Proficiency in Midwifery Practice

Please note

This document only provides information for the academic year selected and does not form part of the student contract

School:

School of Human and Health Sciences

Credit Rating:

Level (including FHEQ):

H (FHEQ Level 6)

Graded or Non Graded:

Non Graded

Version Valid From:

2024-09-01

Module Leader:

Maria Evans

Version Number

2024.03

Learning Methods

Seminar

Work Based Learning

Practical Classes and Demonstrations

Guided Independent Study

Requirements

Barred Combinations

Shared Teaching

Professional Body Requirements

Nursing and Midwifery Council

Synopsis

In this module, you’ll undertake clinical placements in a variety of midwifery settings to consolidate prior learning and incorporate additional evidence-informed midwifery knowledge, skills and attributes. You’ll have the opportunity to develop proficiency in the full range of midwifery care for women, their babies and families, including continuity of care, assessment and evaluation, decision-making, organisation and management of care. You’ll contribute to care improvement strategies, safe and effective team-working and supporting learners’ development in providing midwifery care. This experience will enable you to achieve the proficiencies and standards required by the Nursing and Midwifery Council and European Directives for professional midwifery practice.

Learning Strategy

This module will focus on, and take place primarily in, clinical practice. Your individualised learning and development will be supported by your practice supervisors and practice assessor, progressing to negotiated indirect supervision as your proficiencies are achieved and you become confident in your understanding and skills. You will employ prior … For more content click the Read More button below. Early in your clinical placement, you will meet with your year three practice assessor to discuss and evaluate your achievements to date, to identify key developmental needs and outstanding proficiencies and to negotiate a realistic and achievable plan to meet these needs. You will be supported to achieve your goals by working alongside a range of practice supervisors who can confirm practice episode records, achievement of proficiencies and European directives. During placements you will be rostered in a supernumerary capacity. Reasonable adjustments to practice hours can be made for students with personal learning support plans. Practice supervisors can provide regular verbal and written feedback to guide your progress. You are also expected to evaluate your own progress. The practice assessor will meet with you, normally on two more occasions during your placements, to review the progress of your knowledge, skills and professional behaviour. You must document reflection on your progress, strategies for meeting outstanding requirements and evidence underpinning your proficiencies in the Midwifery On-going Record of Achievement (MORA) prior to each of these meetings. You must be able to demonstrate achievement of all proficiencies during this academic year and completion of all the requirements in the MORA by the end of the placements for this year. Your allocated academic assessor will collate, confirm, provide a summary of your achievement and make recommendations for progression on to the NMC register at the end of the placement. This will be verified by an academic assessor. Support for placements will be provided by a nominated practice person, academic assessor, and the clinical practice team. This will also include support from clinicians trained in the newborn examination, to gain experience in the systematic assessment of the newborn to achieve this proficiency in your MORA. Detailed guidance is available within the MORA and module handbook. Group reflective learning sessions will provide a forum for self-reflection, reflecting on clinical practice, the behaviours and support needs of others. You will be able to participate in peer assisted learning: mutual support for other students in year three and supporting the development of students at earlier stages of the midwifery programme. For reflective learning and classroom-based practical sessions, you will experience shared teaching/learning with apprentices on the equivalent module on the Midwifery Degree Apprenticeship course. Independent study time will include completion of your MORA. You are also encouraged to attend study days or complete additional e-learning (30 hours) to enhance your development. Examples include Midwifery Society events, training within your placement area, Baby Friendly Initiative (BFI) workshops. Your learning from this independent study can be evidenced through certificates of attendance or written reflections. These hours do not normally count towards your work-based learning or practice hours. You are encouraged to access Brightspace and e-mail to maintain links with peers and lecturers during clinical placements.

Early in your clinical placement, you will meet with your year three practice assessor to discuss and evaluate your achievements to date, to identify key developmental needs and outstanding proficiencies and to negotiate a realistic and achievable plan to meet these needs. You will be supported to achieve your goals by working alongside a range of practice supervisors who can confirm practice episode records, achievement of proficiencies and European directives. During placements you will be rostered in a supernumerary capacity. Reasonable adjustments to practice hours can be made for students with personal learning support plans.

Practice supervisors can provide regular verbal and written feedback to guide your progress. You are also expected to evaluate your own progress. The practice assessor will meet with you, normally on two more occasions during your placements, to review the progress of your knowledge, skills and professional behaviour. You must document reflection on your progress, strategies for meeting outstanding requirements and evidence underpinning your proficiencies in the Midwifery On-going Record of Achievement (MORA) prior to each of these meetings. You must be able to demonstrate achievement of all proficiencies during this academic year and completion of all the requirements in the MORA by the end of the placements for this year. Your allocated academic assessor will collate, confirm, provide a summary of your achievement and make recommendations for progression on to the NMC register at the end of the placement. This will be verified by an academic assessor.

Support for placements will be provided by a nominated practice person, academic assessor, and the clinical practice team. This will also include support from clinicians trained in the newborn examination, to gain experience in the systematic assessment of the newborn to achieve this proficiency in your MORA. Detailed guidance is available within the MORA and module handbook.

Group reflective learning sessions will provide a forum for self-reflection, reflecting on clinical practice, the behaviours and support needs of others. You will be able to participate in peer assisted learning: mutual support for other students in year three and supporting the development of students at earlier stages of the midwifery programme. For reflective learning and classroom-based practical sessions, you will experience shared teaching/learning with apprentices on the equivalent module on the Midwifery Degree Apprenticeship course.

Independent study time will include completion of your MORA. You are also encouraged to attend study days or complete additional e-learning (30 hours) to enhance your development. Examples include Midwifery Society events, training within your placement area, Baby Friendly Initiative (BFI) workshops. Your learning from this independent study can be evidenced through certificates of attendance or written reflections. These hours do not normally count towards your work-based learning or practice hours.

You are encouraged to access Brightspace and e-mail to maintain links with peers and lecturers during clinical placements.

Outline Syllabus

Placement settings will vary according to local service provision, models of midwifery care and to your development needs. You will experience continuity of care models, midwifery practice in women’s homes, various primary and secondary health care settings. During this module you will continue to develop prior knowledge, skills and attributes, … For more content click the Read More button below. Accountable, autonomous, professional midwifery practice, including• Practise within the Code (NMC, 2018), national and local policies, legal and ethical frameworks• Advocacy and courage in supporting women’s evidence-informed choices• Autonomy and accountability as the lead professional for midwifery care• Dealing with discriminatory and dysfunctional attitudes and behaviour• Minimising risk and upholding public trust• Consistent, unambiguous record keeping Safe and effective midwifery care, including• Organisation and location of care and their impact on safety, effectiveness and experiences• The midwife as a co-ordinator of care within interdisciplinary and multi-agency teams• Reaching out to women and families who find it difficult to access services• Continuity of care and carer Universal care for all women and newborn infants, including• Working in partnership with women to provide care across the childbearing continuum and newborn life; using epidemiological principles, current evidence and data to inform conversations with women and their families• Epigenetics of infant feeding; infant feeding for maternal and child health and early child development, relationship building and public health• Systematic examination of the newborn• Pharmacology; safe and effective medicine management, including midwives’ exemptions• Ethical dilemmas e.g. screening and diagnostic testing Additional care for women and newborn infants with complications, including• Recognising, responding to and managing compromise and deterioration• Collaborative and effective team-working to manage complex and emergency situations• Keeping mothers and their newborn together whenever possible• End of life care and family support Excellence in midwifery care; working as a colleague, scholar and leader, including• Interdisciplinary and inter-agency team-working to promote quality improvement and manage change• Critical incident, near-misses and serious incidents; escalating and reporting concerns• Managing, supervising, supporting and delegating care• Encouraging and supporting development in students and colleagues• Developing knowledge, positive role modelling and leadership Mandatory training (including a combination of on-line and practical learning)1. Moving and handling.2. Adult and newborn life support and first aid.3. Health, safety and welfare, COSHH, fire safety4. Handling violence and aggression5. Infection prevention and control6. Equality, diversity and human rights7. Preventing radicalisation8. Safeguarding adults and children9. Data security.

During this module you will continue to develop prior knowledge, skills and attributes, gain confidence and demonstrate proficiency in:

Accountable, autonomous, professional midwifery practice, including
• Practise within the Code (NMC, 2018), national and local policies, legal and ethical frameworks
• Advocacy and courage in supporting women’s evidence-informed choices
• Autonomy and accountability as the lead professional for midwifery care
• Dealing with discriminatory and dysfunctional attitudes and behaviour
• Minimising risk and upholding public trust
• Consistent, unambiguous record keeping

Safe and effective midwifery care, including
• Organisation and location of care and their impact on safety, effectiveness and experiences
• The midwife as a co-ordinator of care within interdisciplinary and multi-agency teams
• Reaching out to women and families who find it difficult to access services
• Continuity of care and carer

Universal care for all women and newborn infants, including
• Working in partnership with women to provide care across the childbearing continuum and newborn life; using epidemiological principles, current evidence and data to inform conversations with women and their families
• Epigenetics of infant feeding; infant feeding for maternal and child health and early child development, relationship building and public health
• Systematic examination of the newborn
• Pharmacology; safe and effective medicine management, including midwives’ exemptions
• Ethical dilemmas e.g. screening and diagnostic testing

Additional care for women and newborn infants with complications, including
• Recognising, responding to and managing compromise and deterioration
• Collaborative and effective team-working to manage complex and emergency situations
• Keeping mothers and their newborn together whenever possible
• End of life care and family support

Excellence in midwifery care; working as a colleague, scholar and leader, including
• Interdisciplinary and inter-agency team-working to promote quality improvement and manage change
• Critical incident, near-misses and serious incidents; escalating and reporting concerns
• Managing, supervising, supporting and delegating care
• Encouraging and supporting development in students and colleagues
• Developing knowledge, positive role modelling and leadership

Mandatory training (including a combination of on-line and practical learning)
1. Moving and handling.
2. Adult and newborn life support and first aid.
3. Health, safety and welfare, COSHH, fire safety
4. Handling violence and aggression
5. Infection prevention and control
6. Equality, diversity and human rights
7. Preventing radicalisation
8. Safeguarding adults and children
9. Data security.

Learning Outcomes

On successful completion of this module students will

Critically appraise and apply contemporary knowledge and understanding to inform safe, effective, respectful, compassionate, person-centred midwifery care.

Consistently and confidently apply relevant legal, professional, policy and ethical regulations and frameworks to promote positive outcomes in midwifery practice.

Demonstrate numeracy related to calculating medicines.

Reflect on personal and professional achievement and goals for future development.

Demonstrate achievement of all the NMC (2019) Standards of proficiency for midwives.

Demonstrate achievement of all the practice requirements of the NMC (2019) Standards for pre- registration midwifery programmes, including Articles 5, 40, 41 and 42 of the European Parliament Directive 2005/36/EC.

Formative Assessment

Assessment 1: Project work

Assessment 2: In-Class Test

Assessment 3: Written practice exercise

Assessment 4: Written practice exercise

Summative Assessment

Assessment 1: In-Class Test

Assessment 2: Project Work

Description:Completion of Midwifery On-going Record of Achievement (MORA)* *MORA includes:• Practice assessment • Achievement of all proficiencies at level 6 • Achievement of all European directives • Completion of 2300 practice hours over 3 years This assessment task is pass/fail.

Assessment Weight:50

Assessment Length:2300 Hours (Duration)

Module Learning Outcomes:MLO1, MLO2, MLO3, MLO4, MLO5, MLO6

Individual or Group:Individual

Final Assessment Component:Yes

Marked Anonymously:No

Eligible for Tutor Reassessment:No

Assessment Criteria

All components must be passed in order to gain credit for the module in accordance with NMC (2018) Standards framework for nursing and midwifery education. Student referral on assessment task 2 is not permitted. This is in agreement with the Pro Vice Chancellor. The practice assessment criteria and descriptors (as … For more content click the Read More button below. Identities of individuals and organisations should be anonymised and confidences respected. Consent should be obtained from individual service users for use of any of their personal health information. By the end of this module, the MORA should provide a complete record of evidence to demonstrate achievement of all the Standards of proficiency for midwives (NMC, 2019), practice requirements within the Standards for pre-registration midwifery programmes (NMC, 2019) including the European directives. A summative descriptor for the MORA will be applied by the practice assessor, based on the assessment criteria and holistic descriptors. The Academic Assessor will verify completion of the MORA and NMC practice requirements.

All components must be passed in order to gain credit for the module in accordance with NMC (2018) Standards framework for nursing and midwifery education.

Student referral on assessment task 2 is not permitted.
This is in agreement with the Pro Vice Chancellor.

The practice assessment criteria and descriptors (as detailed in the MORA) and the learning outcomes (1, 2, 3, 4) will apply.

Identities of individuals and organisations should be anonymised and confidences respected. Consent should be obtained from individual service users for use of any of their personal health information.

By the end of this module, the MORA should provide a complete record of evidence to demonstrate achievement of all the Standards of proficiency for midwives (NMC, 2019), practice requirements within the Standards for pre-registration midwifery programmes (NMC, 2019) including the European directives.

A summative descriptor for the MORA will be applied by the practice assessor, based on the assessment criteria and holistic descriptors. The Academic Assessor will verify completion of the MORA and NMC practice requirements.

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