MIDWIFERY PRACTICE 3 - 2021/2

Module code: NUR3329

Module Overview

This module provides a sequential and integrated learning experience using theory and practice, by a spiralling of content that supports student development. It will prepare students to demonstrate proactive leadership acting as change agents to challenge practice to enhance people¿s wellbeing and experience of health care; integrating evidence into their clinical and scholarly practice, becoming an accountable evidence-based professional midwife. Practice within simulation and placement will enable student midwives to draw together learning from university blocks, by consolidating their knowledge and proficencies within clinical practice in preparation for professional registration.

Module provider

School of Health Sciences

Module Leader

ROBINSON Ann (Health Sci.)

Number of Credits: 0

ECTS Credits: 0

Framework: FHEQ Level 6

JACs code:

Module cap (Maximum number of students): 116

Overall student workload

Workshop Hours: 14

Clinical Placement Hours: 780

Independent Learning Hours: 555.5

Lecture Hours: 81

Seminar Hours: 91

Tutorial Hours: 3

Practical/Performance Hours: 30

Module Availability

Year long

Prerequisites / Co-requisites

None

Module content

Domain 1: Being an accountable, autonomous, professional midwife:


  • Identification and reporting of near misses, critical incidents, major incidents and serious adverse events. Sharing feedback and learning.

  • Becoming a Practice Supervisor.

  • Safeguarding level 3 (link with Children’s Nursing)

  • Preceptorship

  • Interview preparation



 

Domain 2: Safe and effective midwifery care:


  • Human Rights legislation (including safe guarding), rights of the child, sexual and reproductive rights, legal and ethical frameworks, mandatory reporting duties.

  • Understanding the wider role of the HCP

  • Women’s Health screening (Breast, ovarian and cervical screening)

  • Contraception, sexual and reproductive wellbeing in the puerperium

  • OASI (3rd/4th degree tears) detection and prevention



 

Domain 3: Universal care for all women and newborn infants:


  • Non-medical prescribing

  • Pharmacology – non-medical prescribing content and safe medicate

  • Infection prevention and control, communicable disease surveillance, antimicrobial resistance and stewardship

  • NIPE

  • BLS/NLS/Moving and handling

  • CTG assessment



 

Domain 4: Additional care for women and newborn infants with complications:


  • Wider public health role - Social circumstances including poverty, homelessness, trafficking, slavery, criminal justice system, domestic abuse, refugees

  • Adoption, fostering and surrogacy

  • Family Nurse Partnership and teenage pregnancy

  • Prison services (linking with vulnerable and disadvantaged families)

  • Assisted conception

  • STI, HIV and late diagnosis HIV

  • Female Genital Mutilation (FGM)

  • Eclampsia and HELLP

  • Massive Obstetric Haemorrhage and DIC

  • Inverted uterus

  • Acute fatty liver

  • Perineal suturing theory and practice

  • Cannulation

  • Caring for the critically ill woman (including A-F assessment)

  • Obstetric emergency real-time scenario

  • Breastfeeding in challenging circumstances

  • Invasive Monitoring

  • ECG - recognition of abnormal rhythms

  • The pregnant cardiovascular system and identification of women requiring cardiovascular support

  • Neurological assessment and action

  • Critical Care skills practical

  • The pregnant urinary system, deteriorating kidney function and AKI, and Fluid management

  • The pregnant respiratory system, respiratory assessment and action, Drugs to support breathing

  • Interpreting haematological, biochemical and ABG results

  • Management of women requiring support



 

Domain 5: Promoting excellence: the midwife as colleague, scholar and leader:


  • Use of evidence in quality improvement methodologies and processes, how to read and apply data, use of epidemiological data, service evaluation, audit, risk management

  • Human factors, safe staffing, skill mix, team working, escalation of concerns including national guidance, team reflection and debriefing.

  • Working in stressful and difficult situations, recognising when we are vulnerable, compassionate self-care, compassionate leadership

  • Leadership and role modelling leading

  • Critical care/crisis intervention, decision making, consideration of alternative diagnosis, advanced communication (noticing and listening, challenging conversations), Ethical debate and dilemmas when evidence may be conflicting



Content to be met through interdisciplinary learning:


  • Non-medical prescribing

  • Pharmacology – non-medical prescribing content

  • Safe medicate

  • Infection prevention and control, communicable disease surveillance, antimicrobial resistance and stewardship

  • Understanding the wider role of the HCP

  • Identification and reporting of near misses, critical incidents, major incidents and serious adverse events. Sharing feedback and learning.

  • Human factors, safe staffing, skill mix, team working, escalation of concerns including national guidance, team reflection and debriefing.

  • Working in stressful and difficult situations, recognising when we are vulnerable, compassionate self-care

  • Leadership and role modelling leading – compassionate leadership

  • Becoming a Practice Supervisor.

  • Critical care/crisis intervention, decision making, consideration of alternative diagnosis, advanced communication (noticing and listening, challenging conversations), Ethical debate and dilemmas when evidence may be conflicting

  • Human Rights legislation (including safeguarding), rights of the child, sexual and reproductive rights, legal and ethical frameworks, mandatory reporting duties.

  • Wider public health role – social circumstances including poverty, homelessness, trafficking, slavery, criminal justice system, domestic abuse, refugees


Assessment pattern

Assessment type Unit of assessment Weighting
Pass/Fail competencies Practice Development Project - Part 1 (30 Credits) 25
Pass/Fail competencies Practice Development Project - Part 2 (15 Credits) 12
Pass/Fail competencies Safe Medicate, Medicines Management Exam, Patient Scenario (Drug Administration) (15 Credits) 12
Pass/Fail competencies Practice Portfolio, Complex Assessment, Treatment and Management Scenario - VIVA, Written Clinical Account (60 Credits) 51
Pass/Fail competencies Midwifery Practice 3 (120 Credits) Pass/Fail

Alternative Assessment

None

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate a wide range of practice-based proficiencies, in order to achieve the criteria set by the Nursing and Midwifery Council (NMC, 2019).

Theoretical, university-based assessment will occur alongside practice-based proficiency assessment using the practice-based assessment documentation (MORA) to achieve the criteria, set by the Nursing and Midwifery Council (NMC, 2019).  Progression will be confirmed by the Practice Assessor and the assigned Academic Assessor.

  Thus, the summative assessment for this module consists of:


  • Summative 1: Practice Development Project Part 1 – identify an area of practice that requires change and produce a literature review and reflection on practice (4500 words)

  • Summative 2: Medicines management and pharmacology

    • Safe medicate – IV drugs

    • Patient scenario – drug administration



  • Summative 3: Medicines management exam Ethics/safety

  • Summative 4: Practice Development Project Part 2 – recommendations for practice based on the literature review and reflection on practice (2500 words)

  • Summative 5: VIVA- complex management scenario

  • Summative 6: Written clinical account:

  • Summative 7: Practice Assessment Document (MORA) year long pass/fail



  Formative assessment (compulsory elements with feedback provided via SurreyLearn):


  • Project plan submission

  • Formative midpoint reviews on MORA

  • VIVA

  • Safe medicate

  • Medicines management self-directed

  • Calculations practical practice



  Additional formative activities


  • Self-tests

    • Physical/mental assessment/pharmacology

    • Safe medicate tests



  • Simulation with actors

  • Reflective learning journal



  Feedback


  • Continuous feedback from teaching fellows & actors within university learning blocks

  • Peer feedback within university learning blocks (simulation and theory)

  • Continuous feedback from practice whilst on placement learning blocks

  • Service user and carer feedback

  • Online feedback

  • Tutorials


Module aims

  • Develop confident, competent and responsive practitioners with the knowledge, skills and behaviours required to deliver and lead high quality evidence-based midwifery care. It will enable students to act with professional integrity and demonstrate achievement of the professional standards as defined by the Nursing and Midwifery Council¿s (2019) Standards of Proficiency for Midwives.
  • Prepare students to deliver safe and compassionate evidence-based, person centred care, whilst demonstrating the values and attitudes in keeping with non-discriminatory practice and an orientation towards holistic care.
  • Facilitate partnership working with health and social care professionals, service users, carers and families, acknowledging the contribution of a collaborative approach to care and the importance of education for health.
  • Enable students to contribute to the planning, design and delivery of care by leading, delegating and supervising other health care professionals.
  • Develop the capacity to adapt to change and identify and initiate innovations in practice.
  • Facilitate the development of clinical, analytical and reflective thinking skills with the ability to distil research impacts, integrate and combine sources of knowledge.
  • Develop a commitment to life wide and independent learning through self-awareness, emotional literacy and reflective practice.

Learning outcomes

Attributes Developed
001 Practice as autonomous and accountable practitioners responsible for the delivery of holistic care and assessment promoting individuals' rights, dignity, interests, preferences, beliefs and cultures, developing an understanding of human identity using a woman-centred approach. KCPT
002 Act in accordance with the NMC Code (2018), legal and ethical frameworks and policy to deliver care in an evidence-based approach, recognising and reporting any situations, behaviours or errors that could lead to poor care outcomes. KCPT
003 Act as a role model, critically evaluate own practice and identify areas of personal and professional development demonstrating learning from experience, feedback and reflection. KCPT
004 Communicate safely and effectively when working across health and social care environments, to build relationships and in partnership with service users, carers and families and other professionals and agencies to promote person centred-care and providing informed choices to women. KCPT
005 Applies knowledge, synthesises ideas and evidence to generate solutions in planned and uncertain situations across a range of health care environments. KCPT
006 Applies knowledge to identify solutions for ongoing care and co-existing health needs, that considers psychological wellbeing, economic and social/cultural circumstances for individuals and groups. KCPT
007 Demonstrate proactive leadership acting as change agents to challenge practice to enhance women and family¿s wellbeing and experience of health care. KCPT
008 Practice autonomously and be responsible for the delivery of midwifery care utilising an evidence-based approach to assess, plan and deliver care interventions across a range of clinical environments for both planned and emergency care; responding appropriately to changing risk factors and obstetric emergencies. KCPT
009 Critically appraise and apply evidence to deliver health care interventions and develop practice to improve women centred-care, peoples¿ experiences of care and shape future care provision. KCPT
010 Interact effectively within a team and demonstrate the ability to take the lead in coordinating, delegating and supervising care whilst remaining accountable for care given. KCPT
011 Demonstrate the importance of safe practice and an understanding of risk management strategies, local and national guidelines across a range of clinical environments. KCPT
012 Utilise effective communication strategies to promote health and enable people to make informed choices about their care to manage health, life choices, illness and prevent ill health. KCPT
013 Select, acquire and administer a range of permitted drugs and therapeutic agents, consistent with legislation, using knowledge and understanding of the situation to make professional judgements and ensure the safety of woman and baby while demonstrating a knowledge of legislation and policies governing their use. KCPT
014 Demonstrate knowledge of Human Rights legislation, legal and contemporary ethical frameworks and health and social policy and understand the relevant legal and ethical responsibilities of professional midwifery practice. KCPT
015 Have a sound knowledge of the physiology of childbirth and the new-born and infant feeding, and of psychological, social, emotional and spiritual factors that may positively or adversely influence normal physiology, and be competent in applying this in practice. KCPT
016 Examine and care for babies immediately following birth and those with specific health or social needs and refer to other professionals or agencies as appropriate. KP

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Methods of Teaching / Learning

The learning and teaching strategy is designed to:enable students to successfully develop the skills to qualify them entry to the NMC register as midwives.  It will support them to develop their skills as autonomous and accountable practitioners within the multidisciplinary and multiagency team.    Healthcare Practice within simulation and placement will enable students to continue to develop clinical proficiencies and assessment skills, focusing on developing these in the assessment and management of complex but infrequently occurring holistic scenarios building on learning in years 1 and 2.

 


  • Simulation

  • Lectures

  • Seminars

  • Online – self-test / additional learning materials / discussion boards / student forums

  • Classroom discussions

  • Student-led seminars

  • Lectures

  • Problem based learning

  • Case studies / scenarios

  • Experiential learning

  • Practice placement experience


Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.

Reading list

https://readinglists.surrey.ac.uk
Upon accessing the reading list, please search for the module using the module code: NUR3329

Other information

None

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2021/2 academic year.