Facilitators and barriers to competence development among students and newly qualified nurses, midwives and medical doctors: a global perspective

Unice Goshomi, Carol Bedwell, Christina Mudokwenyu-Rawdon, Malcolm Campbell, Tina Lavender

Research output: Contribution to journalArticlepeer-review

Abstract

Background

The availability of a skilled health professional (nurse midwife or doctor) who has been trained and fit for practices to provide maternity care is fundamental in scaling down and ending preventable maternal and child deaths. Knowing the determinants of development of ideal skills for effective practice ensures that women and their babies receive quality maternity care services from skilled birth attendants fit for practice.

Methods

To find and build on the existing evidence addressing aspects linked to competence and confidence development among students, newly qualified nurses, doctors and midwives education from a global perspective, a literature review was undertaken, using the ‘SPIDER’ search strategy to identify relevant papers from multiple databases.

Results

A core category ‘Learning environment’ emerged with two overarching subcategories ‘Internal environment’ and ‘External environment’.

Conclusion

Facilitators and hindrances to competence development are centred on the learning and practice environment and difficult to separate as they are driven by either the student’s or the newly qualified professional’s experience with the learning and practice environment subsequently. This highlights the need for diversity and open mindedness among mentors and administrators in manipulating the environment to the benefit of either the student or the newly qualified professional so that mothers and their babies receive quality care

Original languageEnglish
JournalAfrican Journal of Midwifery and Women's Health (AJM)
DOIs
Publication statusPublished - 2 Apr 2021

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