Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/2692

Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: Fitness for practice in nursing and midwifery education in Scotland, United Kingdom
Authors: Holland, Karen
Roxburgh, Michelle
Johnson, Martin
Topping, Keith J
Watson, Roger
Lauder, William
Porter, Mary
Contact Email: cmr3@stir.ac.uk
Keywords: curriculum
evaluation
fitness for practice
mentorship
pre-registration education
student nurses
student midwives
Issue Date: Feb-2010
Publisher: Wiley-Blackwell
Citation: Holland K, Roxburgh M, Johnson M, Topping KJ, Watson R, Lauder W & Porter M (2010) Fitness for practice in nursing and midwifery education in Scotland, United Kingdom, Journal of Clinical Nursing, 19 (3-4), pp. 461-469.
Abstract: Aim. The aim of this paper is to report findings from a major study that evaluated the Fitness for Practice nursing and midwifery curriculum in Scotland, UK. Background. The competence of student nurses and midwives at the point of registration has been the focus of debate and research. However, no major study, on such a large scale, had specifically evaluated pre-registration programmes to determine whether they enabled students to achieve ‘fitness to practice’. Design. The study had a broad evaluation design conducted in three phases using a mixed methodology. Method. Phase 1 involved questionnaires, Objective Structured Clinical Examination’s (OSCE) and curriculum evaluation. Phase 2 involved semi-structured interviews (some telephone) and focus groups across main stakeholders: students (n = 78), mentors (n = 78), practice-education facilitators (n = 24), academics (n = 59), senior clinical (n = 46) and education managers (n = 16), service users and carers (n = 10). Results. The findings suggest that the Fitness for Practice curriculum model in Scotland has on the whole been successful. The key finding is the predominant opinion of stakeholders that newly qualified nurses and midwives are perceived as being fit for practice at the point of registration. A perceived lack of confidence is, as with all transitions to new roles, an understandable outcome. Conclusions. Previous concern that student nurses and midwives are not ‘fit for practice’ has focused on the perceived lack of clinical skills at the point of registration, not on competence to practice in general. This study demonstrates that this is an important distinction and recognises that registration is only the beginning of a life long learning experience. Relevance to clinical practice. Students need to be supported to develop their confidence following registration as well as additional skills in their chosen field of practice. Appropriate mentorship and a period of preceptorship should be in place to accommodate this.
Type: Journal Article
URI: http://hdl.handle.net/1893/2692
URL: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2009.03056.x/abstract
DOI Link: http://dx.doi.org/10.1111/j.1365-2702.2009.03056.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Salford
HS Post Qual - Stirling
University of Salford
University of Dundee
University of Sheffield
HS Research - Stirling
NHS Fife

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