MW0634 - Proficient Midwifery Practice

What will I learn on this module?

This module enables you to demonstrate that you have met the clinical proficiencies required by the NMC Standards for pre-registration midwifery education and can safely and effectively make the transition from student midwife to newly qualified midwifery registrant (SPM 1.1, SPM 1.6, SPM 1.18). This module is the ‘capstone’ of your learning in relation to the five practice categories set out in the Framework for Quality Maternal and Newborn Care (QMNC) .

The emphasis of your learning will be your adaptive role in leading and managing universal midwifery care for women and neonates (SPM 3.6) and contributing additional midwifery care that is tailored to women’s individual circumstances (SPM 1.5, SPM 1.13, SPM 2.7, SPM 2.9) and needs. In doing so you demonstrate increasing autonomy in your practice. Continuity opportunities are pivotal to your practice; these provide you with the opportunity to develop your practice and confidence and demonstrate that you have achieved the proficiencies required to become a midwife who can be ‘with woman’ on the childbearing continuum journey, however that journey evolves (SPM 1.10, SPM 1.11, SPM 1.12, SPM 1.14, SPM 1.22). Practice-based learning experience will provide replica opportunities for you to develop personal and professional resilience and resources to support service transformation and change that the role of the midwife requires; for example, Continuity contributions to being ready to lead universal care of the women and neonates mean that you will develop the midwifery skills necessary (SPM 1.2, SPM 1.21) to deliver universal screening processes and procedures such as those described in the Antenatal Screening Programme, the Fetal Anomaly Screening Programme and the Newborn Infant Screening Programme, including NIPE (all Public Health England national screening programmes). . The UNICEF Baby Friendly Initiative standards will continue to underpin infant feeding and relationship building content within the module, with a particular focus on support, referral and managing challenges in an individualised and holistic way as you practice with greater autonomy.


Being Safe is embedded within the module as you revisit skills such as team working (SPM 5.4) infection control (SPM 3.10), life support and the management of medicines (SPM 3.19, SPM 1.23) and apply your knowledge ‘in vivo’ to reduce risk whilst at the same time holding the experience of women and families central to your approach (SPM 1.9, SPM 2.5). The expectations of professional practice and the NMC Code will be consolidated (SPM 1.1), for example, in relation to the concept of advocacy (SPM 1.15) where you would effectively apply the NMC Code to the protection of vulnerable children and adults, including in end-of-life care (SPM 4.11).

You will be signposted to revisit the theories and approaches explored throughout your programme and apply these to midwifery practice (SPM 2.1, SPM 2.1) as you consolidate your academic, professional and scholarly skills (SPM 5.18). The module provides a conduit for the integration of new theoretical knowledge gained throughout Year 3 into the clinical environment (SPM 2.3 and into your emerging personal style of midwifery practice (SPM 1.4), ready for your registration as a midwife. These areas of practice require that you are able to understand and work effectively across professional boundaries (SPM 1.19, SPM 2.4. SPM 2.11, SPM 5.12), recognising the impact of the context of care provision (SPM 1.7) upon the personal (SPM 1.26) and professional skills you need to demonstrate in practice (SPM 1.24, SPM1.27, SPM2.5, SPM 2.9, SPM 5.2, SPM 5.5, SPM 5.6, SPM 5.13.6).

You will be encouraged to address key concepts including transformational leadership skills and your ability to work effectively as part of an interprofessional team (SPM 5.9, SPM 5.14, SPM 5.15). You will contribute towards supporting continuity opportunities, developing and rehearsing leadership skills as you work with healthcare support workers/ maternity support workers/ more junior student midwives (SPM 5.21). You will utilise service user feedback and practice learning team feedback to evaluate your own care provision and feed this forward into your practice as a midwife, maximising the quality of experience and outcomes for women and strengthening your effectiveness as a colleague in maternity care (SPM 5.19, SPM 5.20).

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 effectively selecting and utilizing Universal and Additional midwifery skills to optimize the outcomes for mothers and babies. This is the third and final practice module in your programme and requires that you demonstrate proficiency with appropriate supervision (this may be direct or indirect supervision) . The interrelationship between the supervising midwife and the student is founded upon an expectation of learning discussions developing to the level of ‘professional to professional’ across all settings. To support and self-monitor their progress towards this level of proficiency, students will participate in peer review and peer teaching opportunities in both clinical learning contexts and academic learning contexts.

You will learn through practice learning, independent learning, peer-assisted learning, interprofessional learning, buddy online groups, and e-learning and lectures. There will be opportunities to learn from your real-life experiences and those of your peers as well as case scenarios applicable to your practice learning stream. You will undertake self- assessment of your own needs for the achievement of proficiency as a midwife; the content you identify will act as triggers for you to explore relevant theory and develop the evidence base which supports assessment of your competence. We are mindful that you will have a range of preferences for student-led and group work, but we do expect you all to thoroughly prepare for and participate in these sessions.

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 approaches to enhance personal and professional resilience in order to contribute and learn within continuity of care and carer models and approaches. (b) flow from practice learning into university learning, for example student reflection on clinical experiences that demonstrate register-readiness, with exploration of the relevant theory, research/evidence base/ NMC Code and other legislation.

Practice learning will be provided by clinical colleagues; those facilitating and assessing your learning have undertaken appropriate post-registration preparation in order to offer constructive feedback and to make robust assessment of practice outcomes. The use of simulated learning is integral to 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. This simulation will be developed appropriately from year 1 and 2 of the programme; in year 3 simulation is used to consolidate the inter-relationship between the knowledge and skill selection that enable midwives to proficiently respond to women’s needs. Clinical skills teaching will be offered so that students can provide simulation experience evidence towards those Proficiency Standards that describe care needs that are not commonplace and may not be encountered during the clinical learning associated with the programme; for examples SPM 10.19 providing care and support required by parents who have more than one baby and experience both loss and survival at the same time, recognising the psychological challenge of dealing with bereavement while also adapting to parenthood. IP9.10 providing care for women who have experienced female genital mutilation. A clinical skills workshop is offered to enable students to rehearse their skills in intravenous cannulation, perineal suturing and Newborn and infant physical examination (NIPE) prior to their final assessment of these proficiencies in practice.

Your Midwifery Ongoing Record of Achievement (MORA) reaches its conclusion in this module. With the support of your Practice Assessor (PA) and Academic Assessor (AA) you will secure the opportunities to ensure that you demonstrate proficiency in all the skills required by midwifery students. You will use the skills associated with being an empowered learner to elicit, interpret and effectively respond to Practice Supervisor (PS) feedback and your own reflections with minimal direction.

How will I be supported academically on this module?

You will explore contemporary debates through working together to consider the key issues facing women and midwives to critically engage with research to inform practice. You will be supported by your peer group of students who will give you informal feedback and formative feedback as you participate in the learning activities.

Your module team will encourage you to access the extensive online support to enable you to participate in the University’s commitment to technology enhanced learning, resulting in developing the skills to present your opinions and viewpoint across a variety of media and techniques.

You will be encouraged to engage and demonstrate your leadership qualities in a variety of learning opportunities including directed study, practical sessions, and seminars. Developing your evidence-based care for the women, as an autonomous practitioner as you prepare to be register ready for NMC registration. You will be afforded the opportunity to develop your skills in leadership and further education, supporting students in other year groups and progressing in your confidence and role as Practice Supervisor on qualification.

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

In university your Lecturers and Personal Tutors and Academic Assessors will encourage your engagement with the variety of support services available at the university and external to the university to develop your academic and clinical skills.

In practice, your Practice Assessor, Practice Supervisors and Academic Assessor will support you to identify your learning development opportunities and your learning needs through regular practice learning, formative feedback from your Practice Assessor, with oversight from your Academic Assessor. This is usually in action planning cycles, to meet the specified outcomes for practice learning and progress towards assessment and achievement of NMC registration.

The University’s e-Learning Portal offers remote access to learning materials used by tutors and signposts you to a range of resources that complement and reinforce face-to-face learning. The University Library can help you enhance your learning skills, including academic writing, academic reading, searching, and referencing. You can access the interactive training via the library webpages or the following link: http://library.northumbria.ac.uk/learning-skills In addition, the module team will provide group tutorials at relevant points in the year, and respond to questions via the eLearning Portal and MORA e-folio workspace, so that the whole group, and their Practice Learning teams (Practice Assessors and Practice Supervisors) can benefit.

Ask4Help online (accessed through your student portal) provides a comprehensive range of answers to frequently asked questions and is of benefit to students as a central point of reference for information about many different topics. Ask4Help face to face service points are located at Coach Lane Library (ground floor).

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. You will critique and convey your knowledge and understanding of midwifery practice.
2. You will integrate your knowledge and understanding of the determinants of health and social inequalities by rehearsing ‘in vivo’ the midwifery response to optimising biological, psychological, social, and cultural outcomes through the provision of universal and additional midwifery care.
3. You will meet the knowledge and understanding required by the 100% pass rate for Safemedicate

Intellectual / Professional skills & abilities:
4. You will demonstrate completion of the minimum requirements, proficiencies, skills and attributes required for final progression to registration as a midwife You will critically analyse your own contribution to a midwifery care in relation to decision-making and courageous transformational leadership
5. You will appraise your own contribution to maternity care considering the impact of continuity of carer approaches on the provision of quality care.
6. You will critique and demonstrate the skills needed for onward development in medicines management practice.
7. You will appraise your contribution to contemporary midwifery practice in the provision of the Newborn Infant Physical Examination (NIPE)

Personal Values Attributes (Global / Cultural awareness, Ethics, Curiosity) (PVA):
8. You will display the requirements of the NMC Code and adhere to the legal and ethical frameworks related to the registered midwife as you consider the challenges arising in contemporary maternity care, to reflecting on the link to your own values.

How will I be assessed?

Formative assessment:
MLO’s 1, 2, 4, 5, 6,

Informal formative assessment through peer, practice learning colleague and tutor feedback throughout the module and practice learning.


Formal formative assessment at key points in practice learning (these are defined in the MORA)

Summative assessment 1:
Pass/Fail
MLO 1, 2,4,5,8

Practice evidence that MORA has been completed (this includes that the NMC range, experience volume and time requirements for the practical and clinical aspects of midwifery programmes have been achieved).

Feedback – confirmation of completion of requirements from Academic Assessor, within the MORA review.
Qualitative feedback comments from Practice Assessor within the holistic MORA final review.

Summative assessment 2:
SafeMedicate; Pass/fail
MLO 3
Feedback via SafeMedicate

Summative assessment 3:
50%
OSCE – NIPE. 45 minutes.
MLO 7.
Feedback via marking rubric and qualitative feedback comments

Summative Assessment 4:
50%
Exam – medicines management and antimicrobial stewardship. 45 minutes. MLO 6.

Feedback via exam delivery platform

Pre-requisite(s)

N/A

Co-requisite(s)

N/A

Module abstract

This final year module will support you in consolidating theory and contemporary practice, ready for your professional career in midwifery. Practice learning focuses upon increasing autonomy by enabling you to meet the proficiencies required and rehearse these with appropriate supervision by a registered midwife. Whilst demonstrating the skills for universal and additional care, you will develop your own personal style to deliver safe and effective midwifery practice. The module will be assessed through a holistic review of practice performance in which you utilise your continuity experience and practice learning achievements to demonstrate how you meet the module learning outcomes and your readiness to join the NMC register as a midwife.

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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