The first encounter with childbirth among midwifery students: self-evaluation of the feelings at their first clinical practice in a maternity ward

Authors

  • Tjaša Plemen /
  • Ana Polona Mivšek University of Ljubljana, Faculty of Health Sciences, Midwifery, Zdravstvena pot 5, 1000 Ljubljana

DOI:

https://doi.org/10.14528/snr.2017.51.3.162

Keywords:

clinical setting, practice, student, midwifery, feelings

Abstract

Introduction: Feelings experienced by students when undergoing their first clinical practice marks their ability to acquire knowledge and experience, and can therefore affect their further career. The purpose of this research was to explore common feelings of midwifery students as experienced at their first clinical practice in a maternity ward. Methods: Descriptive research method based on quantitative research approach was used. An online questionnaire was used as a research tool. A purpose sample (n = 52) was used and students of Years 2, 3 and the final year of midwifery study course at the Faculty of Health Sciences, University of Ljubljana were invited to participate as respondents in the study. Basic descriptive statistics were calculated. Results: The most frequent feelings that students experienced during their first clinical practice in the delivery room were being inexperienced, the gap between theoretical and practical knowledge, and stress. Previous secondary education was most statistically significant in terms of experiencing feelings. Among the students who previously attended non-health care secondary schools there were more statistically significantly students who felt unaccepted in the a clinical environment (92 % vs. 79 % of former students of health care secondary schools). These students also more commonly perceived the gap between theory and practice (79 % vs. 64 % of former students of health care secondary schools). On the contrary, students from health care secondary schools felt more unexperienced and consequently felt greater fear of harming patients (82 % vs. 62 % of former students of non-health care secondary schools). Discussion and conclusion: If students experience feelings such as stress, fear and uncertainty during their clinical practice, this hinders their abilities to learn and build their self-esteem. It would be necessary to improve the organization of clinical practice in order to promote students' realistic expectations before they engage in clinical practice, and to introduce supervision by an individual clinical mentor and enable students to self-evaluate their own feelings after they have completed clinical practice.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Tjaša Plemen, /

Tjaša Plemen, dipl. bab.

Ana Polona Mivšek, University of Ljubljana, Faculty of Health Sciences, Midwifery, Zdravstvena pot 5, 1000 Ljubljana

doc. dr. Ana Polona Mivšek, dipl. bab.,

References

Ahčin, L., Kastelic, M., Bizjak, A., Tavčar, M., Bršar, Z., Zupan, A., et al., 2009. Doživljanje študentov na klinični praksi. In: S. Pivač, B. Skela Savič, S. Hvalič Touzery & S. Kalender Smajlović, eds. Zbornik predavanj z recenzijo 2. Mednarodne znanstvene konference s področja raziskovanja v zdravstveni negi in v zdravstvu, Ljubljana, 17. in 18. september 2009. Jesenice: Visoka šola za zdravstveno nego Jesenice, pp. 421–429.

Babuder, D., 2016. Lastnosti mentorja in mentoriranca z njunih medsebojnih vidikov: opisna raziskava mnenj dijakov, študentov in mentorjev. Obzornik zdravstvene nege, 50(4), pp. 327–335. https://dx.doi.org/10.14528/snr.2016.50.4.95

Brunstad, A. & Hjalmhult, E., 2014. Midwifery students learning experiences in labor ward: a grounded theory. Nurse Education Today, 34(12), pp. 1474–1479. https://doi.org/10.1016/j.nedt.2014.04.017 PMid:24815181

Bjorg, D., Leland, A. & Jan Gunnar, D., 2013. What factors facilitate good learning experiences in clinical studies in nursing: Bachelor students' perceptions. International Scholarly Research Network (ISRN) Nursing, art. ID 628679, pp. 1–7. https://doi.org/10.1155/2013/628679

Čuk, V. & Hvala, N., 2009. Vpliv kliničnega okolja na zadovoljstvo študentov s prakso zdravstvene nege. In: S. Pivač, B. Skela Savič, S. Hvalič Touzery & S. Kalender Smajlović, eds. Zbornik predavanj z recenzijo 2. Mednarodne znanstvene konference s področja raziskovanja v zdravstveni negi in v zdravstvu, Ljubljana, 17. in 18. september 2009. Jesenice: Visoka šola za zdravstveno nego Jesenice, pp. 177–184.

Davies, S. & Coldridge, L., 2015. ≫No Man's Land≪: an exploration of the traumatic experiences of student midwives. Midwifery, 31(9), pp. 858–864. https://doi.org/10.1016/j.midw.2015.05.001 PMid:26025871

Emanuel, V. & Pryce-Miller, M., 2013. Creating supportive environments for students. Nursing Times, 109(37), pp. 18–20. PMid:24266287

Filej, B. & Železnik, D., 2010. Soočanje študentov zdravstvene nege s problemi v kliničnem okolju – analiza vsebin. In: M. Pajnkihar, ed. Zbornik predavanj 1. mednarodne znanstvene konference Društva medicinskih sester, babic in zdravstvenih tehnikov Maribor, Maribor 3. in 4. junij 2010. Maribor: Društvo medicinskih sester, babic in zdravstvenih tehnikov; Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, p. 142.

Govekar-Okoliš, M. & Kranjčec, R., 2010. Izobraževanje mentorjev za praktično usposabljanje študentov po bolonjskih študijskih programih v podjetjih/zavodih. Ljubljana: Znanstvena založba Filozofske fakultete Univerze v Ljubljani, pp. 46–62.

Harih, M. & Pajnkihar, M., 2010. Interpretacija izkušenj študentov s klinične prakse – kvalitativna raziskava. In: B. Skela Savič, ed. Zbornik predavanj z recenzijo 3. mednarodne znanstvene konference s področja raziskovanja v zdravstveni negi in zdravstvu, Ljubljana 16. in 17. september 2010. Jesenice: Visoka šola za zdravstveno nego Jesenice, pp. 169–179.

Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije, 2014. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Kristl, J., Juriševič, M., Šoukal-Ribičič, M., Pucelj, J., Vrtačnik, M., Trošt, Z., et al., 2007. Smernice za praktično usposabljanje na Univerzi v Ljubljani. Ljubljana: Univerza v Ljubljani, pp. 16–18.

Lozar Manfreda, K., Berzelak, J. & Vehovar, V., 2006. Programska orodja za družboslovne ankete na spletu. Teorija in praksa, 43(5–6), pp. 793–797.

Mihelič Zajec, A. & Ramšak Pajk, J., 2006. Značilnosti mentorstva v izobraževanju za zdravstveno nego in babištvo. Obzornik Zdravstvene Nege, 40(1), pp. 9–14. Available at: http://www.obzornikzdravstvenenege.si/2006.40.1.9 [30. 8. 2017].

Mlinar, S., 2013. Doživljanje študentov pri izvajanju intimnih aktivnosti zdravstvene nege na kliničnem usposabljanju: ovire in podpora. In: D. Železnik, B.M. Kaučič & U. Železnik, eds. Zbornik predavanj z recenzijo 3. Znanstvene konference z mednarodno udeležbo s področja zdravstvenih ved, Laško 17.september 2013. Slovenj Gradec: Visoka šola za zdravstvene vede, pp. 333–339.

Moagi, M. & Janse van Rensburg, E., 2013. Student nurses' experiences of the clinical psychiatric learning environment in and education institution. Journal of Psychology in Africa, 23(2), pp. 359–362.

Peter, R. & Peter, V., 2008. An assessment of the internal consistency of measures of constructs used to revise the innovation decision framework. Academy of World Business, Marketing & Management Development Conference Proceedings, 3(1), p. 992.

Ramšak Pajk, J., 2007. Pomen mentorstva in praktičnega usposabljanja v izobraževanju za zdravstveno nego. Obzornik Zdravstvene Nege 41(2–3), pp. 71–75. Available at: http://www.obzornikzdravstvenenege.si/2007.41.3.71 [30. 8. 2017].

Ramšak Pajk, J., 2008. Mentorstvo s perspektive mentorja in študenta. In: S. Pivač, B. Skela Savič & S. Hvalič Touzery, eds. Zbornik predavanj z recenzijo 1. mednarodne znanstvene konference s področja raziskovanja v zdravstveni negi in zdravstvu, Bled 25. in 26. september 2008. Jesenice: Visoka šola za zdravstveno nego Jesenice, p. 106.

Skinder Savić, K. & Kastelic, M., 2009. Ocenjevanje klinične prakse na Visoki šoli za zdravstveno nego Jesenice. In: S. Pivač, B. Skela Savič, S. Hvalič Touzery & S. Kalender Smajlović, eds. Zbornik predavanj z recenzijo 2. Mednarodne znanstvene konference s področja raziskovanja v zdravstveni negi in v zdravstvu, Ljubljana, 17. in 18. september 2009. Jesenice: Visoka šola za zdravstveno nego Jesenice, pp. 1850–1892.

Stanek Zidarič, T. Mivšek, A.P., Skoberne, M., Skubic, M., Zakšek, T. & Vrhunec, B., eds., 2011. Babištvo. 2 izd. Ljubljana: Univerza v Ljubljani, Zdravstvena fakulteta, pp. 1–27.

World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. Available at: http://www.wma.net/en/20activities/10ethics/10helsinki/DoHOct2013-JAMA.pdf [30. 8. 2017].

Thunes, S. & Sekse, R.J.T., 2015. Midwifery students first encounter with the maternity ward. Nurse Education in Practice, 15(3), pp. 243–248. https://doi.org/10.1016/j.nepr.2015.01.012 PMid:25701290

Published

2017-09-25

How to Cite

Plemen, T., & Mivšek, A. P. (2017). The first encounter with childbirth among midwifery students: self-evaluation of the feelings at their first clinical practice in a maternity ward. Slovenian Nursing Review, 51(3), 226–233. https://doi.org/10.14528/snr.2017.51.3.162

Issue

Section

Original scientific article

Most read articles by the same author(s)