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Developing competence and confidence in midwifery: focus groups with Swedish midwives
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0002-7684-1100
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Uppsala Universitet.ORCID iD: 0000-0001-6985-6729
Östersunds sjukhus.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
2017 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 30, no 1, E32-E38 p.Article in journal (Refereed) Published
Abstract [en]

Background

Midwives have a significant impact on the clinical outcome and the birthing experience of women. However, there has been a lack of research focusing specifically on clinical midwives’ learning and development of professional competence.

Aim

The objective of the study was to describe how midwives reflect on learning and the development of professional competence and confidence.

Methods

A qualitative study based on focus groups with midwives employed in maternity services.

Findings

Four categories describe the results: (1) Feelings of professional safety evolve over time; (2) Personal qualities affect professional development; (3) Methods for expanding knowledge and competence; and (4) Competence as developing and demanding. The meaning of competence is to feel safe and secure in their professional role. There was a link between the amount of hands-on intrapartum experience and increasing confidence that is, assisting many births made midwives feel confident. Internal rotation was disliked because the midwives felt they had less time to deepen their knowledge and develop competence in a particular field. The midwives felt they were not seen as individuals, and this system made them feel split between different assignments.

Discussion

External factors that contribute to the development of knowledge and competence include the ability to practise hands-on skills in an organisation that is supportive and non-threatening. Internal factors include confidence, self-efficacy, and a curiosity for learning.

Conclusions

Midwives working within an organisation should be supported to develop their professional role in order to become knowledgeable, competent and confident.

Place, publisher, year, edition, pages
2017. Vol. 30, no 1, E32-E38 p.
Keyword [en]
Competence, Confidence, Midwifery, Knowledge, Learning
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-29444DOI: 10.1016/j.wombi.2016.08.004ISI: 000397042900016PubMedID: 27562606Scopus ID: 2-s2.0-84997281848OAI: oai:DiVA.org:miun-29444DiVA: diva2:1052609
Available from: 2016-12-07 Created: 2016-12-07 Last updated: 2017-07-04Bibliographically approved

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Bäck, LenaHildingsson, IngegerdKarlström, Annika
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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • asciidoc
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