MW0523 - Developing Skilled Midwifery Practice

What will I learn on this module?

This practice module enables you to build on your understanding of the physiological processes that were developed in year one. The module will enable you to support, care for and work in partnership with women through all aspects of the childbirth continuum (SPM 3.23, working to optimise normal physiological processes (SPM 3.21) whilst having the opportunity to focus on the additional care skills (SPM 3.25) that may be required within the maternity services and wider clinical settings. Building on existing knowledge of the normal physiology and the more frequent mal adaptations to pregnancy, this module introduces you to emergency and high dependency scenarios within midwifery care. In addition, it addresses the 2015 Obstetric Anaesthetists Association Maternity Enhanced Care Competencies to prepare you for registration and to be able to provide appropriate care for those with complex needs. SPM 4.6, SPM 4.7, SPM 4.8)
The emphasis of your learning will be to provide women-centred care in complex situations (SPM 1.12, SPM 1.13, SPM 3.17, SPM 4.4.1, SPM 4.4.2, SPM 4.4.3 ) , for this you will need to develop your knowledge and skills in relation to human factors (SPM 1.19, SPM 5.4) , patient safety (SPM 5.2), referral and decision-making (SPM 1.11), safeguarding, childbirth emergencies and will develop your ability to recognise, diagnose and manage serious complications (SPM 4.6, SPM 4.7, SPM 4.8). These areas of practice require that you are able to understand and work across professional boundaries, recognising the impact of the context of care provision (SPM 1.9on the personal and professional skills you need to demonstrate in practice (SPM 1.18, SPM 1.27). There will be opportunities for peer coaching and simulation to develop these new skills. The UNICEF Baby Friendly Initiative standards will continue to underpin infant feeding and relationship building content within the module, considering more complex circumstances for both mother and infant, such as mastitis, prematurity and hypoglycaemia.

There will be further development of skills introduced in year one including perineal care and suturing, episiotomy and new skills such as cannulation; simulation is used to develop the technical skill aspect of these skills, so the in vivo rehearsing of these additional care skills focuses on the utilisation of these in complex, urgent and multidisciplinary contexts. Safe practice is embedded in the module as you revisit skills such as infection control, life support, the management of medicines using SafeMedicate (SPM 1.23) and develop your numeracy and medicines knowledge to support your practice (SPM 3.18, SPM 3.19) alongside record keeping in emergency contexts (SPM 1.24). Using case scenarios and reflection (SPM 5.2) these will be applied to situations from your practice experience which include for example emergency and high dependency situations within midwifery care, peri and post-operative care, surgical birth and neonatal care as well as experiences gained from outside the maternity settings (SPM 2.6, SPM 2.10, SPM 4.5, SPM 4.10).
Preparation for being supervised and assessed will be included in the module prior to placement as will appropriate personal and group reflection on practice experiences. You will work alongside clinical midwives and other health and social care professionals to fully experience the wider scope of care provision for women and their families who may have ‘additional care needs’.

How will I learn on this module?

This year long module provides you with the theoretical knowledge to enable learning from a diverse range of clinical learning contexts in which midwives are explicitly demonstrating proficient midwifery practice. This is the second practice module in your programme and requires demonstration that you can contribute to women's care with decreasing supervision and direction (SPM 1.1). In the clinical learning context this means that the interrelationship between the supervising midwife and the student midwife adapts as appropriate to the learning opportunities as the students' skills from year one develop. This enables more participation and less observation where appropriate.

To support the application of theory into the practice context the module expects (a) flow from university learning into practice learning, for example, you will learn about and rehearse emergency maternity skills in a simulated environment (b) flow from practice learning into university learning, for example directed reflection on clinical experiences with exploration of the relevant theory and research/evidence base. There will be opportunities to learn from your real-life experiences and those of your peers as well as case scenarios applicable to your placement stream.

The use of simulated learning is integral throughout this module ranging from group role play/discussions, through to the use of high-fidelity Sim Mom and SimNewbie to create ‘close to reality’ scenarios to promote skill and knowledge development.

Your Midwifery Ongoing Record of Achievement (MORA) continues in this module and provides the evidence of the achievement of the skills articulated in Domain six of the Standards of Proficiency for Midwives (NMC 2019). You will draw on the experiences you are gaining in other modules to effectively manage your own learning and with the support of your Practice Assessor (PA) and Academic Assessor (AA); You will use the skills associated with being an empowered learner to interpret Practice Supervisor feedback and offer appropriate responses and actions. Practice Supervisors (PS) will facilitate the learning identified by the PA and AA as relevant for this stage of your programme. It is expected that Universal Midwifery Skills are well developed.

In relation to your ongoing development as a professional, your skills and knowledge will be enhanced and applied to the expectations of the NMC Code (2018). In order to provide care in complex situations you will develop your knowledge and skills in relation to patient safety, referral and decision-making. These areas of practice require that you are able to understand and work across professional boundaries, recognising the impact of the context of care provision on the personal and professional leadership skills you need to demonstrate in practice.

How will I be supported academically on this module?

As with all modules on the programme, successful achievement requires a robust system of support and guidance to help focus your learning needs. You will be supported in both the academic and practice learning environments. In university, lecturers and guidance tutors will provide you with support to develop your academic and clinical skills.

In clinical practice, your Practice Assessor, Practice supervisors and Academic Assessors will guide and support you to identify your learning needs to support and prepare you to meet the learning outcomes that will be assessed.

What will I be expected to read on this module?

All modules at Northumbria include a range of reading materials that students are expected to engage with. The reading list for this module can be found at: http://readinglists.northumbria.ac.uk
(Reading List service online guide for academic staff this containing contact details for the Reading List team – http://library.northumbria.ac.uk/readinglists)

What will I be expected to achieve?

Knowledge & Understanding:
1. Discuss and apply the relevant theory that underpins care practices through which midwives may meet the needs of women who require additional care and or emergency care across the childbirth continuum.

2. Demonstrate and discuss the care required to ensure the wellbeing the fetus/neonate, including when challenges, complications or long-term conditions are present.

Intellectual / Professional skills & abilities:
3. Perform a variety of specified clinical skills safely and effectively.

4. Critique the role of the midwife in maintaining a safe and supportive environment for women and infants experiencing complex care pathways.

5. Demonstrate safe medicines practice, including the required numeracy skills for medicines practice.

Personal Values Attributes (Global / Cultural awareness, Ethics, Curiosity) (PVA):
6. Identify and reflect upon your ability to communicate with women, families and members of the multidisciplinary team during difficult/stressful occasions.
7. Demonstrate and debate the principles of ethical and professional midwifery practice adhering to the NMC Code.

How will I be assessed?

Formative assessment will include on-line learning materials, relating to childbirth emergencies, pathophysiology and high dependency care which will enable you to self-assess your learning needs.

You will receive ongoing feedback from tutors during skills teaching and group practical's, tutorials and seminars.

You will be guided to consider the evidence required to inform the practice assessment.
In the clinical area, formal formative review of your progress by your Practice Supervisors and Practice Assessor is embedded within the MORA.

Summative:
1. MORA –Achievement of the identified year two proficiencies: Pass /Fail (includes Safe Medicate)
MLO 2, 3, 5, 6, 7

2. Case based Observed Structured Clinical Assessment of a range of childbirth emergencies; 30 minutes MLO 1, 2,4 (100%)

Pre-requisite(s)

N/A

Co-requisite(s)

N/A

Module abstract

Building on the skills and knowledge developed in year one and applying your theoretical learning from this and other modules, you will be able to demonstrate and discuss the care required to monitor the wellbeing of a woman and her fetus/neonate when challenges, emergencies or additional care needs are present. As midwives are pivotal in organising and referring women to the appropriate health professionals, learning in this module will enable you to identify deviations from the normal, institute emergency measures and/or refer to other professionals, and work collaboratively with the multidisciplinary team to ensure the safety and wellbeing of the women and their babies. The Midwifery Ongoing Record of Achievement (MORA) will support your learning in practice and provide evidence for your assessment in practice. There will also be a simulated clinical assessment of your skills in relation to childbirth emergencies.

Course info

UCAS Code B725

Credits 40

Level of Study Undergraduate

Mode of Study 3 years full-time (45 weeks per year)

Department Nursing, Midwifery & Health

Location Coach Lane Campus, Northumbria University

City Newcastle

Start September 2022

Fee Information

Module Information

All information on this course page is accurate at the time of viewing.

Courses starting in 2021 are offered as a mix of face to face and online learning. We continue to monitor government and local authority guidance in relation to Covid-19 and we are ready and able to flex accordingly to ensure the health and safety of our students and staff.

Contact time is subject to increase or decrease in line with additional restrictions imposed by the government or the University in the interest of maintaining the health and safety and wellbeing of students, staff, and visitors, potentially to a full online offer, should further restrictions be deemed necessary in future.

Our online activity will be delivered through Blackboard Ultra, enabling collaboration, connection and engagement with materials and people.

 

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