Would a student midwife run postnatal clinic make a valuable addition to midwifery education in the UK? — A systematic review

Abstract

Background -There is growing evidence in the UK that some National Health Service improvements, particularly in the postnatal period, are having an impact on the quality and variety of student midwives' clinical experiences, making it challenging for them to meet the standards set by the regulatory body for midwives and receive a licence to practice. A possible solution to this may be the introduction of a Student Midwife integrated Learning Environment (SMiLE) focusing upon the delivery of postnatal care (PN) through a student run clinic Objective -To identify the current state of knowledge, regarding the educational outcomes of students who engage with student run clinics (SRC) and the satisfaction of patients who attend them Search strategy -BNI, CINAHL, EMBASE, MEDLINE were searched for articles published until April 2014.Selection criteria -Studies nationally and internationally, that were carried out on healthcare students running their own clinics. Outcome measures were the evaluation of educational outcomes of students and client satisfaction were included Data collection and analysis -Data were extracted, analysed and synthesised to produce a summary of knowledge, regarding the effectiveness of SRC's Main results -6 studies were selected for this review Authors conclusions -The findings that SRC can offer advantages in improving educational outcomes of students and provide an effective service to clients is encouraging. However, given the limited number of high-quality studies included in this review, further research is required to investigate the effectiveness of SRC

Nursing students’ and lecturers’ experiences of learning at a university-based nursing student–run health clinic

“…Student-run clinics are a good means of education and a way to provide clinical experience for students while also offering increased access to health care in the community (Kent & Keating, 2015;Marsh, Colbourne, Way, & Hundley, 2015;Meah, Smith, & Thomas, 2009;Stuhlmiller & Tolchard, 2015). There is evidence that student-run health clinics provide care with high levels of patient satisfaction (Fröberg et al, 2018;Kent & Keating, 2015;Marsh et al, 2015), with no differences in care delivered by interprofessional teams or single disciplines (Kent & Keating, 2015).…”

“…Student-run clinics are a good means of education and a way to provide clinical experience for students while also offering increased access to health care in the community (Kent & Keating, 2015;Marsh, Colbourne, Way, & Hundley, 2015;Meah, Smith, & Thomas, 2009;Stuhlmiller & Tolchard, 2015). There is evidence that student-run health clinics provide care with high levels of patient satisfaction (Fröberg et al, 2018;Kent & Keating, 2015;Marsh et al, 2015), with no differences in care delivered by interprofessional teams or single disciplines (Kent & Keating, 2015). While interprofessional student-run clinics are well known and described (Ateah et al, 2011;Fröberg et al, 2018;Kent & Keating, 2015;Lapkin, Levett-Jones, & Gilligan, 2013;Marsh et al, 2015;Pilon et al, 2015), as are medical studentrun clinics (Meah et al, 2009), there are fewer studies of nursing student-run clinics (Ozolins et al, 2014;Stuhlmiller & Tolchard, 2015).…”

“…Satisfaction with the learning environment was reported (Fröberg et al, 2018;Marsh et al, 2015), in particular regarding the educational atmosphere, collaboration with the supervisor (Fröberg et al, 2018) and the possibilities to integrate research and apply theory to practice (Marsh et al, 2015). Supervisors' experiences of student-run clinics reveal the possibilities of focusing on pedagogical targets and students' individual needs, while the supervisors expressed the need for continuous pedagogical training and development of their own competence (Fröberg et al, 2018).…”

“…Supervisors' experiences of student-run clinics reveal the possibilities of focusing on pedagogical targets and students' individual needs, while the supervisors expressed the need for continuous pedagogical training and development of their own competence (Fröberg et al, 2018). The possibility of learning from one another is highly valued at the student-run clinics (Marsh et al, 2015;Stuhlmiller & Tolchard, 2015). A challenge was identified, however, regarding the evaluation of student learning (Marsh et al, 2015).…”

“…The possibility of learning from one another is highly valued at the student-run clinics (Marsh et al, 2015;Stuhlmiller & Tolchard, 2015). A challenge was identified, however, regarding the evaluation of student learning (Marsh et al, 2015).…”