Student midwives and the use of technologyDr Kenda Crozier

Previous research

•Previous research into midwifery use of technology in labour wards identified 3 ways of working with technology

1. Bureaucratic competence2. Classical Professional competence3. New Professional competence

Bureaucratic Competence Classical Professional Competence

New Professional Competence

Decision making Decisions made on the basis of policies

Decisions made by the professional

Involves women in decision making

Belief in the physiological processes

Tends not to trust the physiological processes

Believes in the efficacy of natural physiological processes

Believes in the efficacy of natural physiological processes

Traditional midwifery skills

Tends not to trust the traditional skills preferring technology

Exercises traditional midwifery skills

Exercises traditional midwifery skills

Individual clinical judgement

More likely to seek medical opinion than act on own judgement

Acts on the basis of individual clinical judgement

Acts on the basis of individual clinical judgement

Belief in efficacy of technology

Believes in the efficacy of technology

To some extent Believes in the efficacy of technology

To a lesser extent believes in the efficacy of technology

Uses best evidence to inform practice

Regards guidelines as best evidence. Will change practice if guidelines are changed

attends mandatory updating but may not change practice

Uses skills of enquiry to continually update knowledge and skills

Role of policy and guidelines in decisions

Governed by guidelines and policy

To some extent is Governed by guidelines and policy

To some extent is Governed by guidelines and policy

Curriculum design

•Our midwifery curriculum aims to ensure that we develop midwives who work in partnership with women and who use technology in an appropriate way.

Use of technology in learning and teaching

•Blackboard interface•On line directed learning activities•Podcastshttp://www.uea.ac.uk/ltg/nam/

Podcasts• Episode 1• Title: Writing for Assignments• Presenters: Jayne Randall and Kenda Crozier• Abstract: Lectures may have pointed you in the right direction, you may have done

your research and preparation, but then the blank piece of paper or screen is in front of you and you can’t think what to say...

 • Episode 2• Title: Administration of Medicines• Presenter: Jayne Randall• Abstract: Today I’ll be discussing the administration of medicines and offering some

key issues for consideration...

• Episode 3• Title: Reflection and Reflective Practice• Presenter: Judy Barker• Abstract: Today I'm going to talk about reflection and reflective practice - you know

that writing that forms a component of your practice outcomes, your portfolio and your assignments. And whenever you tell your academic advisor something interesting they may suggest now go away and reflect on that. The aims of this podcast are to cover the who, what, where, when, why and how of reflection..

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Technology for information

Internet as a source of information

Technology for communication

CommunicationStaying in touchSocial networking

Technology in placement

• In practice settings technology is used to record data, order tests.

•BUT they do not have their own log on details and can only do this under supervision using the mentor’s log in.

•GP surgeries and hospitals have different systems.

Technology for learning support

• To support their learning▫Use of netbooks▫Use of voice recorders for some learning

difficulties▫Phones with internet access apps and calculators▫Tablets with learning materials downloaded –

ebooks, resources from RCOG/NICE/RCM, on line learning tools

Creative ideas

•Public health learning experience•Students presented a range of ideas for

interventions to improve public health•Examples – parenthood education

targeted at fathers – a daddy app•On line diary for pregnant women

What we need to teach1. Electronic search skills – use of databases, creation

of personal libraries with tools like Endnote or Reference manager

2. Professional behaviour relating to technology – responsible social networking and communication

3. Use of appropriate sources that can be helpful in communicating with women

4. Research is needed into the use of technology in practice to contribute to information giving

What we need to learn

•Students are savvy consumers and users of technology

•They understand how our clients use technology in everyday life

•Use their creative energies to develop innovative services