Learning Outcomes:

Unit 1 Health Promotion
On successful completion of this unit, students will be able to:

1. Define the concepts of health, health behaviour, health education, and health promotion and their application in midwifery practice.
2. Compare and contract health promotion approaches adopted in midwifery practice nationally and globally.
3. Critique the impact of the social determinants of health on health and wellbeing.
4. Examine the strategic developments in promoting health and wellbeing in Ireland and identify opportunities for midwives to engage at micro, meso and macro levels.
5. Demonstrate an understanding of the role of the midwife in empowering practice and health promotion in Ireland.


Unit 2 Psychology of Wellness
On successful completion of this unit, students will be able to:

1. Discuss the significance of pregnancy, childbirth and parenthood critically as key life events and the role of the midwife in facilitating the transition to parenthood, bonding and attachment and promoting health and wellbeing.
2. Demonstrate an understanding of the theories of grief and bereavement and related evidence from maternity and infant care research to provide holistic and sensitive support to parents experiencing pregnancy loss and perinatal death.
3. Appraise what resilience is and reflect on how midwives can manage stress and nurture a compassionate approach to self-care and caring for others in their practice.

Indicative Module Content:

Indicative content -Health Promotion

- Concepts of health, health promotion and public health
- Approaches to health promotion, including the application of a salutogenic model within midwifery health promotion practice
- Social Determinants of Health (SDoH)
- Strategies for promoting/optimising maternal/child/community health
- Promoting maternal, child and community health for a range of current issues (nutrition, breastfeeding promotion, metabolic screening, immunisations, sudden infant death syndrome, smoking cessation, alcohol and drug awareness, mental health, sexual health, HIV and hepatitis screening, continence, breast and cervical cancer screening, termination)
- Sexual development, reproductive health and fertility awareness (puberty, fertility and menstrual cycles, preconception)
- Strategies for promoting and achieving health at the international, national, community and individual levels
- Global perspectives on maternal and child health
- Teaching and learning strategies in health promotion, including application in practice (group, parent, Make Every Contact Count (MECC)
- The role of the midwife in health promotion (promoting awareness, communication and influencing behavioural change).

Indicative Module Content - Psychology of Wellness

The indicative content for this unit of learning is drawn from relevant areas of
- Psychodynamic theory
- Developmental psychology
- Lifespan development
- Positive psychology

Student Effort Type	Hours
Lectures	24
Practical	6
Specified Learning Activities	40
Autonomous Student Learning	55
Total	125

Learning Requirements:

Registration with the Nursing and Midwifery Board of Ireland (NMBI) as Registered General Nurse is required

Not applicable to this module.
 

Assessment Strategy  

Description	Timing		Component Scale		% of Final Grade
Assignment: Creation of a health promotion resource	Unspecified	n/a	Graded	No	60
Assignment: Written reflection report.	Coursework (End of Trimester)	n/a	Graded	No	40

 

Resit In	Terminal Exam
Summer	No

• Feedback individually to students, on an activity or draft prior to summative assessment
• Feedback individually to students, post-assessment
• Online automated feedback

Students will be provided with verbal feedback on their initial ideas for creating an antenatal health promotion video. This will be provided to support the summative assessment.

Essential Reading
Specific reading will guide each session, and students will be advised and supported during the delivery of each module unit.


Essential reading for unit 1
Baron, R., Martin, L., Gitsels-van der Wal, J. T., Noordman, J., Heymans, M. W., Spelten, E. R., ... & Hutton, E. K. (2017). Health behaviour information provided to clients during midwife-led prenatal booking visits: findings from video analyses. Midwifery, 54, 7-17.
Bowden, J Manning, V (2016) Health Promotion in Midwifery: Principles and Practice, 3rd Ed. Arnold, London
Department of Health (2016) National Maternity Strategy – Creating a Better Future Together 2016-2026.Dublin: Stationery Office.
Haugan, G., Eriksson, M. & SpringerLink (Online service) (2021) Health Promotion in Health Care - Vital Theories and Research, 1st edn, Springer International Publishing, Cham. https://link.springer.com/book/10.1007/978-3-030-63135-2
Health Service Executive. (2017) National Undergraduate Curriculum for Chronic Disease Prevention and Management Part 1: Making Every Contact Count for Health Behaviour Change, HSE, Dublin. https://www.hse.ie/mecc-undergradcurriculum/
Department of Health (2019) Healthy Ireland. Dublin: Stationery Office.
(2016) Health Service Executive.National standards for bereavement care following pregnancy loss and perinatal death. Dublin: Stationery Office.
McLellan JM, O'Carroll RE, Cheyne H, Dombrowski SU. (2019) Investigating midwives' barriers and facilitators to multiple health promotion practice behaviours: a qualitative study using the theoretical domains framework. Implement Sci. Jun 18;14(1):64. doi: 10.1186/s13012-019-0913-3. PMID: 31215450; PMCID: PMC6582467


Psychology References for unit 2.
Psychology References
Agwu Kalu, F. Coughlan, B. and Larkin, P. (2018) ‘A mixed methods sequential explanatory study of the psychosocial factors that impact on midwives' confidence to provide bereavement support to parents who have experienced a perinatal loss’, Midwifery, 64, pp. 69–76. Available at: https://doi.org/10.1016/j.midw.2018.06.011 [Accessed 4 Jan 2023].
Barker, S. ed., (2016) Psychology for Nursing and Healthcare Professionals: Developing Compassionate Care. London: SAGE Publications Ltd. Available at: https://dx.doi.org/10.4135/9781473984004 [Accessed 4 Jan 2023].
Bowlby, J. (1988) A Secure Base Parent-child: Attachment and Healthy Human Development. London: Basic Books
Bayrampour, H., Hapsari, P. and Pavlovic, J. (2018) ‘Barriers to addressing perinatal mental health issues in midwifery settings’, Midwifery, 59, pp. 47–58. Available at: https://doi.org/10.1016/j.midw.2017.12.020 [Accessed 4 Jan 2023].
Doherty, J. et al. (2018) ‘Bereavement care education and training in clinical practice: Supporting the development of confidence in student midwives’, Midwifery, 66, pp. 1–9.
Doherty, J. and O'Brien, D. (2022) ‘A participatory action research study exploring midwives' understandings of the concept of burnout in Ireland’, Women and birth: journal of the Australian College of Midwives, 35(2), e163–e171. Available at: https://doi.org/10.1016/j.wombi.2021.06.002 [Accessed 4 Jan 2023].
Doherty, J. and O'Brien, D. (2022) ‘Giving of the self and Midwife Burnout - An exploration of the consequences of being 'with woman' and how individual midwives can reduce or prevent burnout’, Women and birth: journal of the Australian College of Midwives, S1871-5192(22)00362-6. Advance online publication. Available at: https://doi.org/10.1016/j.wombi.2022.12.002 [Accessed 4 Jan 2023].
Gandino, G. et al. (2019) ‘Healthcare professionals' experiences of perinatal loss: A systematic review’, Journal of health psychology, 24(1), pp. 65–78.
Kunzler, A. M. et al. (2020). Psychological interventions to foster resilience in healthcare professionals. The Cochrane database of systematic reviews, 7(7), CD012527. Available at: https://doi.org/10.1002/14651858.CD012527.pub2 [Accessed 4 Jan 2023].
Kalu, F. Larkin, P. and Coughlan, B. (2020) ‘Development, validation and reliability testing of 'Perinatal Bereavement Care Confidence Scale (PBCCS)'. Women and birth: journal of the Australian College of Midwives, 33(4), e311–e319. Available at: https://doi.org/10.1016/j.wombi.2019.07.001 [Accessed 4 Jan 2023].
Kabat-Zinn, J. (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte
Kunzler, A.M. et al. (2020) ‘Psychological interventions to foster resilience in healthcare professionals’, The Cochrane database of systematic reviews, 7(7), CD012527. Available at: https://doi.org/10.1002/14651858.CD012527.pub2 [Accessed 4 Jan 2023].
Lazarus R. S. (2006) ‘Emotions and interpersonal relationships: toward a person-centered conceptualization of emotions and coping’ Journal of personality, 74 (1), pp. 9–46. Available at: https://doi.org/10.1111/j.1467-6494.2005.00368.x [Accessed 4 Jan 2023].
Liu, J. Reed, M. and Girard, T. (2017) ‘Advancing resilience: An intergrative, multi-system model of resilience’, Personality and Individual Differences, pp. 111-118
Olza, I. et al. (2018) ‘Women's psychological experiences of physiological childbirth: a meta-synthesis’, BMJ open, 8 (10), e020347. Available at: https://doi.org/10.1136/bmjopen-2017-020347 [Accessed 4 Jan 2023].
Papapetrou, C. et al. (2020). ‘Pregnancy and the perinatal period: The impact of attachment theory’, Psychiatriki, 31(3), pp. 257–270. Available at:
https://doi.org/10.22365/jpsych.2020.313.257 [Accessed 4 Sept 2021].
Tambelli, R. et al. (2019) ‘Role of Psychosocial Risk Factors in predicting maternal and paternal depressive symptomology during pregnancy’ Infant Mental Health J. 40, pp. 541–556. Available at:
https://onlinelibrary.wiley.com/doi/epdf/10.1002/imhj.21791 [Accessed 4 Jan 2023].

Resources: Psychology
This Website aims to signpost bereaved parents and Health care staff to support structures and knowledge about pregnancy and infant loss in an Irish Context.
https://pregnancyandinfantloss.ie/

This Website provides Expert Advice from the HSE
https://www2.hse.ie/my-child/

Further suggested reading/sources of knowledge will be provided throughout the module

Name	Role
Assoc Professor Barbara Coughlan	Lecturer / Co-Lecturer

Spring
Lecture	Offering 1	Week(s) - 20, 23, 25	Wed 09:00 - 12:50
Lecture	Offering 1	Week(s) - 21	Wed 09:00 - 12:50
Lecture	Offering 1	Week(s) - 22	Wed 09:00 - 12:50
Lecture	Offering 1	Week(s) - 24	Wed 14:00 - 16:50
Spring