References

Ajjawi R, Dracup M, Zacharias N, Bennett S, Boud D Persisting students' explanations of and emotional responses to academic failure. High Educ Res Dev. 2020; 39:(2)185-199 https://doi.org/10.1080/07294360.2019.1664999

Braun V, Clarke V Thematic analysis: a practical guide.London: Sage; 2021

Carey P, Milsom C, Brooman S, Jubb EC Student views of assessment and feedback. In Pract. 2017; 2:123-131

Carless D Excellence in university assessment: learning from award-winning practice.London: Routledge; 2015

Carless D From teacher transmission of information to student feedback literacy: activating the learner role in feedback processes. Active Learn High Educ. 2022; 23:(2)143-153 https://doi.org/10.1177/1469787420945845

Chan Z, Ho S “Good and bad practices in rubrics: the perspectives of students and educators.”. assessment & evaluation in higher education. 2019; 44:(4)533-545 https://doi.org/10.1080/02602938.2018.1522528

Deeley SJ, Fischbacher-Smith M, Karadzhov D, Koristashevskaya E Exploring the ‘wicked’ problem of student dissatisfaction with assessment and feedback in higher education. High Educ Pedagog. 2019; 4:(1)385-405 https://doi.org/10.1080/23752696.2019.1644659

Dowden T, Pittaway S, Yost H, McCarthy R Students' perceptions of written feedback in teacher education: ideally feedback is a continuing two-way communication that encourages progress. Assess Eval High Educ. 2013; 38:(3)349-362 https://doi.org/10.1080/02602938.2011.632676

Hamshire C, Jack K, Forsyth R, Langan AM, Harris WE The wicked problem of healthcare student attrition. Nurs Inq. 2019; 26:(3) https://doi.org/10.1111/nin.12294

Healthcare Communications. Digital transformation and the patient experience whitepaper. 2021. https://healthcare-communications.com/wp-content/uploads/2021/12/Digital-Transformation-the-Patient-Experience-Whitepaper.pdf (accessed 8 October 2024)

Henderson M, Ryan T, Phillips M The challenges of feedback in higher education. Assess Eval High Educ. 2019; 44:(8)1237-1252 https://doi.org/10.1080/02602938.2019.1599815

Jimenez G, Spinazze P, Matchar D Digital health competencies for primary healthcare professionals: a scoping review. Int J Med Inform. 2020; 143 https://doi.org/10.1016/j.ijmedinf.2020.104260

Killingback C, Ahmed O, Williams J ‘It was all in your voice’ - tertiary student perceptions of alternative feedback modes (audio, video, podcast, and screencast): a qualitative literature review. Nurse Educ Today. 2019; 72:32-39 https://doi.org/10.1016/j.nedt.2018.10.012

Lovegrove M RePAIR reducing pre-registration attrition and improving retention report.London: NHS Health Education England; 2018

In: Matheson R, Tangney S Sutcliffe M (eds). Abingdon: Routledge; 2018

Mathews SC, McShea MJ, Hanley CL, Ravitz A, Labrique AB, Cohen AB Digital health: a path to validation. NPJ Digit Med. 2019; 2:(1) https://doi.org/10.1038/s41746-019-0111-3

Morris ME, Brusco NK, Jones J The widening gap between the digital capability of the care workforce and technology-enabled healthcare delivery: a nursing and allied health analysis. Healthcare (Basel). 2023; 11:(7) https://doi.org/10.3390/healthcare11070994

Myyry L, Karaharju-Suvanto T, Vesalainen M Experienced academics' emotions related to assessment. Assess Eval High Educ. 2020; 45:(1)1-13 https://doi.org/10.1080/02602938.2019.1601158

Ngo E, Truong MBT, Nordeng H Use of decision support tools to empower pregnant women: systematic review. J Med Internet Res. 2020; 22:(9) https://doi.org/10.2196/19436

The longterm plan.London: NHS; 2019

NHS England. National education training survey. 2023a. https://www.hee.nhs.uk/our-work/quality/national-education-training-survey-nets/nets-2023 (accessed 8 October 2024)

NHS long term workforce plan.London: NHS; 2023b

Standards of proficiency for midwives.London: Nursing and Midwifery Council; 2019

Standards for student supervision and assessment.London: Nursing and Midwifery Council; 2023a

Standards for pre-registration midwifery programmes.London: Nursing and Midwifery Council; 2023b

Paterson C, Paterson N, Jackson W, Work F What are students' needs and preferences for academic feedback in higher education? A systematic review. Nurse Educ Today. 2020; 85 https://doi.org/10.1016/j.nedt.2019.104236

Peacock A, Slade C, Brown Wilson C Nursing and midwifery students' perspectives of using digital systems on placement: a qualitative study. J Adv Nurs. 2022; 78:(4)1128-1139 https://doi.org/10.1111/jan.15091

Pinto M, Leite C Digital technologies in support of students learning in higher education: literature review. Digital Education Review. 2020; (37)343-360 https://doi.org/10.1344/der.2020.37.343-360

The frameworks for higher education qualifications of UK degree-awarding bodies.Gloucester: Quality Assurance Agency; 2024

Race P The lecturers toolkit a practical guide to assessment, learning and teaching.London: Routledge; 2020

Regmi K, Jones L A systematic review of the factors–enablers and barriers–affecting e-learning in health sciences education. BMC Med Educ. 2020; 20:1-18

England state of the maternity services.London: Royal College of Midwives; 2023a

State of midwifery education.London: Royal College of Midwives; 2023b

Scotland student midwives finance report.Edinburgh: Royal College of Midwives; 2024

Saykili A Higher education in the digital age: the impact of digital connective technologies. J Educ Technol Online Learn. 2019; 2:(1)1-15 https://doi.org/10.31681/jetol.516971

Terry J, Davies A, Williams C, Tait S, Condon L Improving the digital literacy competence of nursing and midwifery students: A qualitative study of the experiences of NICE student champions. Nurse Educ Pract. 2019; 34:192-198

Thomas RA, West RE, Borup J An analysis of instructor social presence in online text and asynchronous video feedback comments. Internet High Educ. 2017; 33:61-73 https://doi.org/10.1016/j.iheduc.2017.01.003

Turnbull D, Chugh R, Luck J Learning management systems, an overview. In: Tatnall A (ed). Berlin: Springer; 2020

Yorke M Formative assessment and its relevance to retention. High Educ Res Dev. 2001; 20:(2)115-126 https://doi.org/10.1080/758483462

Verbal feedback for written assessment: evaluating a novel feedback communication strategy

02 November 2024
Volume 32 · Issue 11

Abstract

Background/Aims

Feedback plays a pivotal role in learning, but traditional written feedback often lack engagement and specificity, hindering learners' ability to effectively apply feedback. In midwifery education, the need for innovative feedback delivery mechanisms is pronounced. The aim of this study was to evaluate the integration of digital health technologies in feedback delivery in a midwifery programme.

Methods

A novel communication strategy was implemented in a midwifery programme in northwest England, where the benefits, challenges and future implications of leveraging digital health technologies for assessment feedback were assessed.

Results

Preferences were mixed, with 45.1% of learners favouring written feedback. Verbal feedback was perceived as more personal and motivating, and valued for its nuance, tone and ability to clarify complex points, although written feedback provided clearer, detailed information for future reference. Less experienced markers struggled with verbal feedback, while more experienced markers appreciated the quicker, more refreshing process. All markers found feedback templates helpful for ensuring equitable feedback.

Conclusions

This study scrutinised the significance of rethinking feedback delivery in midwifery education and indicates that digital health technologies present promising opportunities for reshaping the feedback landscape.

Implications for practice

Developing student confidence and competence in digital literacy remains a significant challenge. Higher education institutions can collaborate with healthcare providers to offer training in digital health technologies, helping midwives adapt to modern clinical environments.

Feedback is defined as a process through which learners make sense of information from various sources and use it to enhance their work or learning strategies (Carless, 2015). Providing learners with feedback is an integral part of teaching and can have a powerful influence on student learning (Dowden et al, 2013). On midwifery programmes, feedback is continuous from practice supervisors and assessors (Nursing and Midwifery Council (NMC), 2023a), service users in clinical practice and theoretical assessments marked by academic educators. Feedback from practice experiences is often verbal, with accompanying written text from practice supervisors and service users in their midwifery ongoing record of achievement. Feedback from theoretical assessments includes formative and summative feedback, but this project focused on feedback for summative assessments.

There is a wide range of evidence from the national student surveys that suggests feedback is often rated lower than other aspects of teaching and learning (Killingback et al, 2019). Feedback is a critical component of the learning process, providing learners with valuable insights into their performance, identifying areas for improvement and promoting reflective practice. However, traditional methods of delivering feedback, such as written comments and face-to-face group discussions, often lack engagement and specificity, and may not effectively support learners in understanding and applying feedback to enhance their learning (Henderson et al, 2019). These methods can also be time consuming for lecturers and impersonal for the student.

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