Institutional support and stakeholder engagement as determinants of readiness for the New BS Midwifery Curriculum rollout
Keywords:
midwifery, institutional support, stakeholder engagement, readinessAbstract
In the global push to enhance maternal and newborn health, midwifery education is increasingly aligning with international standards to improve both quality and scope of training. This study aimed to determine the level of readiness among colleges in implementing the New BS Midwifery Curriculum, a program that requires a strong foundation in institutional support, active stakeholder engagement, and a well-prepared organizational structure. It utilized descriptive and correlational design to capture all its objectives. Results indicated a moderate positive relationship between institutional support and stakeholder engagement, a high positive correlation between institutional support and program readiness, and a moderate positive correlation between stakeholder engagement and program readiness. Also, faculty development and leadership commitment are found to be key predictors of institutional readiness, signifying their role in successful curriculum implementation.
References
Abdolalipour S, Mohammad-Alizadeh-Charandabi S, Babaey F, Allahqoli L, Ghaffari R, Mirghafourvand M. Mapping of Iranian midwifery curriculum according to the International Confederation of Midwives competencies. BMC Medical Education. 2023;23(1). https://doi.org/10.1186/s12909-023-04755-7.
Adcock JE, Sidebotham M, Gamble J. What do midwifery leaders need in order to be effective in contributing to the reform of maternity services? Women and Birth. 2022;35(2):e142-e152. https://doi.org/10.1016/j.wombi.2021.04.008.
Adnani QES, Gilkison A, McAra-Couper J. Strengthening midwifery education through clinical experience: findings from a qualitative study in Indonesia. Women and Birth. 2022;35(1):87-95. https://doi.org/10.1016/j.wombi.2021.03.002.
Adnani QES, Gilkison A, McAra-Couper J. The interplay of structural and external factors for strengthening midwifery education in Indonesia. Sexual & Reproductive Healthcare. 2022;33:100734. https://doi.org/10.1016/j.srhc.2022.100734.
Arundell F, Sheehan A, Peters K. Strategies used by midwives to enhance knowledge and skill development in midwifery students: an appreciative inquiry study. BMC Nursing. 2024;23(1). https://doi.org/10.1186/s12912-024-01784-5.
Avery MD, Jennings JC, Germano E, Andrighetti T, Autry AM, Dau KQ, et al. Interprofessional education between midwifery students and obstetrics and gynecology residents: an American College of Nurse-Midwives and American College of Obstetricians and Gynecologists collaboration. Journal of Midwifery & Women's Health. 2020;65(2):257-64.
Baba A, Martineau T, Theobald S, Sabuni P, Nobabo MM, Alitimango A, et al. Developing strategies to attract, retain and support midwives in rural fragile settings: participatory workshops with health system stakeholders in Ituri Province, Democratic Republic of Congo. Health Research Policy and Systems. 2020;18(1):1-14.
Batinelli L, Thaels E, Leister N, McCourt C, Bonciani M, Rocca-Ihenacho L. What are the strategies for implementing primary care models in maternity? A systematic review on midwifery units. BMC Pregnancy and Childbirth. 2022;22(1):123.
Belita E, Carter N, Bryant-Lukosius D. Stakeholder engagement in nursing curriculum development and renewal initiatives: a review of the literature. Nurse Education in Practice. 2020;25:55-60. https://doi.org/10.1016/j.nepr.2020.102014.
Biletchi J. Learning to feed: integrating practical, theoretical, and experiential aspects of breast and infant feeding into nursing curricula.
Bogren M, Alesö A, Teklemariam M, Sjöblom H, Hammarbäck L, Erlandsson K. Facilitators of and barriers to providing high-quality midwifery education in South-East Asia—an integrative review. Women and Birth. 2022;35(3):e199-e210.
Bogren M, Kaboru BB, Berg M. Barriers to delivering quality midwifery education programmes in the Democratic Republic of Congo—an interview study with educators and clinical preceptors. Women and Birth. 2021;34(1):e67-e75.
Brown Wilson C, Slade C, McCutcheon K. Providing a roadmap for co-production in curriculum development for nursing and midwifery education. Nurse Education Today. 2022;113:105380. https://doi.org/10.1016/j.nedt.2022.105380.
Carbonell SEK, Ogba P, Vanstone M, Gombay C, Darling EK. Midwives’ adaptation of their practice, role, and scope to ensure access to sexual and reproductive services during humanitarian crises: a scoping review. Midwifery. 2024;136:104065. https://doi.org/10.1016/j.midw.2024.104065.
Carter J, Sidebotham M, Dietsch E. Prepared and motivated to work in midwifery continuity of care? A descriptive analysis of midwifery students’ perspectives. Women and Birth. 2022;35(2):160-71. https://doi.org/10.1016/j.wombi.2021.03.013.
Chakkaravarthy K, Ibrahim N, Mahmud M, Hardaker G, Venkatasalu MR. Determinants of readiness towards self-directed learning among nurses and midwives: results from a national survey. Nurse Education in Practice. 2020;47:102824. https://doi.org/10.1016/j.nepr.2020.102824.
Cleary-Holdforth J, O’Mathúna D, Fineout-Overholt E. Evidence-based practice beliefs, implementation, and organizational culture and readiness for EBP among nurses, midwives, educators, and students in the Republic of Ireland. Worldviews on Evidence-Based Nursing. 2021;18(6):379-88. https://doi.org/10.1111/wvn.12543.
Collado R Jr. Enhancing the problem-solving skills of selected grade 11 students of Highway Hills Integrated School through one word problem a day (OWPaD). In: Electronic Proceedings of the 25th Asian Technology Conference in Mathematics; 2020.
Connolly M, Browne F, Regan G, Ryder M. Stakeholder perceptions of curriculum design, development and delivery for continuing e-learning for nurses. British Journal of Nursing. 2020;29(17):1016. https://doi.org/10.12968/bjon.2020.29.17.1016.
Dagne AH, Beshah MH, Kassa BG, Dagnaw EH. Implementation of evidence-based practice and associated factors among nurses and midwives working in Amhara Region government hospitals: a cross-sectional study. Reproductive Health. 2021;18:1-10.
Depla AL, Crombag NM, Bekker MN. Implementation of a standard outcome set in perinatal care: a qualitative analysis of barriers and facilitators from all stakeholder perspectives. BMC Health Services Research. 2021;21:113. https://doi.org/10.1186/s12913-021-06143-1.
Erlandsson K, Jha P, Bogren M. Contextual factors influencing the implementation of a new midwife education programme in India: a qualitative study. BMC Medical Education. 2022;22:Article 755. https://doi.org/10.1186/s12909-022-03445-x.
Fraser R, Downer T, Oprescu F. Midwifery education in Bangladesh: an in-depth analysis through a systematic review.
Gouëdard P, Huang S, Pont B. Curriculum reform: a literature review to support effective educational change.
Hainsworth N, Dowse E, Ebert L, Foureur M. Continuity of care experiences within pre-registration midwifery education programs: a scoping review. Women and Birth. 2021;34(6):514-30. https://doi.org/10.1016/j.wombi.2020.12.003
Hall H, Mahmood MA, Sitaing M, Aines PZ, Cant R, Crawford K. The PNG Midwifery Leadership Buddy Program: An evaluation. Women and Birth. 2023;36(5):e536-e543. https://doi.org/10.1016/j.wombi.2023.04.004
Hariani RR, Arisuma N, Rahayu E. Implementation of the Sukatendel village regulation policy No. 01 of 2019 concerning the disaster resilient village program. Morfai Journal. 2022;2(3):519-530.
Henshall C, Greenfield DM, Jarman H, Rostron H, Jones H, Barrett S. A nationwide initiative to increase nursing and midwifery research leadership: Overview of year one programme development, implementation and evaluation. Journal of Clinical Nursing. 2020;32(15-16):5369-5381. https://doi.org/10.1111/jocn.15558
Hunter B, Thomas G, Wilhelmová R, Trendafilova P, Blaževičienė A, Lynch L, et al. Strengthening global midwifery education to improve quality maternity care: Co-designing the World Health Organization Midwifery Assessment Tool for Education (MATE). Nurse Education in Practice. 2022;63:103376. https://doi.org/10.1016/j.nepr.2022.103376
OECD Education Working Papers. Implementation. https://doi.org/10.1787/efe8a48c-en
International Confederation of Midwives. ICM Global Standards for Midwifery Education (Revised 2021). 2021.
Isrona L, Susanti R. Readiness of health faculty students towards the implementation of interprofessional education. Advances in Social Science, Education and Humanities Research. Proceedings of the 3rd International Conference on Educational Development and Quality Assurance (ICED-QA 2020). https://doi.org/10.2991/assehr.k.210202.068
Kemei J, Etowa J. Continuing professional development: Perspectives of Kenyan nurses and midwives.
Khatun M, Akter P, Yunus S, Alam K, Pedersen C, Byrskog U, et al. Challenges to implement evidence-based midwifery care in Bangladesh: An interview study with medical doctors mentoring health care providers. Sexual & Reproductive Healthcare. 2022;31:100692. https://doi.org/10.1016/j.srhc.2021.100692
Kibet CJ, Mugo NJ, Nassiuma BK. Influence of communication flows on project implementation as perceived by staff of the Kenya Rural Roads Authority in Elgeyo Marakwet County, Kenya. African Journal of Education, Science and Technology. 2023;7(3):347-359.
Kpangaala-Flomo CC, Tiah MW, Zeantoe GC, Loweal HG, Matte RF, Lake SC, et al. Structure, process, and outcomes of Liberian national nursing and midwifery curricular revisions. Annals of Global Health. 2021;87(1):97. https://doi.org/10.5334/aogh.3248
Kuipers Y, Norris G, Crozier S, McLuckie C. Developing an evaluation framework for an online midwifery programme: A practical participatory approach. Quality Assurance in Education. 2024. https://doi.org/10.1108/QAIE-03-2023-0001
Lepre B, Palermo C, Mansfield KJ, Beck EJ. Stakeholder engagement in competency framework development in health professions: A systematic review. Frontiers in Medicine. 2021;8:759848. https://doi.org/10.3389/fmed.2021.759848
Llego J, Banez C. A cross-sectional study on the midwifery curriculum of Urdaneta City University. 2017 International Research Conference. 2017.
Lordfred A, Tran NT, Nzee A, Kabeya A, Mukumpuri G, Eke H, et al. Midwifery curricula inclusion of sexual and reproductive health in crisis settings in the Democratic Republic of Congo. Nurse Education in Practice. 2021;55:103173. https://doi.org/10.1016/j.nepr.2021.103173
Maceus K. Bridging policy-curriculum-accommodations: A nursing education initiative. 2024.
Mainey L, Downing S, Balnaves MC, Cappiello J, King J, Peacock A, et al. Australian nursing and midwifery curriculum design blind spots: A qualitative study through the prism of unplanned pregnancy. Teaching and Learning in Nursing. 2024;19(4):e654-e660.
Mainey L, Downing S, Balnaves MC, Cappiello J, King J, Peacock A, Peberdy L, Dean J. Australian nursing and midwifery curriculum design blind spots: A qualitative study through the prism of unplanned pregnancy. Teaching and Learning in Nursing. 2024;19(4). https://doi.org/10.1016/j.teln.2024.05.014
Manalai P, Currie S, Jafari M, Ansari N, Tappis H, Atiqzai F, et al. Quality of pre-service midwifery education in public and private midwifery schools in Afghanistan: A cross-sectional survey. BMC Medical Education. 2022;22(1):39.
Mann J, Lown B, Touw S. Creating a culture of respect and interprofessional teamwork on a labor and birth unit: A multifaceted quality improvement project. Journal of Interprofessional Care. 2020;34(3):381-388. https://doi.org/10.1080/13561820.2020.1733944
McKellar L, Graham K, Sheehan A, Fleet JA, Sidebotham M, Sweet L. Examining the transformation of midwifery education in Australia to inform future directions: An integrative review. Women and Birth. 2023;36(2):155-166. https://doi.org/10.1016/j.wombi.2022.11.010
Middlemiss AL, Channon S, Jones A. Barriers and facilitators when implementing midwifery continuity of carer: A narrative analysis of the international literature. BMC Pregnancy and Childbirth. 2024;24:540. https://doi.org/10.1186/s12884-024-05728-1
Moller AB, Welsh J, Ayebare E, Chipeta E, Gross MM, Houngbo G, et al. Are midwives ready to provide quality evidence-based care after pre-service training? Curricula assessment in four countries—Benin, Malawi, Tanzania, and Uganda. PLOS Global Public Health. 2022;2(9):e0000605.
Mortiz JN, Digamon JS. Assessment of tertiary education readiness of the pioneering senior high school graduates in a private higher education institution in Northern Mindanao, Philippines. International Journal of Multidisciplinary: Applied Business and Education Research. 2023;4(10):3489–3498. https://doi.org/10.11594/ijmaber.04.10.04
Muraraneza C, Mtshali GN. Planning reform to competency-based curricula in undergraduate nursing and midwifery education: A qualitative study. Nurse Education Today. 2021;106:105066.
Ngabonzima A, Asingizwe D, Kouveliotis K. Influence of nurse and midwife managerial leadership styles on job satisfaction, intention to stay, and services provision in selected hospitals of Rwanda. BMC Nursing. 2020;19(35). https://doi.org/10.1186/s12912-020-00442-5
O'Connor S, Zhang M, Trout KK, Snibsoer AK. Co-production in nursing and midwifery education: A systematic review of the literature. Nurse Education Today. 2021;102:104900. https://doi.org/10.1016/j.nedt.2021.104900
Pak K, Polikoff MS, Desimone LM, Saldívar García E. The adaptive challenges of curriculum implementation: Insights for educational leaders driving standards-based reform. AERA Open. 2020;6(2):233285842093282. https://doi.org/10.1177/2332858420932828
Petkovic J, Riddle A, Tugwell P, et al. Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation. Systematic Reviews. 2020;9:21. https://doi.org/10.1186/s13643-020-01306-0
Riggs E, Yelland J, Mensah FK, Gold L, Szwarc J, Kaplan I, et al. Group Pregnancy Care for refugee background women: A codesigned, multimethod evaluation protocol applying a community engagement framework and an interrupted time series design. Public Health. 2020;182:44-50. https://doi.org/10.1016/j.puhe.2019.11.020
Shatto B, Meyer G, Krieger M, Kreienkamp MJ, Kendall A, Breitbach N. Educational interventions to improve graduating nursing students' practice readiness: A systematic review. Nurse Educator. 2022;47(2):E24-E31. https://doi.org/10.1097/NNE.0000000000001145
Shikuku DN, Bar-Zeev S, Ladur AN, Allott H, Mwaura C, Nandikove P, et al. Experiences, barriers and perspectives of midwifery educators, mentors and students implementing the updated emergency obstetric and newborn care-enhanced pre-service midwifery curriculum in Kenya: A nested qualitative study. BMC Medical Education. 2024;24(1). https://doi.org/10.1186/s12909-024-05872-7
Shikuku DN, Jebet J, Nandikove P, Tallam E, Ogoti E, Nyaga L, et al. Improving midwifery educators’ capacity to teach emergency obstetrics and newborn care in Kenya universities: A pre-post study. BMC Medical Education. 2022;22(1):749.
Srisaeng P, Upvall MJ. Looking toward 2030: Strengthening midwifery education through regional partnerships. Journal of Advanced Nursing. 2020;76(2):715-724.
Teeling SP, Davies C, Barnard M, O’Connor L, Coffey A, Lambert V, et al. A rapid realist review of quality care process metrics implementation in nursing and midwifery practice. International Journal of Environmental Research and Public Health. 2021;18(22):11932. https://doi.org/10.3390/ijerph182211932
Toosi M, Modarres M, Geranmayeh M. A survey of midwifery graduates’ opinions about midwifery education in Iran: A cross-sectional study. BMC Medical Education. 2021;21(340). https://doi.org/10.1186/s12909-021-02781-0
Uslu-Şahan F, Er-Korucu A. Readiness for interprofessional learning of undergraduate midwifery students in Turkey: A cross-sectional study. Archives of Health Science Research. 2022;9(1):55-60. https://doi.org/10.22161/ahsr.9.1.8
van de Water B, Longacre A, Hotchkiss J, Sonnie M. Implementing the organizational readiness for change (ORIC) survey during a novel midwifery preceptor program in Sierra Leone: Stakeholder results. BMC Health Services Research. 2024. https://doi.org/10.21203/rs.3.rs-3463567/v1
Vermeulen J, Buyl R, Luyben A, Fleming V, Fobelets M. Key maternity care stakeholders’ views on midwives’ professional autonomy. Healthcare. 2023;11(9):1231. https://doi.org/10.3390/healthcare11091231
Vinayak S, Temmerman M, Villeirs G, Brownie SM. A curriculum model for multidisciplinary training of midwife sonographers in a low resource setting. Journal of Multidisciplinary Healthcare. 2021;14:2833–2844. https://doi.org/10.2147/JMDH.S324919
Virgolesi M, Marchetti A, Pucciarelli G, Biagioli V, Pulimeno AML, Piredda M, et al. Stakeholders' perspective about their engagement in developing a competency-based nursing baccalaureate curriculum: A qualitative study. Journal of Professional Nursing. 2020;36(3):141-146. https://doi.org/10.1016/j.profnurs.2019.09.003
Warren N, Gresh A, Mkhonta NR, Kazembe A, Engelbrecht S, Feraud J, et al. Pre-service midwifery education in sub-Saharan Africa: A scoping review. Nurse Education in Practice. 2023;71:103678.
Watson JM. Healthcare technology adoption: A social-organisational perspective [Doctoral dissertation]. University of Canterbury; 2024.
Wilson CB, Slade C. Reflections on practice: From consultation and collaboration to consensus: introducing an alternative model of curriculum development. International Journal for Academic Development. 2019;25(2):189-194. https://doi.org/10.1080/1360144X.2019.1584897
Women and Birth. 2024;37(5):101661. https://doi.org/10.1016/j.wombi.2024.101661.