Marnie Griffiths | Griffith University (original) (raw)
Papers by Marnie Griffiths
Women and Birth, Sep 1, 2008
Objective: To develop a formal, robust and transparent process that supports and enables midwives... more Objective: To develop a formal, robust and transparent process that supports and enables midwives to reflect on their own midwifery practice in relation to recognised professional standards and identify, prioritise and act upon individual professional development and learning needs for the provision of safe, high quality care to women and their families within the full scope of practice. This was part of a national project commissioned by the Australian College of Midwives and funded by the Australian Council for Safety and Quality in Health Care and is part of Continuing Professional Development program developed by the Australian College of Midwives. Approach: A multi-method, staged approach with data collected through a literature review, workshop consultations, written submissions and pilot testing in order to develop the national process. Finally, a national training workshop was undertaken to train reviewers and to ensure the final process was validated and was feasible and acceptable to midwives and consumers.
Systematic review of tools to measure preceptors' perceptions of their role in undergraduate health clinical education
Nurse Education Today, Jul 1, 2021
OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinica... more OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinical education of health undergraduate students. BACKGROUND Measurement of preceptors' perceptions of their role in students' learning in practice lacks consistency. The preceptor role makes an important contribution to quality clinical education. DESIGN A systematic literature review informed by PRISMA Guidelines. DATA SOURCES Major databases CINAHL, ProQuest, Nursing and Allied Health, Medline, Health Reference Centre, Joanna Briggs Institute, PsychInfo and Google Scholar were searched. REVIEW METHODS The search strategy yielded a total of 166 papers. Screening for inclusion resulted in 28 papers for critical appraisal and review. RESULTS Twenty-two individual tools were identified. Fourteen were named. Nine tools were new, study-specific and untitled. Eight tools were informed by previous research. A third of studies were appraised as being of good quality. A lack of consistency in measures, use of small convenience samples and reliance on self-reported outcomes limited the generalisability of findings. CONCLUSIONS Two tools were suitable measures of preceptors' perceptions of their role or an appropriate measure for preceptor effectiveness in students' learning in practice. These tools were tested on the nursing profession only. Ensuring quality in clinical education requires consideration of experiences of key stakeholders and standard measurement of perspectives, effectiveness and preparedness to achieve quality clinical learning outcomes for students.
Nurse Education in Practice, Nov 1, 2019
The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery wor... more The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery workforce issues by the Queensland Government was unique in the Australian context. Midwifery students were embedded within a private midwifery caseload practice or rural publicly funded midwifery group practice (MGP). Continuity of midwifery care was at the core of the students' learning experience. This paper describes a study designed to explore the expectations and experiences of this group of newly qualified midwives as they transitioned to practice. Using a qualitative descriptive methodology, eight newly qualified midwives were interviewed. Thematic analysis was used to analyse the data set. Six themes were identified; 'Midwifery-an unexpected career path', 'The 'gifts' of being embedded in caseload as a midwifery student', 'No jobsno real choice', The hospital system-A whole different world', 'Resetting (or Adapting) expectations-Drawing on what I know to be true' and 'What the future holds'. Transitioning to practice after being embedded in caseload midwifery as a student provided challenges for the newly qualified midwives. At the same time it 'gifted' them a strong commitment to woman centred care, continuity and a social model of maternity which they draw on to support their transition.
Women and Birth, Sep 1, 2012
Background: An appropriately educated and competent workforce is crucial to an effective health c... more Background: An appropriately educated and competent workforce is crucial to an effective health care system. The National Health Workforce Taskforce (now Health Workforce Australia) and the Maternity Services Inter-Jurisdictional Committee funded a project to develop Core Competencies and Educational Framework for Primary Maternity Services in Australia. These competencies recognise the interdisciplinary nature of maternity care in Australia where care is provided by general practitioners, obstetricians and midwives as well as other professionals. Participants: Key stakeholders from professional organisations and providers of services related to maternity care and consumers of services. Methods: A national consensus approach was undertaken using consultation processes with a Steering Committee, a wider Reference Group and public consultation. Findings: A national Core Competencies and Educational Framework for Primary Maternity Services in Australia was developed through an iterative process with a range of key stakeholders. There are a number of strategies that may assist in the integration of these into primary maternity service provider professional groups' education and practice. Conclusions: The Core Competencies and Educational Framework are based on an interprofessional approach to learning and primary maternity service practice. They have sought to value professional expertise and stimulate awareness and respect for the roles of all primary maternity service providers. The competencies and framework described in this paper are now a critical component of Australian maternity services as they are included in actions in the newly released National Maternity Services Plan and thus have relevance for all providers of Australian maternity services.
Development and testing of the Midwifery Perceptions and Assessment of Clinical Teaching (MidPaACT) tool
Nurse Education Today
Systematic review of interventions to enhance preceptors’ role in undergraduate health student clinical learning
Nurse Education in Practice
Exploring portfolio use in midwifery education
Validation of the MidACE tool – Students’ perceptions of the Midwifery Academic role in clinical environments
Women and Birth
BACKGROUND Situating Midwifery Academics in clinical environments can have an important impact on... more BACKGROUND Situating Midwifery Academics in clinical environments can have an important impact on students' clinical learning. Students' perceptions of this support role in the clinical environment using standardised measures has been under-investigated. AIMS To develop and test a tool that measures midwifery students' perceptions of the Midwifery Academic role on clinical learning and development of professional knowledge, skills and clinical capability. METHODS A staged process for tool development included draft item generation, review by expert panel for face and content validity and pilot testing with a convenience sample of undergraduate midwifery students. Dimensionality, internal consistency and test-retest reliability were evaluated. RESULTS Two hundred and seventy-nine midwifery students completed an online survey (74% response rate). Responses on the ten-item tool loaded strongly on one factor, explaining 69.6% of variance. Cronbach's alpha (0.94) and test-retest reliability (intraclass coefficient=.92; 95%CI .89-.95) were good. Most students agreed that the Midwifery Academic role supported the integration of midwifery theory and practice and critical self-reflection. Areas for improvement included working in partnership with preceptors; assessing students' development; and increased presence in the clinical environment. CONCLUSIONS This study established reliability and validity of the Midwifery Academic in Clinical Environments (MidACE) tool. Students perceived Midwifery Academics could contribute further to their professional knowledge, skills and clinical capability through a strong collaborative presence in the clinical environment.
Women and Birth
Little emphasis has been given to the standardised measurement of midwifery students' perceptions... more Little emphasis has been given to the standardised measurement of midwifery students' perceptions of their clinical learning experiences. To develop a tool that evaluates students' perceptions of their clinical learning experiences according to environment and impact of preceptors on professional development. A cross-sectional design was used. Tool development had three phases: item generation; expert review to assess clarity, apparent internal consistency and content validity; and psychometric testing. All Bachelor of Midwifery students at one university in Australia were invited to complete the online survey. Psychometric testing included dimensionality, internal consistency and test-retest reliability. A 74% (n = 279) response rate was achieved. Factor analysis revealed the Clinical Learning Environment Scale and Impact of the Preceptor Scale accounting for 53.6% and 71.5% of variance respectively. Both scales were reliable (Cronbach's alpha = .92 and .94) and valid. Overall, students positively rated the clinical learning environment and preceptors' abilities to foster their sense of identity as a midwife. Students were less satisfied with preceptors' understanding of the academic program. The new tool consists of two scales that reliably measure midwifery students' perceptions of how the clinical learning environment develops their skills and reflects a midwifery philosophy. Preceptors had a positive influence on students' skills and professional development. The Midwifery Student Evaluation of Practice tool is the first valid and reliable measure of students' perceptions of their clinical learning experiences. Students' feedback provides valuable information to educators and preceptors on how best to optimise clinical learning.
Nurse Education in Practice
The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery wor... more The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery workforce issues by the Queensland Government was unique in the Australian context. Midwifery students were embedded within a private midwifery caseload practice or rural publicly funded midwifery group practice (MGP). Continuity of midwifery care was at the core of the students' learning experience. This paper describes a study designed to explore the expectations and experiences of this group of newly qualified midwives as they transitioned to practice. Using a qualitative descriptive methodology, eight newly qualified midwives were interviewed. Thematic analysis was used to analyse the data set. Six themes were identified; 'Midwifery -an unexpected career path', 'The 'gifts' of being embedded in caseload as a midwifery student', 'No jobsno real choice', The hospital system -A whole different world', 'Resetting (or Adapting) expectations -Drawing on what I know to be true' and 'What the future holds'. Transitioning to practice after being embedded in caseload midwifery as a student provided challenges for the newly qualified midwives. At the same time it 'gifted' them a strong commitment to woman centred care, continuity and a social model of maternity which they draw on to support their transition.
Medical Journal of Australia
Women and Birth, 2008
Objective: To develop a formal, robust and transparent process that supports and enables midwives... more Objective: To develop a formal, robust and transparent process that supports and enables midwives to reflect on their own midwifery practice in relation to recognised professional standards and identify, prioritise and act upon individual professional development and learning needs for the provision of safe, high quality care to women and their families within the full scope of practice. This was part of a national project commissioned by the Australian College of Midwives and funded by the Australian Council for Safety and Quality in Health Care and is part of Continuing Professional Development program developed by the Australian College of Midwives. Approach: A multi-method, staged approach with data collected through a literature review, workshop consultations, written submissions and pilot testing in order to develop the national process. Finally, a national training workshop was undertaken to train reviewers and to ensure the final process was validated and was feasible and acceptable to midwives and consumers. Setting: Maternity care settings in each state and territory in Australia. Participants: Midwives, other health professionals and consumers of midwifery care. The Midwifery Practice Review process was developed through research and consultation prior to being validated in practice. The Midwifery Practice Review process is currently being implemented and evaluated in Australia. The Midwifery Practice Review Project established a national validated process for assessing the ongoing competence of midwives. The resulting program helps to reinforce responsibility and accountability in the provision of quality midwifery care through safe and effective practice.
Women and birth : journal of the Australian College of Midwives, 2011
BACKGROUND: An appropriately educated and competent workforce is crucial to an effective health c... more BACKGROUND: An appropriately educated and competent workforce is crucial to an effective health care system. The National Health Workforce Taskforce (now Health Workforce Australia) and the Maternity Services Inter-Jurisdictional Committee funded a project to develop Core Competencies and Educational Framework for Primary Maternity Services in Australia. These competencies recognise the interdisciplinary nature of maternity care in Australia where care is provided by general practitioners, obstetricians and midwives as well as other professionals. PARTICIPANTS: Key stakeholders from professional organisations and providers of services related to maternity care and consumers of services. METHODS: A national consensus approach was undertaken using consultation processes with a Steering Committee, a wider Reference Group and public consultation. FINDINGS: A national Core Competencies and Educational Framework for Primary Maternity Services in Australia was developed through an iterativ...
Systematic review of tools to measure preceptors' perceptions of their role in undergraduate health clinical education
Nurse education today, 2021
OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinica... more OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinical education of health undergraduate students. BACKGROUND Measurement of preceptors' perceptions of their role in students' learning in practice lacks consistency. The preceptor role makes an important contribution to quality clinical education. DESIGN A systematic literature review informed by PRISMA Guidelines. DATA SOURCES Major databases CINAHL, ProQuest, Nursing and Allied Health, Medline, Health Reference Centre, Joanna Briggs Institute, PsychInfo and Google Scholar were searched. REVIEW METHODS The search strategy yielded a total of 166 papers. Screening for inclusion resulted in 28 papers for critical appraisal and review. RESULTS Twenty-two individual tools were identified. Fourteen were named. Nine tools were new, study-specific and untitled. Eight tools were informed by previous research. A third of studies were appraised as being of good quality. A lack of consistency ...
Women and Birth, Sep 1, 2008
Objective: To develop a formal, robust and transparent process that supports and enables midwives... more Objective: To develop a formal, robust and transparent process that supports and enables midwives to reflect on their own midwifery practice in relation to recognised professional standards and identify, prioritise and act upon individual professional development and learning needs for the provision of safe, high quality care to women and their families within the full scope of practice. This was part of a national project commissioned by the Australian College of Midwives and funded by the Australian Council for Safety and Quality in Health Care and is part of Continuing Professional Development program developed by the Australian College of Midwives. Approach: A multi-method, staged approach with data collected through a literature review, workshop consultations, written submissions and pilot testing in order to develop the national process. Finally, a national training workshop was undertaken to train reviewers and to ensure the final process was validated and was feasible and acceptable to midwives and consumers.
Systematic review of tools to measure preceptors' perceptions of their role in undergraduate health clinical education
Nurse Education Today, Jul 1, 2021
OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinica... more OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinical education of health undergraduate students. BACKGROUND Measurement of preceptors' perceptions of their role in students' learning in practice lacks consistency. The preceptor role makes an important contribution to quality clinical education. DESIGN A systematic literature review informed by PRISMA Guidelines. DATA SOURCES Major databases CINAHL, ProQuest, Nursing and Allied Health, Medline, Health Reference Centre, Joanna Briggs Institute, PsychInfo and Google Scholar were searched. REVIEW METHODS The search strategy yielded a total of 166 papers. Screening for inclusion resulted in 28 papers for critical appraisal and review. RESULTS Twenty-two individual tools were identified. Fourteen were named. Nine tools were new, study-specific and untitled. Eight tools were informed by previous research. A third of studies were appraised as being of good quality. A lack of consistency in measures, use of small convenience samples and reliance on self-reported outcomes limited the generalisability of findings. CONCLUSIONS Two tools were suitable measures of preceptors' perceptions of their role or an appropriate measure for preceptor effectiveness in students' learning in practice. These tools were tested on the nursing profession only. Ensuring quality in clinical education requires consideration of experiences of key stakeholders and standard measurement of perspectives, effectiveness and preparedness to achieve quality clinical learning outcomes for students.
Nurse Education in Practice, Nov 1, 2019
The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery wor... more The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery workforce issues by the Queensland Government was unique in the Australian context. Midwifery students were embedded within a private midwifery caseload practice or rural publicly funded midwifery group practice (MGP). Continuity of midwifery care was at the core of the students' learning experience. This paper describes a study designed to explore the expectations and experiences of this group of newly qualified midwives as they transitioned to practice. Using a qualitative descriptive methodology, eight newly qualified midwives were interviewed. Thematic analysis was used to analyse the data set. Six themes were identified; 'Midwifery-an unexpected career path', 'The 'gifts' of being embedded in caseload as a midwifery student', 'No jobsno real choice', The hospital system-A whole different world', 'Resetting (or Adapting) expectations-Drawing on what I know to be true' and 'What the future holds'. Transitioning to practice after being embedded in caseload midwifery as a student provided challenges for the newly qualified midwives. At the same time it 'gifted' them a strong commitment to woman centred care, continuity and a social model of maternity which they draw on to support their transition.
Women and Birth, Sep 1, 2012
Background: An appropriately educated and competent workforce is crucial to an effective health c... more Background: An appropriately educated and competent workforce is crucial to an effective health care system. The National Health Workforce Taskforce (now Health Workforce Australia) and the Maternity Services Inter-Jurisdictional Committee funded a project to develop Core Competencies and Educational Framework for Primary Maternity Services in Australia. These competencies recognise the interdisciplinary nature of maternity care in Australia where care is provided by general practitioners, obstetricians and midwives as well as other professionals. Participants: Key stakeholders from professional organisations and providers of services related to maternity care and consumers of services. Methods: A national consensus approach was undertaken using consultation processes with a Steering Committee, a wider Reference Group and public consultation. Findings: A national Core Competencies and Educational Framework for Primary Maternity Services in Australia was developed through an iterative process with a range of key stakeholders. There are a number of strategies that may assist in the integration of these into primary maternity service provider professional groups' education and practice. Conclusions: The Core Competencies and Educational Framework are based on an interprofessional approach to learning and primary maternity service practice. They have sought to value professional expertise and stimulate awareness and respect for the roles of all primary maternity service providers. The competencies and framework described in this paper are now a critical component of Australian maternity services as they are included in actions in the newly released National Maternity Services Plan and thus have relevance for all providers of Australian maternity services.
Development and testing of the Midwifery Perceptions and Assessment of Clinical Teaching (MidPaACT) tool
Nurse Education Today
Systematic review of interventions to enhance preceptors’ role in undergraduate health student clinical learning
Nurse Education in Practice
Exploring portfolio use in midwifery education
Validation of the MidACE tool – Students’ perceptions of the Midwifery Academic role in clinical environments
Women and Birth
BACKGROUND Situating Midwifery Academics in clinical environments can have an important impact on... more BACKGROUND Situating Midwifery Academics in clinical environments can have an important impact on students' clinical learning. Students' perceptions of this support role in the clinical environment using standardised measures has been under-investigated. AIMS To develop and test a tool that measures midwifery students' perceptions of the Midwifery Academic role on clinical learning and development of professional knowledge, skills and clinical capability. METHODS A staged process for tool development included draft item generation, review by expert panel for face and content validity and pilot testing with a convenience sample of undergraduate midwifery students. Dimensionality, internal consistency and test-retest reliability were evaluated. RESULTS Two hundred and seventy-nine midwifery students completed an online survey (74% response rate). Responses on the ten-item tool loaded strongly on one factor, explaining 69.6% of variance. Cronbach's alpha (0.94) and test-retest reliability (intraclass coefficient=.92; 95%CI .89-.95) were good. Most students agreed that the Midwifery Academic role supported the integration of midwifery theory and practice and critical self-reflection. Areas for improvement included working in partnership with preceptors; assessing students' development; and increased presence in the clinical environment. CONCLUSIONS This study established reliability and validity of the Midwifery Academic in Clinical Environments (MidACE) tool. Students perceived Midwifery Academics could contribute further to their professional knowledge, skills and clinical capability through a strong collaborative presence in the clinical environment.
Women and Birth
Little emphasis has been given to the standardised measurement of midwifery students' perceptions... more Little emphasis has been given to the standardised measurement of midwifery students' perceptions of their clinical learning experiences. To develop a tool that evaluates students' perceptions of their clinical learning experiences according to environment and impact of preceptors on professional development. A cross-sectional design was used. Tool development had three phases: item generation; expert review to assess clarity, apparent internal consistency and content validity; and psychometric testing. All Bachelor of Midwifery students at one university in Australia were invited to complete the online survey. Psychometric testing included dimensionality, internal consistency and test-retest reliability. A 74% (n = 279) response rate was achieved. Factor analysis revealed the Clinical Learning Environment Scale and Impact of the Preceptor Scale accounting for 53.6% and 71.5% of variance respectively. Both scales were reliable (Cronbach's alpha = .92 and .94) and valid. Overall, students positively rated the clinical learning environment and preceptors' abilities to foster their sense of identity as a midwife. Students were less satisfied with preceptors' understanding of the academic program. The new tool consists of two scales that reliably measure midwifery students' perceptions of how the clinical learning environment develops their skills and reflects a midwifery philosophy. Preceptors had a positive influence on students' skills and professional development. The Midwifery Student Evaluation of Practice tool is the first valid and reliable measure of students' perceptions of their clinical learning experiences. Students' feedback provides valuable information to educators and preceptors on how best to optimise clinical learning.
Nurse Education in Practice
The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery wor... more The Rural Private Midwifery Education Program (RPMEP), a 2013 strategic response to midwifery workforce issues by the Queensland Government was unique in the Australian context. Midwifery students were embedded within a private midwifery caseload practice or rural publicly funded midwifery group practice (MGP). Continuity of midwifery care was at the core of the students' learning experience. This paper describes a study designed to explore the expectations and experiences of this group of newly qualified midwives as they transitioned to practice. Using a qualitative descriptive methodology, eight newly qualified midwives were interviewed. Thematic analysis was used to analyse the data set. Six themes were identified; 'Midwifery -an unexpected career path', 'The 'gifts' of being embedded in caseload as a midwifery student', 'No jobsno real choice', The hospital system -A whole different world', 'Resetting (or Adapting) expectations -Drawing on what I know to be true' and 'What the future holds'. Transitioning to practice after being embedded in caseload midwifery as a student provided challenges for the newly qualified midwives. At the same time it 'gifted' them a strong commitment to woman centred care, continuity and a social model of maternity which they draw on to support their transition.
Medical Journal of Australia
Women and Birth, 2008
Objective: To develop a formal, robust and transparent process that supports and enables midwives... more Objective: To develop a formal, robust and transparent process that supports and enables midwives to reflect on their own midwifery practice in relation to recognised professional standards and identify, prioritise and act upon individual professional development and learning needs for the provision of safe, high quality care to women and their families within the full scope of practice. This was part of a national project commissioned by the Australian College of Midwives and funded by the Australian Council for Safety and Quality in Health Care and is part of Continuing Professional Development program developed by the Australian College of Midwives. Approach: A multi-method, staged approach with data collected through a literature review, workshop consultations, written submissions and pilot testing in order to develop the national process. Finally, a national training workshop was undertaken to train reviewers and to ensure the final process was validated and was feasible and acceptable to midwives and consumers. Setting: Maternity care settings in each state and territory in Australia. Participants: Midwives, other health professionals and consumers of midwifery care. The Midwifery Practice Review process was developed through research and consultation prior to being validated in practice. The Midwifery Practice Review process is currently being implemented and evaluated in Australia. The Midwifery Practice Review Project established a national validated process for assessing the ongoing competence of midwives. The resulting program helps to reinforce responsibility and accountability in the provision of quality midwifery care through safe and effective practice.
Women and birth : journal of the Australian College of Midwives, 2011
BACKGROUND: An appropriately educated and competent workforce is crucial to an effective health c... more BACKGROUND: An appropriately educated and competent workforce is crucial to an effective health care system. The National Health Workforce Taskforce (now Health Workforce Australia) and the Maternity Services Inter-Jurisdictional Committee funded a project to develop Core Competencies and Educational Framework for Primary Maternity Services in Australia. These competencies recognise the interdisciplinary nature of maternity care in Australia where care is provided by general practitioners, obstetricians and midwives as well as other professionals. PARTICIPANTS: Key stakeholders from professional organisations and providers of services related to maternity care and consumers of services. METHODS: A national consensus approach was undertaken using consultation processes with a Steering Committee, a wider Reference Group and public consultation. FINDINGS: A national Core Competencies and Educational Framework for Primary Maternity Services in Australia was developed through an iterativ...
Systematic review of tools to measure preceptors' perceptions of their role in undergraduate health clinical education
Nurse education today, 2021
OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinica... more OBJECTIVE Evaluate tools used to measure preceptors' perceptions of their role in the clinical education of health undergraduate students. BACKGROUND Measurement of preceptors' perceptions of their role in students' learning in practice lacks consistency. The preceptor role makes an important contribution to quality clinical education. DESIGN A systematic literature review informed by PRISMA Guidelines. DATA SOURCES Major databases CINAHL, ProQuest, Nursing and Allied Health, Medline, Health Reference Centre, Joanna Briggs Institute, PsychInfo and Google Scholar were searched. REVIEW METHODS The search strategy yielded a total of 166 papers. Screening for inclusion resulted in 28 papers for critical appraisal and review. RESULTS Twenty-two individual tools were identified. Fourteen were named. Nine tools were new, study-specific and untitled. Eight tools were informed by previous research. A third of studies were appraised as being of good quality. A lack of consistency ...