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Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis

BACKGROUND: The purpose of midwifery education is to produce clinically competent midwives. However, clinical training in Malawi faces multiple challenges, and the concept of Clinical Competency (CC) has not been analysed in this context. This article analyses CC during undergraduate midwifery train...

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Autores principales: Baluwa, Masumbuko Albert, Mndolo, Neggie Chinyanga Mkundika, Yeboa, Naomi Kyeremaa, Mpeta-Phiri, Cynthia, Haruzivishe, Clara, Chirwa, Ellen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10543071/
https://www.ncbi.nlm.nih.gov/pubmed/37789928
http://dx.doi.org/10.2147/AMEP.S426347
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author Baluwa, Masumbuko Albert
Mndolo, Neggie Chinyanga Mkundika
Yeboa, Naomi Kyeremaa
Mpeta-Phiri, Cynthia
Haruzivishe, Clara
Chirwa, Ellen
author_facet Baluwa, Masumbuko Albert
Mndolo, Neggie Chinyanga Mkundika
Yeboa, Naomi Kyeremaa
Mpeta-Phiri, Cynthia
Haruzivishe, Clara
Chirwa, Ellen
author_sort Baluwa, Masumbuko Albert
collection PubMed
description BACKGROUND: The purpose of midwifery education is to produce clinically competent midwives. However, clinical training in Malawi faces multiple challenges, and the concept of Clinical Competency (CC) has not been analysed in this context. This article analyses CC during undergraduate midwifery training in Malawi to elucidate its attributes, antecedents, consequences, and empirical referents. METHODS: A literature search was performed on data bases, Google Scholar, PubMed, and CINAHL, using the following terms: clinical competency, midwifery competency, nursing competency, nursing and midwifery competency. Published articles were retrieved and clinical competency analysis was guided by Walker and Avant’s strategy. RESULTS: CC attributes were knowledge, skills, attitudes, performance level, professionalism, and entrustable professional activity. Antecedents included motivation, role models, learning environment and personal traits. The consequences of CC include confidence, client safety, and quality of care. CC can be measured through a combination of four strategies: observing a student practising it in clinical area, simulation or Objective Structured Clinical Examination (OSCE), application through written essays or case presentations, and knowledge-based assessment. CONCLUSION: CC is a multidimensional concept and its definition and defining attributes are contextual. Similarly, clinical competencies are a major determinant of educational decisions such as curriculum nucleus, length of clinical placement, teaching strategies, and student assessment methods. However, CC and its attributes have not been fully utilised in Malawi, especially in clinical teaching and student clinical assessments. There is a need to adequately prepare midwifery educators, clinical staff, and students to deliver quality clinical competencies consistent with competency-based education. Adoption of different assessment strategies and development of valid and reliable tools is necessary to comprehensively measure CC among midwifery students in Malawi.
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spelling pubmed-105430712023-10-03 Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis Baluwa, Masumbuko Albert Mndolo, Neggie Chinyanga Mkundika Yeboa, Naomi Kyeremaa Mpeta-Phiri, Cynthia Haruzivishe, Clara Chirwa, Ellen Adv Med Educ Pract Review BACKGROUND: The purpose of midwifery education is to produce clinically competent midwives. However, clinical training in Malawi faces multiple challenges, and the concept of Clinical Competency (CC) has not been analysed in this context. This article analyses CC during undergraduate midwifery training in Malawi to elucidate its attributes, antecedents, consequences, and empirical referents. METHODS: A literature search was performed on data bases, Google Scholar, PubMed, and CINAHL, using the following terms: clinical competency, midwifery competency, nursing competency, nursing and midwifery competency. Published articles were retrieved and clinical competency analysis was guided by Walker and Avant’s strategy. RESULTS: CC attributes were knowledge, skills, attitudes, performance level, professionalism, and entrustable professional activity. Antecedents included motivation, role models, learning environment and personal traits. The consequences of CC include confidence, client safety, and quality of care. CC can be measured through a combination of four strategies: observing a student practising it in clinical area, simulation or Objective Structured Clinical Examination (OSCE), application through written essays or case presentations, and knowledge-based assessment. CONCLUSION: CC is a multidimensional concept and its definition and defining attributes are contextual. Similarly, clinical competencies are a major determinant of educational decisions such as curriculum nucleus, length of clinical placement, teaching strategies, and student assessment methods. However, CC and its attributes have not been fully utilised in Malawi, especially in clinical teaching and student clinical assessments. There is a need to adequately prepare midwifery educators, clinical staff, and students to deliver quality clinical competencies consistent with competency-based education. Adoption of different assessment strategies and development of valid and reliable tools is necessary to comprehensively measure CC among midwifery students in Malawi. Dove 2023-09-26 /pmc/articles/PMC10543071/ /pubmed/37789928 http://dx.doi.org/10.2147/AMEP.S426347 Text en © 2023 Baluwa et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Baluwa, Masumbuko Albert
Mndolo, Neggie Chinyanga Mkundika
Yeboa, Naomi Kyeremaa
Mpeta-Phiri, Cynthia
Haruzivishe, Clara
Chirwa, Ellen
Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis
title Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis
title_full Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis
title_fullStr Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis
title_full_unstemmed Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis
title_short Clinical Competency During Undergraduate Midwifery Training in Malawi: A Concept Analysis
title_sort clinical competency during undergraduate midwifery training in malawi: a concept analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10543071/
https://www.ncbi.nlm.nih.gov/pubmed/37789928
http://dx.doi.org/10.2147/AMEP.S426347
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