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Related Experiment Videos

Is preceptorship valuable?

Julia Boon1, Beth Graham, Maggie Wainwright

  • 1Oxford Radcliffe Hospitals NHS Trust.

RCM Midwives : the Official Journal of the Royal College of Midwives
|March 1, 2005
PubMed
Summary

Newly-qualified midwives benefit from structured preceptorship programs for skill consolidation and confidence. Community placements enhance childbirth philosophy, but shorter rotations require adjustment for optimal support and retention.

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Area of Science:

  • Midwifery Practice
  • Healthcare Professional Education
  • Clinical Skill Development

Background:

  • Preceptorship programs are recommended for newly-qualified practitioners.
  • An Oxfordshire preceptorship program for midwives was established in 2000.
  • The program evolved to include community placements and fortnightly rotations.

Purpose of the Study:

  • To evaluate the effectiveness of community placements in midwife preceptorship.
  • To determine if the balance between skill consolidation and confidence was optimal.
  • To assess the impact of the amended preceptorship program on newly-registered midwives.

Main Methods:

  • A qualitative research project using semi-structured interviews.
  • Interviews conducted before and after the amended preceptorship program.

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  • Data analyzed by an independent reviewer with a sample of 10 midwives and 4 preceptors.

    • Main Results:

    • Midwives valued initial support for skill consolidation and confidence, irrespective of placement.
    • Community-placed midwives maintained a view of childbirth as normal; hospital-placed midwives' philosophy shifted.
    • Fortnightly rotations in community settings were perceived as too fragmented; retention rates improved.

    Conclusions:

    • Newly-qualified midwives require a period of supported practice for confidence.
    • Community placements should be a three-month option, not fortnightly rotated.
    • The preceptorship program positively influenced midwife retention, suggesting improved support.