References

Bloomfield L, Townsend J, Rogers C. A qualitative study exploring junior paediatricians', midwives', GP's and mothers' experiences and views of the examination of the newborn baby.. Midwifery. 2003; 19:(1)37-45 https://doi.org/10.1054/midw.2002.0323

Braun V, Clarke V. Successful qualitative research: a practical guide for beginners..London: Sage; 2013

Council of Deans of Health. Educating the future midwife: discussion paper on the key future outcomes for registered midwife education.. 2017. https://councilofdeans.org.uk/wp-content/uploads/2017/11/Educating-the-Future-Midwife-FINAL-Nov-17.pdf (accessed 5 January 2018)

Creswell JW Qualitative inquiry and research design: choosing among five approaches., 3rd edn. California: Sage; 2013

Cumberledge J. ‘National maternity review, Better Births: improving outcomes of maternity services in England-a five year forward view for maternity care’..London: NHS England; 2016

Green J, Thorogood N. Qualitative methods for health research., 4th edn. London: Sage; 2018

Hall DMB. Health for all children..Oxford: Open University Press; 1999

Hall DMB, Elliman D Health for all children., 4th edn. (eds). Oxford: Oxford University Press; 2003

Hayes J, Dave S, Rogers C, Quist-Therson E, Townsend J. A national survey in England of the routine examination of the newborn baby.. Midwifery. 2003; 19:(4)277-278 https://doi.org/10.1016/S0266-6138(03)00044-5

Jones T, Furber C. The newborn infant physical examination: incorporating the theory into midwifery education.. British Journal of Midwifery. 2017; 25:(9)593-597 https://doi.org/10.12968/bjom.2017.25.9.593

Moustakas C. Phenomenological research methods..Thousand Oaks: Sage; 1994

National Institute for Health and Care Excellence. Postnatal care up to 8 weeks after birth.. 2006. https://www.nice.org.uk/guidance/cg37/resources/postnalt-care-up-to-8-weeks-after-birth-pdf-975391596997 (accessed 15 April 2019)

Nursing and Midwifery Council. Standards for pre-registration midwifery education.. 2009. https://www.nmc.org.uk/globalassets/sitedocuments/standards/nmc-standards-for-preregistration-midwifery-education.pdf (accessed 10 March 2019)

Standards for pre-registration midwifery programmes (Draft)..London: Nursing and Midwifery Council; 2019

Osbourne K. Are specially trained midwives the right professionals to perform the newborn physical examination?. British Journal of Midwifery. 2017; 25:(3)174-179 https://doi.org/10.12968/bjom.2017.25.3.174

Survey of higher educational institutes and the examination of the newborn examination programmes of study..London: Public Health England; 2017

Public Health England. Newborn and infant physical examination (NIPE) screening programme handbook.. 2019. https://www.gov.uk/government/publications/newborn-and-infant-physical-examination-programme-handbook/newborn-and-infant-physical-examination-screening-programme-handbook (accessed 3 November 2019)

Rogers C, Bloomfield L, Townsend J. A qualitative study exploring midwives perceptions and views of extending their role to the examination of the newborn baby.. Midwifery. 2003; (19)55-56 https://doi.org/10.1054/midw.2002.0330

Rogers C, Jay A, Yearley C, Beeton K. National survey of current practice standards for the newborn and infant physical examination.. British Journal of Midwifery. 2015; 23:(12)862-873 https://doi.org/10.12968/bjom.2015.23.12.862

Shinebourne P. The theoretical underpinnings of interpretative phenomenology analysis (IPA).. Journal of the Society for Existential Analysis. 2011; 22:(1)16-32

Silverman D. Interpreting qualitative data., 5th edn. London: Sage; 2015

Smith JA, Osborn M. Interpretative phenomenological analysis.. In: Smith JA (ed). London: Sage; 2003

Smith JA, Flower P, Larkin M. Interpretative phenomenological analysis: theory, method and research..London: Sage; 2009

Smith JA. Qualitative psychology: a practical guide to research methods., 3rd edn. London: Sage; 2015

Smythe E. ‘From beginning to end: how to do hermeneutic interpretive phenomenology’.. In: Thomson G, Dykes F, Downe S (eds). London: Routledge; 2011

Stanyer R, Hopper H. Is the incorporation of the newborn examination in the pre-registration curriculum acceptable in clinical practice? A qualitative study.. Nurse Education in Practice. 2019; 35:117-123 https://doi.org/10.1016/j.nepr.2019.02.003

Townsend J, Wolke D, Hayes J, Dave S, Rogers C, Bloomfield L, Quist-Therson E, Tomlin M, Messer D. Routine examination of the newborn: the EMREN study. Evaluation of an extension of the midwife role including a randomised controlled trial of appropriately trained midwives and paediatric senior house officers.. Health Technology Assessment. 2004; 8:(14)1-100 https://doi.org/10.3310/hta8140

Newborn and Infant Physical Examination-standards and competencies.: UK National Screening Committee; 2008

Willig C. Introducing qualitative research in psychology: adventures in theory and method..: McGraw-Hill; 2008

Yardley L. Dilemmas in qualitative health research.. Psychology and Health. 2000; (15)215-228 https://doi.org/10.1080/08870440008400302

Yearley C, Rogers C, Jay A. Including the newborn physical examination in the pre-registration midwifery curriculum: a national survey.. British Journal of Midwifery. 2017; 25:(1)26-32 https://doi.org/10.12968/bjom.2017.25.1.26

Exploring the experiences of student midwives completing the newborn infant physical examination

02 February 2020
8 min read
 The holistic examination of the baby is now frequently undertaken by specially trained midwives within clinical practice
Volume 28 · Issue 2

Abstract

Background

The newborn and infant physical examination (NIPE) is a screening programme now undertaken by specially trained midwives. It is increasingly a feature within pre-registration midwifery educational programmes.

Objectives

To explore the experiences of student midwives completing the theory and practice aspects of the NIPE within a pre-registration midwifery programme.

Design

A qualitative design was utilised to analyse data collected by semi-structured interviews.

Method

This study was conducted using interpretative phenomenological analysis (IPA).

Findings

Three superordinate themes were generated: learning by doing, mentorship and transition to qualification. The findings demonstrate the benefits of student midwife exposure to practical aspects of NIPE.

Conclusions

Findings indicate that standardisation is required with NIPE education and clinical practice. Preceptorship programmes must effectively prepare newly qualified midwives to undertake the NIPE role. Higher educational institutes must provide greater support to the midwives providing mentorship of student midwife NIPE practitioners. Further research should examine the maintenance of the NIPE role following qualification as a midwife.

The newborn and infant physical examination (NIPE) is a screening programme delivered by Public Health England ([PHE], 2019), consisting of screening of the eyes, heart, hips, and testes (in male infants), as part of a holistic physical examination of the newborn and infant. The NIPE is carried out by specially trained medical practitioners, nurses, health visitors and midwives following completion of a university-accredited programme of study (PHE, 2019).

The physical examination of the newborn has traditionally been considered a part of routine care of the newborn following birth since the 1960s and is still today regarded as the gold standard of care for all babies (Hall, 1999; National Institute for Health and Care Excellence [NICE], 2006; UK National Screening Committee, 2008; PHE, 2019). Current national standards require all infants within the UK to have a detailed physical examination within 72 hours of birth (Hall and Elliman, 2003; NICE, 2006; National Screening Committee, 2008; PHE, 2019), allowing for early identification of issues, prompt referral and judicious treatment of the neonate.

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • Unlimited access to the latest news, blogs and video content

  • Monthly email newsletter