References

Ashforth K, Kitson-Reynolds E. Fairy tale midwifery ten years on: facilitating the transition to newly qualified midwife. Br J Midwifery. 2019; 27:(12)782-789 https://doi.org/10.12968/bjom.2019.27.10.649

Numberjacks: new calculations reveal growing midwife shortage. 2023. https//www.rcm.org.uk/news-views/rcm-opinion/2023/numberjacks-new-calculations-reveal-growing-midwife-shortage/ (accessed 25 May 2023)

Dewar B, Stulz V, Buliak A Exploring and developing student midwives' experiences (ESME)—an appreciative inquiry study. Midwifery. 2020; 91 https://doi.org/10.1016/j.midw.2020.102844

European Parliament, Council of the European Union. General data protection regulation. 2016. https//gdpr-info.eu/ (accessed 25 May 2023)

Hartz DL, Tracy SK, Pairman S Midwives speaking out on COVID-19: the international confederation of midwives global survey. PloS One. 2022; 17:(11) https://doi.org/10.1371/journal.pone.0276459

Health Education England. Reducing pre-registration attrition and improving retention report. 2018. https//www.hee.nhs.uk/our-work/reducing-pre-registration-attrition-improving-retention (accessed 8 May 2023)

Health Education England. The ‘impact of COVID-19 on students’ survey II key findings. 2021. https//www.csp.org.uk/system/files/documents/2022-02/HEE_Covid_Report_Infographic_2021_FINAL.pdf (accessed 13 May 2023)

Health Education England. The National Education and Training Survey (NETS). 2019. https//www.hee.nhs.uk/our-work/quality/national-education-training-survey-nets (accessed 7 December 2023)

Health Education England. National Education and Training Survey 2022 key findings. 2022. https//tinyurl.com/2erujpnz (accessed 8 May 2023)

Work health and emotional lives of midwives in the United Kingdom: the UK WHELM study. 2019. https//www.rcm.org.uk/media/2924/work-health-and-emotional-lives-of-midwives-in-the-united-kingdom-the-uk-whelm-study.pdf (accessed 8 May 2023)

March with midwives - national vigil on 21st November 2021. 2021. https//www.maternityandmidwifery.co.uk/march-with-midwives/ (accessed 25 May 2023)

The report of the Morecambe Bay investigation. 2015. https//assets.publishing.service.gov.uk/media/5a7f3d7240f0b62305b85efb/47487_MBI_Accessible_v0.1.pdf (accessed 7 December 2023)

Kitson-Reynolds E, Cluett E, Le May A. Fairy tale midwifery fact or fiction: the lived experiences of newly qualified midwives. Br J Midwifery. 2014; 22:(9)660-668 https://doi.org/10.12968/bjom.2014.22.9.660

Kuliukas L, Hauck Y, Sweet L A cross sectional study of midwifery students' experiences of COVID-19: uncertainty and expendability. Nurse Educ Practice. 2021; 51:(102988) https://doi.org/10.1016%2Fj.nepr.2021.102988

Lincoln YS, Guba EG. Naturalistic inquiry.London: SAGE Publications; 1985

Markowski M, Yearley C, Bower H. Collaborative learning in practice (CLiP) in a London maternity ward-a qualitative pilot study. Midwifery. 2022; 111 https://doi.org/10.1016/j.midw.2022.103360

NHS England. Three year delivery plan for maternity and neonatal services. 2023. https//www.england.nhs.uk/wp-content/uploads/2023/03/B1915-three-year-delivery-plan-for-maternity-and-neonatal-services-march-2023.pdf (accessed 17 May 2023)

NHS Resolutions. Being Fair 2: promoting a person-centred workplace that is compassionate, safe and fair. 2023. https//resolution.nhs.uk/wp-content/uploads/2023/03/Being-fair-2-final-1.pdf (accessed 8 May 2023)

Ockenden report - final: findings, conclusions and essential actions from the independent review of maternity services at the Shrewsbury and Telford Hospital NHS Trust. 2022. https//assets.publishing.service.gov.uk/media/624332fe8fa8f527744f0615/Final-Ockenden-Report-web-accessible.pdf (accessed 7 December 2023)

Sustaining quality education and practice learning in a pandemic and beyond. 2020. https//clok.uclan.ac.uk/36559/1/36559%20Byrom%20A%202020%20Sustaining%20quality%20education%20and%20practice%20learning%20dng%20a%20pandemic.pdf (accessed 8 May 2023)

Royal College of Midwives. State of maternity services report 2018 – England. 2018. https//www.rcm.org.uk/media/2373/state-of-maternity-services-report-2018-england.pdf (accessed 25 May 2023)

Royal College of Midwives. Written evidence submitted by the Royal College of Midwives. 2020. https//committees.parliament.uk/writtenevidence/10985/pdf/ (accessed 17 May 2023)

Royal College of Midwives. RCM warns of worsening maternity crisis as senior midwife survey shows services at boiling point. 2023. https//www.rcm.org.uk/media-releases/2023/january/rcm-warns-of-worsening-maternity-crisis-as-senior-midwife-survey-shows-services-at-boiling-point/ (accessed 25 May 2023)

Sands. Safe staffing: the impact of staffing shortages in maternity and neonatal care: report of the baby loss and maternity. 2022. https//www.sands.org.uk/sites/default/files/Staffing%20shortages%20-%20APPG%20report,%20Oct%2022%20(final).pdf (accessed 25 May 2023)

Smith J, Flowers P, Larkin M. Interpretative phenomenological analysis theory, method, and research.London: SAGE Publications; 2009

Show me the money: the missing link in NHS England's single delivery plan for maternity and neonatal services. 2023. https//www.rcm.org.uk/news-views/rcm-opinion/2023/show-me-the-money-the-missing-link-in-nhs-england-s-single-delivery-plan-for-maternity-and-neonatal-services/ (accessed 25 May 2023)

What is the relationship between midwifery staffing and outcomes?. 2022. https//www.nursingtimes.net/roles/midwives-and-neonatal-nurses/what-is-the-relationship-between-midwifery-staffing-and-outcomes-31-08-2021/ (accessed 25 May 2023)

United Nations Population Fund. The State of the Worlds Midwifery 2021. 2021. https//www.unfpa.org/sites/default/files/pub-pdf/21-038-UNFPA-SoWMy2021-Report-ENv4302.pdf (accessed 13 May 2023)

University of Southampton. Research data management policy. 2019. https//www.southampton.ac.uk/~assets/doc/calendar/Research%20Data%20Management%20Policy.pdf (accessed 13 May 2023)

Student midwives' experiences of clinical placement and the decision to enter the professional register

02 January 2024
Volume 32 · Issue 1

Abstract

Background/Aims

In addition to the high rate of attrition among registered midwives, student midwives are increasingly likely to choose to leave their programme, decreasing the projected number of midwives who would join the NHS. The aim of this study was to understand how students experience clinical practice and if these experiences affect their decision to enter the professional register.

Methods

Seven student midwives who had experienced clinical placement as part of their pre-registration training were invited to attend semi-structured interviews. Data were analysed following an interpretive phenomonology approach, where descriptive, linguistic and conceptual comments on the transcripts were used to identify emergent themes.

Results

The 79 identified themes were categorised into five sub-themes within two super-ordinate themes: ‘kindness and compassion grows future midwives and strength’ and ‘resolve through COVID-19 and beyond’. The overarching theme from the participants' interviews was ‘I can be a good midwife when I qualify’.

Conclusions

Students want to feel like they will be good midwives, which will be achieved with positive attitudes and behaviours towards them from senior staff during clinical placements. Staff involved with the care of women and newborns should ensure they show students civility and patience while teaching and supporting them. Understanding the level of knowledge that students possess can make it simpler for staff to recognise what each student may or may not have been exposed to.

Poor outcomes in maternity services have been well documented in the media, including examples such as the Morecambe Bay (Kirkup, 2015) and Shrewsbury and Telford (Ockenden, 2022) hospital trust investigations. More recently, the media has followed midwives speaking out about poor quality care and unsafe working conditions caused by the staffing crisis (Royal College of Midwives (RCM), 2023). The ‘March for Midwives’ movement highlighted how workload and poor working conditions impact quality of patient care (King, 2021), while the United Nations Population Fund (2021) estimated that there was a global shortage of 900 000 midwives. England alone has a shortage of 2500 full-time midwives (Bona, 2023). A UK survey of almost 2000 midwives reported that they experienced emotional distress, burnout, stress, anxiety and depression (Hunter et al, 2019). Two thirds (66.6%) of midwives had considered leaving the profession (Hunter et al, 2019).

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

  • New content and clinical newsletter updates each month