Optimising the clinical education experience

These projects involve designing and evaluating innovative approaches to clinical education for pre-registration midwifery programs.

Study 1 – Evaluation of clinical learning environment (MidSTEP)

It is known that the quality of clinical practice experience directly impacts student learning.

This study involves developing and evaluating a specific tool to measure the experience of midwifery students during their clinical education: the Midwifery Student Evaluation of Practice (MidSTEP) tool.

As second step, Trans-Tasman Midwifery Education Consortium partners are using the MidSTEP with students enrolled in their university’s midwifery program. This will provide an opportunity to benchmark across programs and countries (Australia and New Zealand). We expect MidSTEP to be a valuable tool for the international midwifery education community and will seek for it to be incorporated into the standards governing midwifery education programs.

Lead: Marnie Griffiths
Contact: Marnie Griffiths to discuss use of the MidStep tool

Collaborating partners: Flinders University, University of South Australia, Auckland University of Technology, University of Technology Sydney, University of Canberra.

Study 2 – Promoting the quality of clinical education by midwifery preceptor

Clinical learning environments are critical to the preparation of midwives for skill development, professional identity, and confidence as a midwife. Registered midwives, as preceptors, play a key role in clinical learning environments. Unlike clinical nursing, midwifery reflects a social model of healthcare, is holistic, and inclusive of women’s preferences and values.

This study aims to contribute to the optimisation of midwifery clinical education by:

  • developing and testing a measure of preceptors’ perceptions of quality midwifery clinical education
  • developing a novel preceptor program
  • evaluating the program’s impact using Kirkpatrick’s Levels of Learning

Co-leads: Marnie Griffiths (PhD student) with Professor Debra Creedy and Dr Amanda Carter

Study 3 – Hearing women’s voices: promoting active learning within the continuity of midwifery care experience

This project consists of three phases, including:

  1. Surveying women who have received continuity of midwifery care from a midwifery student in order to measure satisfaction with care provided
  2. Integrating women’s feedback into midwifery students’ clinical assessment
  3. Comparing aggregated clinical outcome data from the midwifery student’s clinical e-portfolios with national perinatal data.

Lead: Professor Jenny Gamble

Study 4 – Evaluation of midwifery caseload model for midwifery students

Griffith University recognises the value of continuity of care experiences and therefore requires midwifery students to undertake a minimum of 20 continuity of care experiences across their degree program.

In 2018, Midwifery@Griffith, in partnership with one of their primary practice partners, the Gold Coast University Hospital (GCUH), introduced an extended six-month caseload placement for interested 3rd Year midwifery students.

In 2019, we have built on this initiative and provided extended caseload placement for midwifery students at Gold Coast University Hospital, Logan Community Maternal and Child Health Hubs, Beaudesert Midwifery Group Practice, and Redland Midwifery Group Practice.

The aim of this study is to evaluate the outcomes of embedding students within the caseload practice where they work in a continuity of care model alongside a known midwife for six months. During this time the student will recruit 10 continuity of care experiences within the caseload.

Co-Leads: Associate Professors Kathleen Baird and Mary Sidebotham

Study 5 – The impact on learning of student-led caseload clinics

There is a growing body of evidence that women are demanding continuity of care. Research and evidence also validates that midwifery-led models of care improve outcomes for both the mother and the baby.

There is a strong consensus from both students and academics that providing a continuity of care model for women is a valuable learning opportunity and an essential component of midwifery education programs.

In recognition of this, a Griffith Midwifery Student Led Clinic (SLC) was developed and introduced by a collaboration of the School of Nursing & Midwifery, Griffith University and the Women, Newborn & Children’s Services at the Gold Coast University Hospital.

This study will explore, describe and evaluate effective learning processes in developing student midwives’ knowledge and skills when undertaking clinical practice within a Student Led Antenatal Clinic (SLC).

Co-Leads: Valerie Hamilton (Masters research), Associate Professor Kathleen Baird and Adjunct Professor Jennifer Fenwick

Study 6 – Optimising the use of technology to support clinical learning

Within the Bachelor of Midwifery program at Griffith University we use an interactive e-portfolio (M@GIE) to support students clinical learning. M@GIE is highly accessible and integrated tool for measuring diverse aspects of student learning, progress and achievement. We are refining and enhancing the functionality of M@GIE and planning studies on impact and value as a learning tool. We would welcome partners for this ongoing work.

Lead: Marnie Griffiths