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This page of the essay has words. Download the full version above. Continuous professional simon setzer dissertation CPD is an essential component of midwifery practice Nursing and Midwifery Council NMC, which encourages midwives to improve their practice in line with evidence based research. A PDP, enables the midwife to identify their learning needs, plan how to meet the identified need for both personal and midwifery essays dissertation development and finally to reflect upon the medical papers ghostwriters experience Makinson, The aim of the following PDP is for the student midwife to achieve the goal of perineal suturing under the direct supervision of a registered midwifery mentor NMC, The learning needs, which Makinson identified as the first stage in creating research paper introduction help PDP, can be categorised into knowledge, skills and attitude.
I already possess some components of the requisite knowledge, skills and attitude, however I need to develop others in creative writing jar to meet the objective of the PDP. A strengths, weaknesses, opportunities and threats SWOT analysis was undertaken to clearly identify my strengths and weaknesses and understand the opportunities and threats which I face in realising my goal. This can be used to plan how to meet the identified learning needs Makinson, Midwifery essays dissertation build a good rapport with women midwifery essays dissertation their families and can explain perineal suturing to them.
Expand knowledge through lectures in university, additional reading, discussion with midwifery essays dissertation and skill sessions in university and clinical practice. Understand and observe in theatre the impact of suturing a third or fourth degree tear and to gain a greater understanding of midwifery essays dissertation impact this has on the perineal anatomy. Identify midwifery essays dissertation gain informed consent from a woman in my care with a simple first or second degree tear.
The woman should have an effective epidural and we should have built a strong rapport. Lack of appropriate opportunities to undertake first or second degree repair in how to write a website in an essay practice. To suture a simple first or second degree perineal tear under direct supervision from a registered midwifery mentor. In order to achieve this goal, I will discuss with my registered midwifery mentor my The thesis centre camden st objectives so that we can work together to achieve the goal, along with my scope of practice and the appropriateness of performing perineal suturing.
Defined processes include revising the essay correct grammar anatomy, observing my registered midwifery mentor suturing, attending a university and placement simulation skills session. Additionally, I will review midwifery essays dissertation lecture notes, evidence based guidelines writing methodology literature based dissertation trust guidelines. In order to be successful I need time to observe my registered midwifery mentor metric system homework help, to utilise simulation skills sessions and to revise the necessary guidelines and anatomy.
Additionally, an opportunity to talk to midwives about their experiences, needs and recommendations. To midwifery essays dissertation my learning styles and needs with my registered midwifery mentor. I require positive reinforcement alongside constructive feedback in order to midwifery essays dissertation my skill. My success criteria will be whether the woman is happy with the experience and receiving positive feedback from my registered midwifery mentor. Within midwifery practice, reflection encourages the use of evidence-based practice to provide different approaches to learning and achieving a goal Forrest, On the 3rd Junewhilst I was leading esl school dissertation methodology examples care, Louise pseudonym to maintain confidentiality NMC,delivered a live male following a midwifery essays dissertation vaginal birth with pain relief from an epidural.
A subsequent perineal assessment revealed a small second degree tear. Initially I felt nervous, as this was a new and daunting experience. However, due to additional learning and simulation in line with the SMART objectives I felt more confident writing a business case study the suturing process than I had previously. Nonetheless, suturing human tissue was a new experience. With the encouragement of Louise and the direct supervision of my midwife mentor, my initial nervousness receded and I felt more confident in the deconstruction essay sample. On completion of the repair, I was really pleased that I had been able to put my learning into practice and the repair had been successful.
Bressay heritage centre boosted my confidence. Louise gave informed consent, as she reported she had confidence in my abilities following me leading her care throughout her labour and delivery. She was aware that I was under the direct supervision of my midwife mentor. Louise was grateful upon completion of the midwifery essays dissertation. A positive from this experience was the communication between my registered midwifery mentor and I, helping to facilitate effective learning. Chamberlain found that a lack of support, poor communication skills and inappropriate role modelling from midwifery essays dissertation mentor can lead to a loss of skills and hinder learning.
Therefore emphasizing the beneficial effect of my mentors support, on achieving the goal of effective perineal suturing under direct supervision. Other facilitating factors include the use of multiple resources and training aids to develop the skill. Birch et al. The main negative was my communication with Louise during the suturing. I was focused on the perineal suturing and checking with my registered midwifery mentor that I was doing an effective job, consequently I was not communicating with Louise during the midwifery essays dissertation repair process.
Rowe et al. Nonetheless, following completion Louise stated that she was grateful midwifery essays dissertation the repair midwifery essays dissertation was comfortable pain wise. In preparation for suturing a second doctoral dissertation regarding ufos perineal tear, I initially reviewed my lecture notes, evidence based guidelines and trust guidelines, to better understand the competencies required to complete the procedure Sawyer et al. Found benefits of gaining theoretical knowledge prior to attempting the practical procedure in order to provide rationale behind the process Srivastava et al. The student studied the perineum independently and with her registered midwifery mentor, in order to facilitate a greater understanding of perineal anatomy.
The Royal College of Midwives state that all midwives should have a sound knowledge of the perineal anatomy, in midwifery essays dissertation for correct classification and alignment of dissertation program evaluation perineum Midwifery essays dissertation and Kettle, Sultan, Kamm and Hudson conducted a study with 75 midwives in which over half of the midwives could not correctly identify aspects of the perineal anatomy. This is supported by Zimmo et al. However, following a training course and repeating the questionnaire However, a limitation of the study is that the actual clinical practice was not evaluated since the data was based on midwifery essays dissertation only.
The data was self-reported, which is known to be prone to information bias, potentially affecting the validity of the findings Pannucci and Wilkins, Following a discussion of the technique with my registered midwifery mentor on delivery suite, I observed her performing a second degree perineal tear repair, providing visualisation. My mentor supplemented the repair with a verbal description which helped me to link the theory I had reviewed, with the practical procedure. Evidence gathered from a randomised control trial RCTBjerrum et al. A limitation of this trial was that the skill was tested in a simulation setting and midwifery essays dissertation homework help research paper not be generalisable to a clinical setting Altman and Thesis introduction sample for food, I attended a perineal repair simulation in the skills laboratory at university.
It has been shown that the opportunity to practice a skill construction project management dissertation a safe setting, such as the skills laboratory, prior to using the skill in clinical practice, establishes deeper learning Cooper et al. A ielts argument essay writing control trial RCT conducted by Banks et al. Improving essay writing the skills laboratory the perineal repair is simulated on a sponge, which is a cheap and convenient material.
Midwifery essays dissertation I found this useful to develop midwifery essays dissertation technique and build my confidence, I found it difficult to visualise the anatomical structures of the perineum. My experience was in line with the findings of Crofts et al. Positive reinforcement is very important in a learning environment, especially when new skills are being taught, such as perineal suturing Skirton et al. Constructive, my favorite song is essay feedback is also very useful when used human geography dissertation methodology the mentor to highlight future developmental goals Duffy, Debriefing and providing feedback is valuable in the learning process.
These are all techniques which I will seek to utilise when I become a mentor. I selected perineal suturing as the aim for my PDP. The process of preparing the PDP with a clearly identified aim, successfully achieving the aim through careful midwifery essays dissertation and reflection upon the tools utilised in order to for and against essay presentation the essay rate, has been discussed.
This exercise has demonstrated the value of a PDP in advancing my midwifery practice and highlighted that my future focus should be upon my communication with the woman during perineal repair. Reflection on the PDP process, has enabled the production of an action plan to support my transition from student midwife into a midwifery essays dissertation qualified midwifery essays dissertation role. Hughes and Fraser support this finding by recognising that seeking support from the preceptor improved the experiences and outcomes thesis introduction sample for food newly qualified midwives. From this midwifery essays dissertation and following my experience of implementing homework paper writers PDP, I plan to seek ongoing support from my preceptor throughout my preceptorship.
This will include support to midwifery essays dissertation enhance my assignment report examples suturing skills Kelly and McAllister, In line with the NMCI will ensure that evidence based guidelines midwifery essays dissertation regularly reviewed, so that I can develop my practice accordingly and in line with the best-available evidence.
It has been shown that by developing practice in this way, both maternal health and experiences are improved Austin et al. The effectiveness of simulation as a training technique was assessed by a systematic literature review of midwifery essays dissertation studies Cooper et al. The review concluded that simulation does increase competence midwifery essays dissertation confidence, this is supported by the thesis introduction sample for food within the analysis section Banks et al.
Consequently I intend to continue to midwifery essays dissertation simulation of perineal repair, midwifery essays dissertation enhance my skill and build my confidence prior to repairing a perineal tear. These Health essays have been submitted to us by students in order to help you with your studies. Search for an essay or resource:. Introduction: Continuous professional development CPD is an essential component midwifery essays dissertation midwifery practice Nursing and Midwifery Council Midwifery essays dissertation, which encourages midwives homework is helpful statistics improve their practice in online social networking essay with evidence based research.
Knowledge required Skills required Attitude required Good understanding of suturing techniques Dissertation credit risk management for suturing the perineum Good awareness of the anatomy of the pelvic floor Identification and classification of perineal trauma Identification of the most appropriate suturing technique for the e mendes dissertation perineal tear Ability to undertake the appropriate repair Positive and willing attitude towards developing this skill Confidence in my own ability Confirmation from mentor that they have confidence in my ability to perform perineal suturing Professionally delivering woman centred information to gain informed consent Maintaining maternal dignity at all times Table 1: Knowledge, dissertation procurement strategy and attitudes required.
Strengths Weaknesses Opportunities Threats Good understanding of the rationale behind perineal suturing. Confident in midwifery essays dissertation keeping for perineal suturing. These strengths have been confirmed by my mentors, in clinical practice. Knowledge of the anatomy of the pelvic floor. Identification of perineal anatomy following midwifery essays dissertation delivery. Theoretical knowledge and practical experience of suturing techniques. Familiarity and knowledge of suturing techniques.
Practical experience of suturing. Observe perineal suturing in the clinical setting Expand knowledge through lectures in university, additional reading, discussion with mentors and skill sessions in university and clinical practice. To utilise simulation within university and placement settings. Specific What do I want to do? Measurable What will I do to achieve this?
Realistic What shall my success criteria be? Time dependant What are my target dates for achieving this? To be completed by the 8th June the final day of my delivery suite placement.