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MID8074 Midwifery and Collaborative Care 2

Semester 2, 2013 External Toowoomba
Units : 1
Faculty or Section : Faculty of Sciences
School or Department : Nursing and Midwifery
Version produced : 21 July 2014

Contents on this page

Staffing

Examiner: Jill Scanlan
Moderator: Jennifer Kelly

Requisites

Pre-requisite: MID8001 and MID8070 and Students must be enrolled in Program: MMID
Co-requisite: for MMID pre-registration Students: MID8073

Other requisites

Pre-registration students must be placed with partner hospitals when enrolling in this course

Rationale

Midwives must be able to effectively care for women who are at risk of or experiencing complications of childbearing with an understanding of the associated investigations and essential inter-professional collaborative care. In maintaining individualised and continuous care, midwives must provide supportive counselling for women with complex needs. This course extends the student's previous knowledge and experience of medical and surgical nursing to enable the provision of midwifery care to women and babies experiencing common or significant complications during pregnancy, birth and the postpartum period.

Synopsis

The course will develop the knowledge, attitudes and skills for detection and management of women and neonates who experience complications of childbearing including the associated pharmacological management The course introduces common antenatal screening tests and some of the obstetric complications which they are used to detect. Principles of consultation and referral will underpin midwifery clinical decision making. The needs of the neonate experiencing common complications and the impact on infant feeding associated with maternal or neonatal complications are identified. Students will be able to self-appraise their beginning midwifery practice using the Australian Nursing and Midwifery Council's National Competency Standards for the Midwife during concurrent professional experience practice in their designated hospital.

Objectives

On successful completion of this course, students will be able to:

  1. demonstrate evidence based psychosocial, physiological, procedural, and pharmacological knowledge to be able to safely advocate for, plan culturally sensitive care and provide interventions for women experiencing common complexities during pregnancy, birth and postpartum period;
  2. apply appropriate clinical decision making skills to provide evidence-based collaborative care for women and neonates experiencing deviations from the normal;
  3. assess, plan and implement appropriate care for the neonate experiencing common complications;
  4. provide woman-centred care to promote breast feeding for women or neonates who have associated complications of childbirth
  5. undertake self-appraisal of supervised midwifery practice using the ANMC National Competency Standard for the Midwife.
  6. demonstrate competence and safety in clinical midwifery practice

Topics

Description Weighting(%)
1. Partnership and Collaborative Care - The midwife’s role in assessment; clinical decision making; planning and implementing care. Application of Page’s five steps for applying research to practice to ensure woman centred care within collaborative environments. Antenatal screening tests, scientific rationale and ethical implications. Testing and diagnosis of congenital abnormalities A PHC approach will also be used to discuss genetics and genetic counselling; requesting and interpreting clinical investigations; using the ACM guidelines for consultation and referral; Maintenance of continuity of care in complex care situations. 30.00
2. Midwifery Care for Women Experiencing Complications of Childbearing such as: First trimester complications and abortion;; Obesity; Grand multiparity; Multiple pregnancy; Premature rupture of membranes; Pre-term and post-term labour; Unco-ordinated uterine action (physiological and holistic perspectives); Induction and augmentation of labour; Multiple births; Perineal rupture and repair; Complicated births and surgical interventions; Caesarean section; Vaginal birth after caesarean section; Puerperal sepsis. 40.00
3. Midwifery Care for Neonates Experiencing Complications of Childbearing Needs of the neonate including common complications in adaptation to extra uterine life; physiological jaundice; hypoglycaemia, hypothermia; Complex and Complicated Breastfeeding. 30.00

Text and materials required to be purchased or accessed

ALL textbooks and materials available to be purchased can be sourced from USQ's Online Bookshop (unless otherwise stated). (https://bookshop.usq.edu.au/bookweb/subject.cgi?year=2013&sem=02&subject1=MID8074)

Please contact us for alternative purchase options from USQ Bookshop. (https://bookshop.usq.edu.au/contact/)

  • Both, D & Frischknecht, K 2008, Breastfeeding: An illustrated guide to diagnosis and treatment, Elsevier Australia, Marrickville, N.S.W.
  • Cunningham, GF (Ed) 2010, Williams Obstetrics, 23rd edn, McGraw-Hill, eBook through NetLibrary, New York.
  • Davies, L & McDonald, S 2008, Examination of the newborn and neonatal health, Churchill Livingston, Edinburgh.
  • Pairman, S, Pincombe, J, Thorogood, C & Tracy, SK (eds) 2010, Midwifery preparation for practice, 2nd edn, Elsevier Churchill Livingstone, Marrickville, N.S.W.
  • Pollard, M 2011, Evidence-based care for breastfeeding mothers, Routledge, London.
  • Stables, D & Rankin J (eds) 2010, Physiology in childbearing, 3rd edn, Elsevier Bailliere, Tindall, Edinburgh.

Reference materials

Reference materials are materials that, if accessed by students, may improve their knowledge and understanding of the material in the course and enrich their learning experience.
  • Childbirth Connection (for health professionals),
    <http://www.maternitywise.org/guide/>.
  • Online Database, USQ Library database search through CINAHL, MEDLINE.
  • See Professional Midwifery Practice (PMP) Study Desk for resources.

Student workload requirements

Activity Hours
Assessments 36.00
Community or Industry Placement 12.00
Directed Study 15.00
Private Study 35.00
Professional Experience 76.00

Assessment details

Description Marks out of Wtg (%) Due Date Notes
ON LINE QUIZ 100 35 15 Jul 2013 (see note 1)
BE THE MIDWIFE 50 44 07 Oct 2013
PORTFOLIO 20 20 25 Oct 2013 (see note 2)
PROFESSIONAL PRACTICE 1 1 01 Nov 2013 (see note 3)

NOTES
  1. Quiz opening date will be published on the MID8074 StudyDesk.
  2. Portfolio will include continuity of care experiences written as ANMC competency scenarios.
  3. Details of the professional experiences required for MID8074 will be specified in the USQ MMID Professional Practice Portfolio. These will include evidence of completed industry packages. Details as per MID8074 Study Desk.

Important assessment information

  1. Attendance requirements:
    It is the students' responsibility to actively participate in all activities scheduled for them, and to study all material provided to them or required to be accessed by them to maximize their chance of meeting the objectives of the course and to be informed of course-related activities and administration. Completion of selected community or Industry packages is required to meet both course and health service requirements and computer based assessment (Be the Midwife) within this course. Students are required to participate in an online quiz. Students are required to attend women through continuity of care experiences and maintain contracted supervised professional experience with a USQ partner hospital. Students are required to follow twenty (20) women through in continuity of care. Students must recruit a further ten (10) women to participate in continuity of care experience and have a total minimum of twenty (20) women recruited by completion of this semester (Concurrent with MID8073). Students must have participation with women in continuity of care which meets criteria outlined in the Professional Practice Portfolio. Details for ethical recruitment of women, commitment to continuity of care and documentation required for formative and summative assessment will be included in the Professional Practice Portfolio.
    The minimum requirement for Professional experience in this program is 800 hours, which is to be carried out over the duration of the Program. Continuity of care hours average 20 hours per woman over the care continuum and may be incorporated into paid or unpaid hours.

  2. Requirements for students to complete each assessment item satisfactorily:
    To complete an assessment item satisfactorily, students must obtain at least 50% of the marks available for each of the following written assessments: a) ’Be the Midwife’; b) ‘Portfolio’ activities and c)online quiz. This course contains an online peer discussion forum where students' participation is formally assessed and successful participation in that forum is required to complete the requirements to be awarded a passing grade in the course.

    To satisfactorily complete the Professional Practice, students must provide care for women and fetuses experiencing complications in childbearing. In addition, key clinical skills, as outlined in the course objectives and in the Professional Practice Portfolio), must be assessed by a registered midwife and signed off as 'proficient', as measured by the relevant ANMC competency-basedUSQ Standardised Clinical Assessment Tool(USQSCAT) for that key clinical skill. It will also include documentation to verify completion of MID8074 designated industry packages. Students will then be awarded 1 mark for Professional Practice. Otherwise 0 marks will be awarded for this item.

  3. Penalties for late submission of required work:
    If students submit assignments after the due date without (prior) approval of the examiner then a penalty of 5% of the total marks gained by the student for the assignment may apply for each working day late up to ten working days at which time a mark of zero may be recorded. No assignments will be accepted after model answers have been posted.

  4. Requirements for student to be awarded a passing grade in the course:
    To be assured of a passing grade, students must demonstrate that they have achieved the required minimum standards in relation to the objectives of the course by achieving 50% in each of the following written assessments: a) ‘Be the Midwife’ b) ‘Portfolio’ and c) quiz; and achieving 100% for ‘Professional Practice’.

  5. Method used to combine assessment results to attain final grade:
    The final grades for students will be assigned on the basis of the weighted aggregate of the marks obtained for each of the summative assessment items in the course.

  6. Examination information:
    There is no examination in this course.

  7. Examination period when Deferred/Supplementary examinations will be held:
    There will be no Deferred or Supplementary examinations in this course.

  8. University Student Policies:
    Students should read the USQ policies: Definitions, Assessment and Student Academic Misconduct to avoid actions which might contravene University policies and practices. These policies can be found at http://policy.usq.edu.au.

Assessment notes

  1. The due date for an assignment is the date by which a student must despatch the assignment to the USQ. The onus is on the student to provide proof of the despatch date, if requested by the Examiner.

  2. Students must retain a copy of each item submitted for assessment. This must be sent to USQ within 24 hours of receipt of a request to do so from the Examiner.

  3. The examiner may grant an extension of the due date of an assignment in extenuating circumstances.

  4. Students who do not have regular access to postal services or who are otherwise disadvantaged by these regulations may be given special consideration. They should contact the examiner of the course to negotiate such special arrangements.

  5. In the event that a due date for an assignment falls on a local public holiday in their area, such as a Show holiday, the due date for the assignment will be the next day. Students are to note on the assignment cover the date of the public holiday for the Examiner's convenience.

  6. Students who have undertaken all of the required assessments in a course but who have failed to meet some of the specified objectives of a course within the normally prescribed time may be awarded the temporary grade: IM (Incomplete - Make up). An IM grade will only be awarded when, in the opinion of the examiner, a student will be able to achieve the remaining objectives of the course after a period of non-directed personal study.

  7. Students who, for medical, family/personal, or employment-related reasons, are unable to complete an assignment or to sit for an examination at the scheduled time may apply to defer an assessment in a course. Such a request must be accompanied by appropriate supporting documentation. One of the following temporary grades may be awarded IDS (Incomplete - Deferred Examination; IDM (Incomplete Deferred Make-up); IDB (Incomplete - Both Deferred Examination and Deferred Make-up).

  8. Students will require access to e-mail and the internet for this course.

Evaluation and benchmarking

Student evaluations will be compiled to evaluate the student experience, relevance of the course content and the effectiveness of course delivery. Clinical milieu data will be extrapolated to maintain Clinical contractual arrangements with appropriate and supportive clinical agencies. It is expected that all students undertaking this course will complete the online student evaluation.

Other requirements

  1. Students will require access to e-mail and internet access to UConnect for this course

  2. Harvard (AGPS) is the referencing system required in this course. Students should use Harvard (AGPS) style in their assignments to format details of the information sources they have cited in their work. The USQ library provides advice on how to format information sources using this system
    http://www.usq.edu.au/library/help/ehelp/ref_guides/harvard.htm
    http://www.usq.edu.au/library/help/ehelp/ref_guides/harvardonline.htm