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2020/21 Undergraduate Module Catalogue

HECS3258 Preparing for Midwifery Practice

40 creditsClass Size: 60

Module manager: Katherine Dewhurst
Email: k.dewhurst@leeds.ac.uk

Taught: Semester 1 (Sep to Jan) View Timetable

Year running 2020/21

Pre-requisites

HECS2191Midwifery Theory and Practice 3

Module replaces

Partially replaces HECS 3162, HECS 3163 and HECS 3164 by 2014-5

This module is not approved as a discovery module

Module summary

In this module students will develop a range of skills in the care of pregnant women when an emergency situation presents. The ethics of care provision will be explored when women are unable or less able to make decisions. Professional regulation aspects critical incidents will be addressed.

Objectives

This is a theory and practice module that builds on the modules in level 2 of the programme. The balance of practice increases in year 3 as students build confidence in the delivery of care and work where possible under more indirect supervision. Their ability to perform appropriately in obstetric emergency situations including neonatal resuscitation will be developed through workshop activity and simulation. Greater analysis will be applied to how they make appropriate clinical decisions and the implications should professional conduct fall below that expected of a midwife. The module includes an elective experience either at home or abroad. Medicines management will be developed by consideration of anaphylaxis, polypharmacy, adverse drug reactions and interactions.

Learning outcomes
At the end of the module the students will be able to:

1. Act appropriately in an obstetric emergency.

2. Critically discuss the implications of poor practice through the regulatory framework and professional misconduct procedures.

3. Critically analyse and evaluate the challenges in ethical decision making in practice in more complex critical situations.

4. Negotiate an observational placement and present their findings to their peers and lecturers at the student conference.

5. Work appropriately under indirect supervision demonstrating skills in the planning and provision of care in partnership with women and the multidisciplinary team.

6. Work within laws and legislation relating to general sales lists, midwives supply orders, and patient group directions.

7. Critically discuss the safely use drugs in an emergency situation.

8. Demonstrate applied and appropriate evidence based practice.

9. Meet selected performance and skills outcomes in the level 3 Common Assessment Document.

Skills outcomes
Midwifery care of women in more complex situations.


Syllabus

Service users
Communication - Support for women and their partners in critical situation
Personal growth knowledge and skills
Develop a personal contract for their elective experience
Physiology of extreme shock and homeostasis
Emergency skills drills including the care of women who are eclamptic and convulsing, shoulder dystocia, emergency breech delivery, massive haemorrhage, pulmonary embolism and cardiac arrest
Resuscitation of the newborn
Process and systems
Recognising and reporting critical incidents
Recognising and reporting professional misconduct
Local and professional and regulatory framework of investigating professional misconduct
Practicalities of working in another country / unit / independent organisation
Role of the consultant midwife
General sales lists, midwives supply orders, and patient group directions related to medicines.
Provision of safe information to women about their medicinal products
The ordering, safe receiving and storage of medicinal products
Developing skills in locating, sifting, retrieving and appraising and applying a range of evidence that informs frameworks decision making.
Interpretation and clinical application of statistical results reported in research papers
Practice development
Methods and tools that can be used in professional decision making in midwifery practice
Ethics of patient capacity and end of life decision making,
tensions between rights of mother and those of the fetus

Practice: In this module there are 300 hours of clinical practice. Students will gain exposure to the care of women and babies within the Maternity Circuit (225 hours) and work under more indirect supervision where appropriate to develop confidence in decision making and care planning. They will always be directly supervised during the second and third stages of a woman's labour.

This module also contains a two week (75 hour) elective placement where students arrange an experience nationally or internationally to met their personal needs. These needs will be developed through an individual learning contract. Arrangements for the elective placement are requested through PPU if within the region. International or an alternate placement is done in liaison with the International Lead. The elective experience is normally observational in nature, but students may provide care if the elective is within a midwifery unit in Yorkshire and they are adequately supervised.

Teaching methods

Delivery typeNumberLength hoursStudent hours
Clinical Practice2381.00238.00
Seminar92.0018.00
Tutorial92.0018.00
Independent online learning hours14.00
Private study hours115.00
Total Contact hours274.00
Total hours (100hr per 10 credits)403.00

Private study

The 115 hours of private study will be used to:
Prepare for the unseen examination and essay.
Prepare for inquiry based learning tutorials.
Independent online learning will include learning packages on ethics, professional misconduct and research.
Background reading.

Opportunities for Formative Feedback

Theoretical progress
Theoretical progress will be monitored through participation in inquiry based learning within the tutorials. A typical example would be around the care of women in emergency situations. The example below also illustrates how key programme themes will be introduced and developed with the themes relating to research skills, decision making skills and ethics and law being fundamental to this approach. It is intended that the case scenarios are developed with input from clinical midwives to represent current practice issues. In the practical sessions students will use case scenarios to explore the evidence base and how midwives use this in decision making and through simulated practice demonstrate the skills and thought processes required in an emergency. It is intended that the case scenarios are developed with input from clinical midwives to represent current practice issues.

Clinical progress
Students will be assessed using selected learning outcomes within the Midwifery Common Assessment Document for level 3 and their performance will be graded by their sign-off mentor in the last week of their placement.

Reflective sessions throughout the clinical placement will assist students to make links between theory and practice.

Students will present their elective experiences at the Midwifery Student's Conference Day to their peer group, midwifery students from level 1 and 2, students on the PG Dip in Midwifery programme and midwifery lecturers.

Methods of assessment


Coursework
Assessment typeNotes% of formal assessment
EssayEssay 3,500 words60.00
Written WorkCommon Assessment Document (Pass/Fail)0.00
Placement AssessmentGrading of Practice40.00
Total percentage (Assessment Coursework)100.00

The essay will explore the support structures that enable midwives to deliver safe and evidence based care

Reading list

The reading list is available from the Library website

Last updated: 10/08/2020 08:37:17

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