School of Nursing and Midwifery, Griffith University, Logan Campus, 68 University Dr, Meadowbrook, Queensland 4131, Australia; Transforming Maternity Care Collaborative, Australia.
School of Nursing and Midwifery, Griffith University, Logan Campus, 68 University Dr, Meadowbrook, Queensland 4131, Australia; Transforming Maternity Care Collaborative, Australia.
Women Birth. 2022 Mar;35(2):160-171. doi: 10.1016/j.wombi.2021.03.013. Epub 2021 Apr 5.
Internationally, midwifery education and maternity services are evolving to promote midwifery continuity of care. It is unclear whether current Australian midwifery education programs are graduating a midwifery workforce prepared and motivated to work in this way.
To discover how well midwifery students in Australia feel they have been prepared and motivated to work in midwifery continuity of care when they enter practice.
A pragmatist approach was used. Participants were final year midwifery students at one Australian university participating in the Midwifery Student Evaluation of Practice (MidSTEP) project over three consecutive years. Descriptive analysis of selected scaled and free text responses was undertaken to ascertain how students' clinical practice experiences had influenced their learning, development and career aspirations.
Exposure to midwifery continuity of care had profound impact on students' learning, enabling them to provide woman-centred midwifery care whilst increasing confidence and preparedness for practice. The majority were motivated to work in midwifery continuity of care upon graduation. A small minority of participants felt unprepared to work in midwifery continuity of care, attributing this to their family commitments, a sense of needing more experience or unsupportive workplace cultures.
Midwifery continuity of care experiences are highly valued by midwifery students and positively influence confidence, preparation and motivation for beginning practice. It is necessary to review education standards to ensure quality, consistency, and adequacy of these experiences throughout pre-registration midwifery education. This will assist in generating a midwifery workforce prepared and motivated to deliver the goals of maternity service reform.
在国际上，助产教育和产妇服务正在发展，以促进助产连续性护理。目前尚不清楚澳大利亚的助产教育计划是否培养出了一支有准备和有动力以这种方式工作的助产劳动力。
了解澳大利亚的助产学生在进入实践时，对自己在助产连续性护理方面的准备程度和工作动力的感受。
采用实用主义方法。参与者是澳大利亚一所大学的最后一年助产学生，他们在连续三年参加助产学生实践评估（MidSTEP）项目。对选定的量表和自由文本回复进行描述性分析，以确定学生的临床实践经验如何影响他们的学习、发展和职业抱负。
接触助产连续性护理对学生的学习产生了深远的影响，使他们能够提供以妇女为中心的助产护理，同时增加对实践的信心和准备。大多数人毕业后都有动力从事助产连续性护理工作。少数参与者感到自己没有准备好从事助产连续性护理工作，他们将此归因于家庭承诺、需要更多经验或工作场所文化的不支持。
助产连续性护理经验受到助产学生的高度重视，并对信心、准备和开始实践的动力产生积极影响。有必要审查教育标准，以确保整个助产教育注册前教育中这些经验的质量、一致性和充分性。这将有助于培养一支有准备和有动力实现产妇服务改革目标的助产劳动力。
