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Validation of the MidACE tool – Students’ perceptions of the Midwifery Academic role in clinical environments
Institution:1. School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia;2. Transforming Maternity Care Collaborative, Australia;1. Research Centre for Midwifery Science, Zuyd University, Universiteitssingel 60, 6229 ER Maastricht, The Netherlands;2. Department of Primary and Community Care, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;3. Center for Bioethics and Social Sciences in Medicine University of Michigan Medical School, North Campus Research Complex, 2800 Plymouth Road, Building 16, 419W, Ann Arbor, MI 48109-2800, USA;1. UNFPA, Sexual and Reproductive Health Branch, New York, United States;2. UNFPA, Asia and Pacific Regional Office, Bangkok, Thailand;3. UNFPA, Office of Geneva, Geneva, Switzerland;4. UNFPA, Arab States Regional Office, Cairo, Egypt;5. UNFPA, East and Southern Africa Regional Office, Johannesburg, South Africa;1. Rosemary Bryant AO Research Centre, Clinical and Health Services, University of South Australia, North Terrace, Adelaide, SA 5000, Australia;2. Clinical and Health Services, University of South Australia, North Terrace, Adelaide, SA 5000, Australia;1. The University of Queensland, School of Nursing, Midwifery and Social Work Level 3, Chamberlain Building (35), St Lucia, Qld 4072, Australia;2. University of the Sunshine Coast, Sippy Downs, Qld 4558, Australia
Abstract:BackgroundSituating Midwifery Academics in clinical environments can have an important impact on students’ clinical learning. Students’ perceptions of this support role in the clinical environment using standardised measures has been under-investigated.AimsTo develop and test a tool that measures midwifery students’ perceptions of the Midwifery Academic role on clinical learning and development of professional knowledge, skills and clinical capability.MethodsA staged process for tool development included draft item generation, review by expert panel for face and content validity and pilot testing with a convenience sample of undergraduate midwifery students. Dimensionality, internal consistency and test–retest reliability were evaluated.ResultsTwo hundred and seventy-nine midwifery students completed an online survey (74% response rate). Responses on the ten-item tool loaded strongly on one factor, explaining 69.6% of variance. Cronbach's alpha (0.94) and test–retest reliability (intraclass coefficient = .92; 95%CI .89–.95) were good. Most students agreed that the Midwifery Academic role supported the integration of midwifery theory and practice and critical self-reflection. Areas for improvement included working in partnership with preceptors; assessing students’ development; and increased presence in the clinical environment.ConclusionsThis study established reliability and validity of the Midwifery Academic in Clinical Environments (MidACE) tool. Students perceived Midwifery Academics could contribute further to their professional knowledge, skills and clinical capability through a strong collaborative presence in the clinical environment.
Keywords:Student  Clinical education  Tool  Midwifery academic
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