Title: Student midwives' views on maternity care just before their graduation
Authors: Van Kelst, Liesbeth ×
Spitz, Bernard
Sermeus, Walter
Thomson, Ann M #
Issue Date: Mar-2013
Publisher: Blackwell Scientific Publ.
Series Title: Journal of advanced nursing vol:69 issue:3 pages:600-609
Article number: 10.1111/j.1365-2648.2012.06042.x
Abstract: van kelst l., spitz b., sermeus w. & thomson a.m. (2012) Student midwives' views on maternity care just before their graduation. Journal of Advanced Nursing00(0), 000-000. doi: 10.1111/j.1365-2648.2012.06042.x ABSTRACT: Aim.  To report a hermeneutic study of student midwives' views on maternity care just before their graduation. Background.  Woman-centred care, which is the hallmark of midwifery, is taught to midwifery students around the globe. Woman-centred care is advantageous for women at low obstetric risk. However, adopting this ideology might be a problem for student midwives whose clinical placements are mainly in a medicalized obstetric-led hospital setting. Design.  A hermeneutic phenomenological study was conducted. Methods.  In 2010, three focus groups were held where 19 student midwives participated. Data were transcribed verbatim and analysed using van Manen's approach. Findings.  The choice for midwifery was a 'positive' choice and not the result of an elimination process. Students' description of a midwife as a coach was in line with the international definition of a midwife. With regard to maternity care, midwifery students identified two types of care, factory-style care and tailored care, both of which were ascribed to caregivers and hospital culture. Furthermore, student midwives made the distinction between hierarchy and teamwork, referring to the professional relations in maternity care. Hierarchy was driven by tradition, it implied that decisions were made top-down, and it resulted in impersonal relations. Midwifery students felt it was unjust that midwives were not allowed to perform deliveries while having the legal autonomy to do so. Conclusion.  In spite of the medicalized context, midwifery education succeeded in educating midwives who hold a woman-centred ideology. Midwifery students linked style of care to a person rather than to a profession.
ISSN: 0309-2402
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Pregnancy, Foetus and Newborn (-)
Department of Public Health miscellaneous
Academic Centre for Nursing and Midwifery
Nursing and Health Care Management Teaching Methodology and Practicals
× corresponding author
# (joint) last author

Files in This Item:

There are no files associated with this item.

Request a copy


All items in Lirias are protected by copyright, with all rights reserved.

© Web of science