Unit rationale, description and aim
This final practicum unit is a capstone unit where the student integrates previous learning in preparation for transition to graduate level midwifery practice. Students will complete practice experience requirements such as the Midwifery Practice Experience including the NMBA Competency Standards for the Midwife, the Continuity of Care Experiences. Students will be required to apply their theoretical knowledge during their clinical experience, demonstrating comprehensive and thorough care for the women, babies and families for whom they are caring. This unit is required by students to assist them, through an intensive period of supervised practice, to integrate and consolidate the midwifery knowledge, attitudes and skills required for professional practice.
The aim of this final Clinical Midwifery Practice unit is to build on students' previous and current learning including anatomy and physiological processes of childbearing to further contextualise their theoretical knowledge through clinical practice.
We recognise that people who access maternity care may have diverse gender identities, that those who do can experience marginalisation and oppression, and that using appropriate terminology can help with these community members’ recognition and visibility, acknowledge the variety of pregnancy and birth experiences people may have, and respect individuals’ preferences. To reflect this, terms such as ‘pregnant person’, ‘birthing person’, ‘childbearing people’, ‘parent’ and ‘chestfeeding’ may be used in the midwifery courses at ACU in addition to ‘woman’, ‘mother’, ‘maternity’, ‘maternal’ and ‘breastfeeding’, which are used not to exclude those who do not identify as a woman, but in recognition that women continue to be marginalised and oppressed in many places around the world and to respect their own individual preferences.
Learning outcomes
To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.
Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.
Explore the graduate capabilities.
Apply legal and ethical frameworks, organisational...
Learning Outcome 01
Establish, maintain and conclude relationships tha...
Learning Outcome 02
Demonstrate initiative and collaborative clinical ...
Learning Outcome 03
Demonstrate achievement of professional midwifery ...
Learning Outcome 04
Content
Topics will include:
Legal and professional practice
- Scope of practice
- NMBA Competency Standards
- Documentation and use of health informatics and health technologies
- Medication knowledge and administration
- Med+Safe medication calculations
- Assertive communication skills
Midwifery knowledge and practice
- Review of midwifery skills for complex and emergency situations
- Clinical reasoning and decision making
- Prioritising and time management skills
Midwifery as primary health care
- Consultation and collaboration
- Establishing and maintaining professional relationships with other health care providers
Reflective and ethical practice
- Self-evaluation
- Self-care
- Professional learning
- Evidence-based practice
Assessment strategy and rationale
A range of assessment procedures consistent with University assessment requirements will be used to meet the unit learning outcomes and develop graduate attributes.
The on-campus assessment will provide an opportunity for students to demonstrate developed skills in the safety of a simulated experience. The final professional midwifery portfolio showcases the student’s learning experiences (clinical and CCE) across the continuum of the course in a professional manner by ensuring documentation meets the professional requirements for practice experiences. Students must achieve a pass grade in both assessment items to pass this unit.
These assessments are required to build student knowledge and skills which, by the conclusion of this programme, will enable the student to graduate as a safe and effective midwife.
Overview of assessments
On-campus Practice Competency Enables students ...
On-campus Practice Competency
Enables students in this capstone unit to demonstrate competency in professional behavour, communication skills and safe and effective implementation of midwifery skills and knowledge.
Pass/Fail
Professional Midwifery Portfolio Enables stude...
Professional Midwifery Portfolio
Enables students in this capstone unit to showcase their clinical and CCE experiences across the continuum of the course, ensuring that documentation meets the professional and legal requirements for practice.
Pass/Fail
Learning and teaching strategy and rationale
Modes of delivery in this unit include learner-centred resource sessions, clinical demonstrations, simulated practice, online classrooms, supervised clinical practice and completion of the Continuity of Care Experience (CCE). Consistent with adult learning principles, the teaching and learning strategies used within these modes of delivery will facilitate students’ integration and consolidation of the midwifery knowledge, attitudes and skills required for professional practice. These strategies will also support students’ achievement of the aim, learning outcomes and graduate attributes of this unit and the broader course learning outcomes. Learning and teaching strategies will reflect respect for the individual as an independent learner. Students will be expected to take responsibility for their learning and to participate actively with peers. Scenario-based learning, case-based learning, problem-based learning and inquiry-based learning are all used to support the development of students' independent learning ability.
Students exiting university need significant life-long learning skills to deliver sound, ongoing, evidence-based graduate practice as a member of the professional workforce. Students must demonstrate increasing reflective capacity to identify what is being done well and what requires additional work in progressing toward required learning outcomes. Located in the third year of the programme, this clinical unit assists students to link theory with its application and to build life-long learning skills. Resource sessions convey content and central principles while clinical demonstrations, simulations and supervised clinical practice extend students’ self-reliance and critical reflection in practice. The supervised clinical practicum of 320 hours provides a safe environment where students can provide assisted woman-centred care essential for successful graduate practice.
Nursing and Midwifery Board of Australia Midwife Standards for Practice
In connection to the learning outcomes, these Midwife standards for practice provide a framework for midwifery practice in all contexts. They also inform women, and others including consumers, those who regulate, educate, collaborate with and manage midwives on what to expect from a midwife’s practice.
Relating to
Promotes health and wellbeing through evidence-based midwifery practice
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Identifies what is important to women as the foundation for using evidence to promote informed decision-making, participation in care, and self-determination
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality midwifery practice
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Undertakes ongoing processes of reflection to ensure professional judgements acknowledge how personal culture impacts on practice
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Engages in professional relationships and respectful partnerships
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Supports the choices of the woman, with respect for families and communities in relation to maternity care
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Partners with women to strengthen women’s capabilities and confidence to care for themselves and their families
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Practises ethically, with respect for dignity, privacy, confidentiality, equity and justice
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Practises without the discrimination that may be associated with race, age, disability, sexuality, gender identity, relationship status, power relations and/or social disadvantage
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Practises cultural safety that is holistic, free of bias and exposes racism
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Practises in a way that respects that family and community underpin the health of Aboriginal and/or Torres Strait Islander Peoples
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Develops, maintains and concludes professional relationships in a way that differentiates the boundaries between professional and personal relationships, and
Relevant Learning OutcomeLO1, LO2, LO3
Relating to
Demonstrates the capability and accountability for midwifery practice
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Understands their scope of practice
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Practises within relevant legal parameters and professional standards, codes and guidelines
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Participates in own continuing professional development to maintain the required knowledge and skill base for safe and effective practice
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Contributes to a culture that supports learning, teaching, knowledge transfer and critical reflection
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Engages in timely consultation, referral and documentation
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Uses relevant processes to identify, document and manage complexity and risk
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Recognises and responds appropriately where safe and quality practice may be compromised, and
Relevant Learning OutcomeLO1, LO2, LO3, LO4
Relating to
Undertakes comprehensive assessments
Relevant Learning OutcomeLO2, LO3
Relating to
Works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of women, communities and populations
Relevant Learning OutcomeLO2, LO3
Relating to
Uses assessment techniques to systematically collect relevant and accurate information
Relevant Learning OutcomeLO2, LO3
Relating to
Analyses information and data and communicates assessments and anticipated outcomes as the basis for midwifery practice, and
Relevant Learning OutcomeLO2, LO3
Relating to
Assesses the resources that are available to inform planning.
Relevant Learning OutcomeLO2, LO3
Relating to
Develops a plan for midwifery practice
Relevant Learning OutcomeLO3
Relating to
Interprets assessment data and best available evidence to develop a plan for practice
Relevant Learning OutcomeLO3
Relating to
Collaboratively develops plans until options, priorities, goals, actions, anticipated outcomes and timeframes are agreed with the woman, and/or relevant others
Relevant Learning OutcomeLO3
Relating to
Co-ordinates resources effectively and efficiently for planned actions, and
Relevant Learning OutcomeLO3
Relating to
Documents, evaluates and modifies plans to facilitate the anticipated outcomes.
Relevant Learning OutcomeLO3
Relating to
Provides safety and quality in midwifery practice
Relevant Learning OutcomeLO3
Relating to
Practises to achieve the agreed goals and anticipated outcomes that meet the needs of the woman
Relevant Learning OutcomeLO3
Relating to
Is responsible for consultation and referral and/or escalation in situations that are outside the individual’s scope of practice, and
Relevant Learning OutcomeLO3
Relating to
Evaluates outcomes to improve midwifery practice
Relevant Learning OutcomeLO3
Relating to
Evaluates and monitors progress towards planned goals and anticipated outcomes
Relevant Learning OutcomeLO3
Relating to
Revises plan and actions based on evidence and what is learned from evaluation
Relevant Learning OutcomeLO3
Relating to
Uses evaluation and reflection to inform future practice and professional development
Relevant Learning OutcomeLO3