using a curriculum evaluation framework that was underpinned by the philosophy and principles of appreciative inquiry. Five separate workstreams completed an evaluation of national policy documents and international curriculum documents, a literature review and two phases of stakeholder engagement including a graduate survey and peer-grouped stakeholder focus groups. The workstreams were emulated for the professions of nursing and midwifery. National policy indicates a significant shift in healthcare delivery to the community environment, with a strong focus on the social determinants of health and a flexible interprofessional workforce. International curricula review revealed that nursing and midwifery education was split equally between academia and clinical practice at bachelor's degree level. Graduates were assessed for clinical competence with a variance of four to seven domains of competence evident for nurses and five principles for midwives. Direct entry midwifery was not widely available. The graduate survey identified that students were satisfied with the academic components of the curriculum; however, significant challenges in clinical placement were reported. Stakeholder focus groups reported a need for a learner-focused approach to the curricula, increased access to education, a deeper understanding and appreciation of the various roles required to educate nurses and midwives and a recognition of midwifery as a separate profession. There is a need for a significant revision of the current nursing and midwifery curricula to meet the future healthcare needs of the diverse patient population with a community-focused delivery. The good reporting of a mixed methods study was used to guide the development of this manuscript. An Expert Advisory Group (EAG) was appointed to oversee the conduct of the research project and advise the research team as requested. There were five service user representatives included in the membership of the EAG. This included one representative from each of the divisions of the nursing and midwifery register in Ireland. A separate stakeholder engagement focus group was also conducted for the research upon the request from the service users.

Identifiants

pubmed: 39235133
doi: 10.1111/jan.16430
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : The Nursing and Midwifery Board of Ireland
ID : RFT 212720

Informations de copyright

© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.

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Auteurs

Mary Ryder (M)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.

Freda Browne (F)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.

Mary Curtin (M)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.

Michael Connolly (M)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
Our Lady's Hospice and Care Services, Dublin, Ireland.

Eileen Furlong (E)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.

Sadie Geraghty (S)

School of Nursing and Midwifery, Notre Dame University, Fremantle, Western Australia, Australia.

John Larkin (J)

Faculty of Science and Health, Technology University of Shannon, Athlone, Ireland.

Margaret Prendergast (M)

Atlantic Technology University, Mayo Campus, Castlebar, Mayo, Ireland.

Margaret Meegan (M)

St John of God Community Services, Dunleer, Louth, Ireland.

Maria Brenner (M)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.

Classifications MeSH