Midwifery Student Evaluation of Practice: The MidSTEP tool — Perceptions of clinical learning experiences

BackgroundLittle emphasis has been given to the standardised measurement of midwifery students’ perceptions of their clinical learning experiences.AimTo develop a tool that evaluates students’ perceptions of their clinical learning experiences according to environment and impact of preceptors on professional development.MethodsA cross-sectional design was used. Tool development had three phases: item generation; expert review to assess clarity, apparent internal consistency and content validity; and psychometric testing. All Bachelor of Midwifery students at one university in Australia were invited to complete the online survey. Psychometric testing included dimensionality, internal consistency and test-retest reliability.ResultsA 74% (n = 279) response rate was achieved. Factor analysis revealed the Clinical Learning Environment Scale and Impact of the Midwifery Preceptor Scale accounting for 53.6% and 71.5% of variance respectively. Both scales were reliable (Cronbach’s alpha = .92 and .94) and valid. Overall, students positively rated the clinical learning environment and preceptors’ abilities to foster their sense of identity as a midwife. Students were less satisfied with preceptors’ understanding of the academic program.DiscussionThe new tool consists of two scales that reliably measure midwifery students’ perceptions of how the clinical learning environment develops their skills and reflects a midwifery philosophy. Preceptors had a positive influence on students’ skills and professional development.ConclusionsThe Midwifery Student Evaluation of Practice tool is the first valid and reliable measure of students’ perceptions of their clinical learning experiences. Students’ feedback provides valuable information to educators and preceptors on how best to optimise clinical learning.     

Midwifery leaders’ views on the factors considered crucial to implementing evidence-based practice in clinical areas

ProblemThe evidence-to-practice gap continues to persist in healthcare and midwives report limited knowledge and use of effective intervention strategies to support the implementation of new evidence-based practices in clinical settings.BackgroundDespite ongoing development and dissemination of high quality research findings, the translation of latest research evidence by midwives into new evidence-based practices remains sub-optimal. This inefficiency places consumers at risk of obsolete or potentially dangerous healthcare interventions.AimTo explore midwifery leaders’ views on what information and support midwives require to lead practice change initiatives in clinical areas.MethodsThe study formed part of a broader Participatory Action Research (PAR) project designed to improve the processes by which midwives implement evidence-based practice change in clinical settings. The study employed a qualitative design and was guided by the methodological underpinnings of Action Research (AR).FindingsOne core finding emerged to fulfil the aim and objectives of the study. To lead implementation of evidence-based practices, midwives need practical solutions and a map of the process, packaged into a centralised web-based resource.DiscussionThe findings reported in this study provide valuable insight into the specific needs of midwives wanting to improve the uptake and longevity of new evidence based practices in clinical areas. This includes information specific to evidence implementation, support networks and knowledge of Implementation Science.ConclusionTo lead practice change initiatives, midwives require a web-based resource that standardises the process of evidence implementation, while providing midwives with clear direction and the support needed to confidently champion for evidence base change in clinical areas.     

Development and Validation of a Scale for the Measurement of Adolescents’ Developmental Assets in the Neighborhood

The aim of this study was to develop a valid and reliable instrument to assess features of a neighborhood that are relevant to the development and adjustment of adolescents. First, a scale was created from a literature review. Second, the content validity of this scale was validated through expert opinion. Finally, the scale was administered to a sample population for analysis of its psychometric properties. The sample consisted of 2,400 adolescents (1,068 boys and 1,332 girls) between ages 12 and 17 who were secondary students in public and private schools in Western Andalusia. The results demonstrate the adequacy of the psychometric properties of the constructed scale.     

Academic Buildings and Their Influence on Students’ Wellbeing in Higher Education Institutions

The purpose of this study is to explore the perception of students about aspects of academic building that affect their wellbeing. The study adopts focus group discussion using semi structured interview guide to elicit their responses. Six different groups of students participated in the study. Interviews were recorded using digital audio recorder and were later transcribed to text. The qualitative data obtained was analysed through content analysis. Six key themes that emerged from the analysis are: comfort; health and safety; access and quality of facilities; space provision and adequacy; participation and inclusiveness; interaction. These six items are considered as parameters that are important to students’ wellbeing in relation to academic buildings. The most emphasised aspects of academic building that are essential to meeting students need include thermal conditions, internet access, furniture, duration of access, availability of refreshment facilities, availability of discussion room and availability of personal workstation. This implies that facilities managers in higher education institutions should give adequate attention to these identified aspects of academic buildings as they can potentially affect students output.     

Women millennials’ perceptions of pension savings through the use of autoenrollment in the UK pension system

There has been concern about younger people, and women in particular, not saving enough for retirement and how to encourage further saving. Therefore, this study—partly funded by the Fawcett Society in association with Scottish Widows—explores female millennials’ attitudes and motivations toward pension saving and automatic enrollment through the use of 40 semistructured interviews and a focus group. The findings show that although the introduction of autoenrollment pensions is generally positively received, pensions knowledge is still limited, and this intensifies the risk of undersaving for retirement among millennial women, particularly given women’s diverse work histories.     

Midwives’ role in the provision of maternal and childhood immunisation information

ProblemInactivated influenza vaccine and diphtheria-tetanus acellular pertussis vaccine are routinely recommended during pregnancy to protect women and their babies from infection. Additionally, the hepatitis B vaccine is recommended for infants within the first week of life; however, little is known about midwives’ experiences of recommending and delivering these immunisations.BackgroundMidwives are a trusted source of vaccine information for parents and the confident provision of information about immunisation during antenatal clinic visits has been found to increase the uptake of antenatal and childhood vaccines.AimThis study aims to explore midwives’ experiences of discussing maternal and childhood immunisation with women and their partners and their confidence in answering parent’s questions.MethodsWe conducted 23 semi-structured interviews with registered Australian midwives working in public and private hospital settings, and in private practice.FindingsMidwives find negotiating the requirement to recommend immunisation within a women-centred framework challenging at times. The vast majority of midwives described their education on immunisation as inadequate and workplace issues, such as time pressure, were identified as further barriers to effective communication about immunisation.Discussion/conclusionThe provision of immunisation training within midwifery education and continued professional development is critical. Appropriately resourcing midwives with the necessary infrastructure, education and resources to fully inform parents about immunisation may have a positive impact on vaccine uptake.     

The Performance of the World Health Organization’s WHOQOL-BREF in Assessing the Quality of Life of Thai College Students

The purpose of this study was to examine the performance of the Thai-version of WHOQOL-BREF in assessing the quality of life (QoL) among Thai college students. The psychometric properties of WHOQOL-BREF were assessed in this study. The self-administered WHOQOL-BREF questionnaire was applied. A total of 407 Thai college students (male age = 20.5 ± 1.2; female age = 20.5 ± 1.2) participated in this study. Item-response distributions, internal consistency reliability, discriminant validity, criterion-related validity and construct validity through confirmatory analysis were analyzed. The findings indicate that the WHOQOL-BREF had acceptable internal consistency (α = 0.73–0.83 across four domains), all items highly correlated with corresponding domain scores (r = 0.53–0.80), the indices of a two-order confirmatory factor analysis (CFA) demonstrate that the data fit the model well with allowing covary of error variances of some items, all items had good property of criterion-related validity and item discrimination and, all three domain scores except the social relationship domain had significant associations with overall QoL or general health. The results suggest that the WHOQOL-BREF was reliable and valid to health professionals in the assessment of the QoL of college-based Thai youth, but some unsuitable items may be deleted in future studies.     

Psychometric Evaluation of the Serbian Version of the Multidimensional Students’ Life Satisfaction Scale

The main purpose of this study was to evaluate psychometric properties of the Serbian version of the Multidimensional Students’ Life Satisfaction Scale (MSLSS). The research was carried out on a sample of 408 high school students (250 females, 158 males), with the mean age 16.6. The Serbian version of the MSLSS has demonstrated good psychometric properties. The internal consistency coefficients (Cronbach’s α) for the MSLSS domain and total scores were adequate. Support for the validity of the MSLSS was provided by the pattern of correlations with various positive and negative indicators of well-being. However, it has been suggested that shortening the scale from 40 items to 25 items could provide more accurate measure of adolescents’ life satisfaction for the future research.     

Pregnant adolescent women’s perceptions of depression and psychiatric services in the United States

Problem

Adolescent mothers and their children are at high-risk for depression and the associated negative educational, social, health, and economic outcomes.

Equality and Diversity in the Classroom: A Comparison of Students’ and Teachers’ Attitudes in Six European Countries

Globalisation and increased mobility of people within the EU have led to increased immigration and greater diversity within many EU countries, which have affected the composition of workplaces and classrooms. This includes diversity in terms of nationality, as well as ethnic, racial and religious diversity. This article expands awareness of diversity issues in the workplace to classrooms. It is based on a crosscultural comparative study of the attitudes of secondary school students and their teachers in six European countries: Ireland, the UK, France, Latvia, Italy and Spain. The sample included 320 students and 208 teachers for a total of 528 respondents. The article compares and contrasts attitudes towards non-national students, ethnic and religious minorities and disabled students, as well as gender issues, bullying and general perceptions of equality and diversity. The findings demonstrate generally positive attitudes among young people towards the increasing diversity in their classrooms. Moreover, the study revealed that in countries where there is greater diversity, the perception of difficulties is lower than in countries with less experience of diversity, suggesting that greater diversity and intergroup contact is resulting in more inclusive attitudes in schools. However, results comparing students with teachers identified consistent gaps in perceptions, with teachers having greater estimates of difficulties posed by diversity, together with smaller estimates of bullying behaviour. The study demonstrated that there is a need for teachers to have enhanced skills and competencies to deal effectively with this new environment in order to facilitate a more inclusive classroom.     

Determinants of Middle School Students’ Participation in Shadow Education in Japan

Social Indicators Research - Although previous studies have examined the likelihood of students’ participation in shadow education (private supplemental education), these studies have not...     

Turkish Validity Examination of the Multidimensional Students’ Life Satisfaction Scale

The validation studies of the Multidimensional Students’ Life Satisfaction Scale (MSLSS) have been conducted with samples from different nations but mostly from western individualistic cultures. Life satisfaction and its constructs could differ depending on cultural characteristics and life satisfaction scales should be validated in different cultures before using as measurement tools. This paper exhibits the validation study of the MSLSS in the collectivistic Turkish context and the study was conducted among 959 high school and primary school students. The MSLSS was found to be reliable and valid for the Turkish context with a few exceptions.     

Quality of College Life (QCL) of Students in Turkey: Students’ Life Satisfaction and Identification

Understanding the complexities of a students’ quality of life has become essential in order for universities to plan their spending most efficiently. This study tests a model which was used to judge the satisfaction of college life and evaluates the overall impact of quality of college life (social, academic, and service satisfaction), life satisfaction, and identification. Secondly, the study assesses the impact of a university’s academic program, social life, facilities, and services on the students’ college life quality in this sample in relation to similar studies from Turkey and other countries. The survey included 1,260 students attending a public university in northwestern Turkey. Measurement tools included the quality of college life scale (QCL), Satisfaction with college life scale, identification scale satisfaction with life scale and personal information form. The results show social satisfaction has the strongest positive impact on QCL. This study found that life satisfaction and university identification had a positive impact on a university student’s satisfaction with college life. According to survey results it is also suggested that University administrators can primarily focus on improving the social satisfaction of the students then improve facilities and services, in order to raise academic satisfaction levels.