1,720,960 research outputs found
Fairy tale midwifery ten years on: facilitating the transition to newly qualified midwife
The first article in this series, published in BJM Vol 27 No 10, identified that newly qualified midwives continue to experience reality shock on initiation of first post, despite preceptorship programmes that aim to ease transition from student to qualified practitioner. Mentors are important in facilitating student decisionmaking, criticality and reflective practice, and share such roles as teaching, support and role modelling with preceptors. Although transition begins at the inception of midwifery training, there is a paucity of research exploring the role of mentors in preparing students for autonomous practice. The recent shift to replace mentors with practice supervisors and assessors provides an opportunity to consider strategies to better prepare student midwives for autonomous practice and mitigate against fairy tale midwifery
Fairy tale midwifery 10 years on: re-evaluating the lived experiences of newly qualified midwives
Newly qualified midwives (NQM) experience a reality shock upon initiation of first post. Despite efforts to smooth the transition to NQM status, there remains an incongruence between the expectations (‘fairy tale’) and the realities of practice. Transition and preceptorship programmes aim to increase competence and confidence, and improve the lived experiences of NQMs. Preceptorship, however, is unstandardised and supernumerary shifts and rotations to clinical areas may be affected by service demands. Sources of support in practice include peers, preceptors and midwives on shift. No new themes emerged when comparing contemporary and original research, suggesting data saturation has been reached, although it may still be pertinent to consider the experiences of NQMs in order to reduce attrition rates and increase job satisfaction
Decision-making: Do existing models reflect the complex and multifaceted nature of woman-centred contemporary midwifery practice? Part 1
A concise guide to continuity of care in midwifery
Continuity of care in midwifery - the most traditional way of practising - has been overlooked for much of the last century but is re-emerging as an evidence-based model of care, one which is known to benefit women. This book is a vital companion to students and qualified midwives as continuity of care is integrated into midwifery education and services. A practical, easy-to-read guide to practising caseload midwifery, this book outlines the contemporary political and professional context for midwifery care, different models of care, and the evidence and outcomes associated with continuity of carer. It discusses the real-life concerns, challenges and opportunities of working closely with women throughout their pregnancy and birth, covering key issues such as risk assessment, consent, boundaries, time management, documentation, communication, burnout and decision-making. Supporting the development of midwives from students to newly qualified professionals and beyond, it ends with a chapter containing a range of resources for reference, including helpful tools and worksheets. Including vignettes from students, qualified midwives, and women and their partners, this book is designed for anyone new to practising midwifery continuity of care.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Considerations for practice supervisors, practice assessors and academic assessors
This chapter provides hints and tips for practice supervisors/assessors, academic assessors and Approved Education Institution to support the planning, implementation and evaluation of case load held practices for pre-registration midwifery students. It is best practice to have a contract in place to ensure the parameters of the case load held practice are clear and agreed by all parties, prior to the experience commencing. The contract will include a consent form for the woman, student and practice supervisor to sign before being stored in the woman’s notes. A risk assessment should be undertaken prior to the experience commencing. The risk assessment aims to mitigate against dangers that may present themselves to the student during the case load experience. A lone worker is defined as ‘someone who works by themselves without close or direct supervision’. All employers have a responsibility to provide training, supervision and support to lone workers
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
- …
