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NMHS33720

Academic Year 2024/2025

Mid Leader & Empower (NMHS33720)

Subject:
Nursing,Midwifery & Health Sys
College:
Health & Agricultural Sciences
School:
Nursing,Midwifery & Health Sys
Level:
3 (Degree)
Credits:
5
Module Coordinator:
Assoc Professor Denise O'Brien
Trimester:
Autumn
Mode of Delivery:
On Campus
Internship Module:
No
How will I be graded?
Letter grades

Curricular information is subject to change.

The aim of this module is to build upon and develop the student’s preparation and appreciation of the importance of leadership and empowerment for midwifery practice. Throughout this module the student is actively encouraged to critically reflect upon key concepts which impact, positively or negatively, on their role as a midwife in contemporary maternity care. The student will engage in critical discussions pertaining to the role of the midwife across contexts and practices. A focal point of these discussions is the advancing role of the midwife in the provision of care during normal physiological childbirth and during complex conditions that can arise. Key concepts presented to the student include: Leadership, empowerment, autonomy, evidence-based decision-making and relevant frameworks, open disclosure, informed choice, and shared decision-making. The importance of inclusion and active consumer participation in the development of maternity services are a focal point of the learning objectives. Women's birth narratives are also examined and evaluated and are a central feature of the discourse's in this module A key concept throughout each aspect of this module is the importance of developing quality relationships, particularly the mother- midwife relationship, which is positioned as central to quality multidisciplinary relationships. Included in this module is a suite of interpersonal skills and workshops to support the student meet the learning objects, these include: strategies on developing finding a voice for midwifery practice oral presentations skills, and strategies for public speaking.

About this Module

Learning Outcomes:

On completion of this module students should be able to:

Demonstrate a broader understanding of the key concepts and the relevant evidence/ literature introduced in the module.

Make use of the literature/ evidence provided and develop a capacity for synthesis of evidence–based midwifery practice

Demonstrate evidence application throughout the module and in the formative, end of semester assessment.

Develop a capacity for engaging in on-going critical discussion based on an in-depth understanding of evidence- based midwifery practice,

Demonstrate communication skills introduced such as public speaking and oral presentations skills.

Indicative Module Content:

Leadership Theories
Leadership for midwifery practice a critical review of the international evidence
Innovations in midwifery practice -a national and global overview
The future direction of midwifery practice- a national perspective
Midwifery leadership- a global perspective
Empowerment and midwifery
Midwifery across contexts
Advancing midwifery practice
The importance of developing voice for midwifery practice
The concepts of choice, open disclosure/ shared-decision-making, autonomy/ relational autonomy/ intuition and decision-making.
Decision-making Frameworks
The evidence relating to the debates surrounding risk and choice and the outcomes for women and their partners.
The impact of choice on women’s psychological wellbeing following childbirth in pregnancy and childbirth
The importance of quality relationships- mother- midwife relationship / multidisciplinary relationships.
The importance of women’s stories/birth narratives for midwifery practice and contemporary maternity care.
Relational aspects of midwifery care /the concept of partnership
The concept of self and self in relationships
Emotions in Midwifery: compassion, caring, trust,

Workshops:
Strategies for public speaking
Finding a voice for midwifery debates
Presentations skills workshop

Student Effort Hours:
Student Effort Type Hours
Lectures

19

Practical

8

Specified Learning Activities

45

Autonomous Student Learning

45

Online Learning

8

Total

125


Approaches to Teaching and Learning:
Modified lecture: Introduction of learning objectives and key concepts through an interactive learning approach/ discussion
Blended/ connected learning approach - interactive online presentations/, with subsequent in-depth group discussions of the relevant literature/evidence, policy documents/ perspectives/ understandings
In- depth discussions/ demonstrations of interpersonal/ communication skills through workshops

Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
Not applicable to this module.
 

Assessment Strategy
Description Timing Component Scale Must Pass Component % of Final Grade In Module Component Repeat Offered
Individual Project: Week 10 a 15 minute powerpoint presentation on one of the following:
Leadership
Empowerment
Choice
Followed by a online recorded Question and Answer session
Week 10, Week 12 Standard conversion grade scale 40% Yes
100
Yes

Carry forward of passed components
Yes
 

Remediation Type Remediation Timing
In-Module Resit Prior to relevant Programme Exam Board
Please see Student Jargon Buster for more information about remediation types and timing. 

Feedback Strategy/Strategies

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

How will my Feedback be Delivered?

Not yet recorded.


Adcock, J.E., Sidebotham, M., Gamble, J.J.W., 2022. What do midwifery leaders need in order to be effective in contributing to the reform of maternity services? Birth 35 (2),e142–e152


Elizabeth Maria Bannon, Fiona Alderdice, and Jennifer McNeills A review of midwifery leadership British Journal of Midwifery (2017) 25:10, 655-66

Begley, C., Devane, D., Clarke, M., McCann, C., Hughes, P, Reilly, M. (2011) ‘Comparison of midwife-led and consultant-led care of healthy women at low risk of childbirth complications in the Republic of Ireland: a randomised trial’. BMC Pregnancy and Childbirth, 11(85), pp.1-6.

Begley et al (2010) Evaluation of clinical nurse and midwife specialist and nurse and midwife practitioner roles in Ireland (SCAPE study) The National Council for the professional development of Nursing and Midwifery: Dublin

Begley, C., Devane, D. (2003) The invisible Woman: Maternity care in Ireland. The Practising Midwife. 6(5) pp.10-12

Butler, M.M., Sheehy, L., Kington, M., Walsh, M.C, Brosnan, M.C., Murphy, M., Naughton, C., Drennan, J., Barry, T (2015) ‘Evaluating midwifery-led antenatal care: Choice, experience, effectiveness, and preparation for pregnancy’, Midwifery, 31, pp. 418-425.

Butler, M.M., Brosnan, M.C., Drennan, J., Feeney, P., Gavigan, O., Kington, M., O'Brien, D., Sheehy, L., Walsh, M.C. (2014) ‘Evaluating midwifery-led antenatal care: Using a programme logic model to identify relevant outcomes’, Midwifery, 30, e34-41.

Butler M. M., Meehan, T.C., Kemple, M., Drennan, J., Treacy, M., Johnson, M. (2009) 'Identifying research priorities for midwifery in Ireland' Midwifery, 25 PP.576-587.

The Roar Behind the Silence Why Kindness, Compassion and Respect matter in Maternity Care (2015) Byrom, S., Downe , S (eds) Pinter and Martin: London

SQUARING THE CIRCLE Normal birth research, theory and practice in a technological age (2019) Byrom, S., Downe , S (eds) Pinter and Martin: London

Casey, M., O’Connor, L., Nicholson, E., Smith, R., O’Brien, D., O’Leary, D., Fealy, D.M., McNamara, M.S., Stokes, D., Egan, C., 2017b. The perceptions of key stakeholders of the roles of specialist and advanced nursing and midwifery practitioners. J. Adv. Nurs. 73, 3007–3016. doi:10.1111/jan.13359

Carroll L, Curtin M, Greene E, O’Brien D. Midwifery lecturers’ reflections of midwifery education during covid-19 in ireland Practising Midwife 24(7):8-9 01 Jul 2021 (Journal article)

Cuidiú (2011) ‘A consumer guide for maternity services in Ireland’, Dublin: The Irish Childbirth Trust.

Dahlberg, U., Aune, I. (2013) ‘The woman’s birth experience- the effect of interpersonal relationships and continuity of care’, Midwifery, 29, pp.407-415.

Dahlberg, A.U., Ingebrigtsen, O. (2012) ‘Parents' experiences of midwifery students providing continuity of care’, Midwifery, 28, pp. 372–378.

Deery, R., Hunter, B. (2010) Emotion Work and Relationships in Midwifery IN The Mother-Midwife Relationship 2nd edn Kirkham, M (ed) Hampshire UK: Palgrave MacMillan.

Deery, R., Hughes, D., Kirkham, M. (2010) ‘Tensions and barriers in improving maternity care THE STORY OF A BIRTH CENTRE’, Oxford: Radcliffe Publishing.

Deery, R., Hughes, D., Kirkham, M. (2007) Making it better for mother and baby: A strategy or a sop? Midwifery Matters, Issue 113, Summer, 2-3.

Department of Health ( 2022) Report of the Expert Review Body on Nursing and Midwifery

Department of Health (2016) CREATING A BETTER FUTURE TOGETHER National Maternity Strategy (2016-2026) available at: www.health.gov.ie/wp-content/uploads/2016/01/Final-version-27.01.16.pdf

Department of Health (2014) Healthy Ireland: A framework for improved health and wellbeing - 2013 – 2025. Hawkins House, Dublin 2

Devane, D et al (2010) Socio-economic Value of the midwife a systematic review meta-analysis, meta synthesis, and economic analysis of midwifery-led models of care The Royal College of Midwives: London

Devane D, Begley CM, Clarke M, Horey D, O’Boyle C, Evaluating Maternity Care: A Core set of Outcome Measures, Birth, 34, (2), 2007, p164 - 172

Devane, D., Murphy-Lawless, J., Begley, C.M (2007) Childbirth policies and practices in Ireland and the journey towards midwifery-led care Midwifery 23 pp.92-101

Davis, D.L., Walker, K. (2011) Case-loading midwifery in New Zealand: Bridging the normal/abnormal divide ‘with woman’ Midwifery 27 pp. 46-52

Doherty, J., & O'Brien, D. (2022). Reducing midwife burnout at organisational level — Midwives need time, space and a positive work-place culture. Women and Birth. doi:10.1016/j.wombi.2022.02.003

Doherty J, O'Brien D. A participatory action research study exploring midwives’ understandings of the concept of burnout in Ireland Women and Birth 01 Jan 2021 (Journal article)



Julie Hinchliffe Leadership theories relevant to the role of the supervisor of midwives British Journal of Midwifery • September 2010 • Vol 18, No 9


Fealy, G et al., (2016) The development of a suite of audit tools for the HSE National Home Birth School of Nursing midwifery and Health Systems on behalf of The Office of the Nursing and Midwifery Services Director (ONMSD).

Fealy, GM, Casey, M, O'Leary, DF, et al. Developing and sustaining specialist and advanced practice roles in nursing and midwifery: A discourse on enablers and barriers. J Clin Nurs. 2018; 27: 3797– 3809. https://doi.org/10.1111/jocn.14550



Greenstock, Kate (2023) Flourish A practical and emotional guidebook to thriving in midwifery. Printer and Martin London


Health Information and Quality Authority (2016) ‘National Standards for Safer Better Maternity Services’ Dublin: Health Information and Quality Authority


Health Information and Quality Authority (2013) Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar available online at: www.hiqa.ie/ publications. Accessed January 5th 2014.

Health Service Executive (2013a) ‘Planned Home Births in Ireland ANNUAL REPORT’ Dublin: Health Service Executive.

Health Service Executive (2013b) Investigation of Incident 50278 from time of patient’s self-referral to hospital on the 21st of October 2012 to the patient’s death on the 28th of October, 2012. Health Service executive available on-line at www.hse.ie/publications. Accessed August 14th 2013.

Health Service Executive (2013) ‘National Consent Policy’, Dublin: Health Service Executive:

Health Service Executive (2013) ‘Open Disclosure Policy’, Dublin: Health Service Executive:

Hermanson, E. and Mårtensson, L., 2011. Empowerment in the midwifery context—a concept analysis. Midwifery, 27(6), pp.811-816.


Higgins, M (2007) Midwifery Irish style Government Policy and its effects on midwifery practice in Midwifery freedom to Practise? An international exploration of Midwifery practice (Reid L ed) Churchill Livingstone: Edinburgh

HODNETT, E.D., DOWNE, S. and WALSH, D., 2012. Alternative versus conventional institutional settings for birth Cochrane Database of Systematic Reviews. 2012(8), CD000012

Homer, C.S.E., Passant, L., Brodie, P.M., Kildea, S., Leap, N., Pincombe, J., Thorogood, C (2009) The role of the midwife in Australia: views of women and midwives. Midwifery 25 673-681

Hunter, B., Deery, R. (2010) Emotion Work and Relationships in Midwifery, in The Mother–Midwife Relationship 2nd edn Kirkham (ed) pp.37-54 Hampshire: Palgrave Macmillan.

Hunter L.P. (2009) ‘A descriptive study of “being with woman” during labor and birth’
Journal of Midwifery and Women’s Health, 54 pp.111–118.

Johnson R. Taylor W. (2016) Skills for Midwifery Practice, 4th Edition, Elsevier, London
Jomeen, J. (2010) Choice, Control and Contemporary Childbirth Understanding through women’s stories. Radcliffe Publishing: Oxford.

Jomeen, J. (2006) Choices for maternity care are they still ‘an illusion?’ A qualitative exploration of women’s experiences in early pregnancy. Clinical Effectiveness in Nursing 9S2 191-200.

Kitson-Reynolds, E. (2009) Developing decision-making for students using interactive practice. British Journal of Midwifery, 17, 4, p.238—43.

Jefford, E., Fahy, K. (2015) Midwives׳ clinical reasoning during second stage labour: Report on an interpretive study Midwifery 31 (5), pp.519-525.

Jefford, E., Fahy, K. And Sundin, D. (2011) Decision-making theories and their usefulness to the midwifery profession both in terms of midwifery practice and the education of midwives. International Journal of Nursing Practice, 17, p246-253.

Jefford, E. Fahy, K. And Sundin, D. (2010) A review of the literature: Midwifery decision-making and birth. Women and Birth, Volume 23, Issue 4, Pages 127-13.

Kennedy, P., Kodate N (2015) Maternity Services and Policy in an International Context Risk, Citizenship and Welfare Regimes Edited by Routledge

Kirkham, M (2010) We Need to Relate in The Mother-Midwife Relationship 2nd edn Hampshire: Palgrave Macmillan pp.250-268.

Kennedy, P (2010) 'Healthcare reform: Maternity service provision in Ireland'. Health Policy, 97:145-151.

Kennedy, P. (2008) Moving towards consumer involvement in maternity services in the north-east of Ireland: International Journal of Consumer Studies: 32
pp 27-33

Kennedy, P. (2008) Moving towards consumer involvement in maternity services in the north-east of Ireland: International Journal of Consumer Studies: 32
pp 27-33

Kennedy, P. (2002) Maternity in Ireland a woman-centred perspective: Liffey Press: Dublin.
Lindgren H., Erlandsson K. (2010) Women’s experiences of empowerment in a planned home birth: a Swedish population-based study Birth, 37 (4), pp.309–317.

Larkin, P., Begley, C.M., Devane, D. (2012) ‘Not enough people to look after you': an exploration of women's experiences of childbirth in the Republic of Ireland’. Midwifery, 28 (1), pp.98-105.

Leap, N (2010) The Less We Do The More We Give in the Midwife-Mother Relationship, Kirkham, M (ed) (2ND edn) Hampshire UK: Palgrave MacMillan

Leap, N., Sandall, J., Buckland, S . Huber, U. (2010) Journey to confidence: women's experiences of pain in labour and relational continuity of care, Journal of Midwifery and Women's Health, 55, pp. 234–242.


Malatest International (2013) ‘a comparative study of maternity services’ Auckland: Ministry of Health New Zealand

Mander, R., Murphy-Lawless, J (2013) ‘The Politics of Maternity’, London: Routledge,


Matthews, A., Scott, P.A (2008) Perspectives on midwifery power: an exploration of the findings of the Inquiry into paripartum hysterectomy at Our Lady of Lourdes Hospital, Nursing Inquiry, 15, pp.127-134.

Matthews, A., Scott, P.A. and Gallagher, P., (2009) The development and psychometric evaluation of the Perceptions of Empowerment in Midwifery Scale. Midwifery, 25(3), pp.327-335.

Matthews, A., Scott, P.A., Gallagher, P. and Corbally, M.A., (2006) An exploratory study of the conditions important in facilitating the empowerment of midwives. Midwifery, 22(2), pp.181-191.

Marshall, J. and Raynor, M (2014) Myles Textbook for Midwives. London: Churchill Livingstone.


McNelis, M. (2013) ‘Women’s experiences of care during labour in a midwifery-led unit in the Republic of Ireland’, British Journal of Midwifery, 21(9), pp. 622-31.

Murtagh, M., Folan, M (2014) Women’s experiences of induction of labour for post-date pregnancy British Journal of Midwifery, 22 2, pp.105-110

NHS (2016) National Maternity Review. Better Births: Improving Outcomes of Maternity Services in England. London: NHS England; 2016

Nursing and Midwifery Board of Ireland (2014) Code of Professional Conduct and Ethics for Registered Nurses and Midwives. Dublin: Nursing and Midwifery Board of Ireland

Nursing and Midwifery Board of Ireland (2015) Practice Standards for Midwives. Dublin: Nursing and Midwifery Board of Ireland.

Nursing and Midwifery Board of Ireland (2015) Scope of Nursing and Midwifery Practice Framework. Nursing and Midwifery Board of Ireland, Dublin.

Nursing and Midwifery Board of Ireland (2015) ‘ETHICAL CONDUCT IN RESEARCH: Professional guidance’, Dublin: Nursing and Midwifery Board of Ireland.

Nursing and Midwifery Board of Ireland (2015) ‘QUALITY CLINICAL LEARNING ENVIRONMENT Professional guidance’, Dublin: Nursing and Midwifery Board of Ireland:

Noseworthy, D. A., Phibbs, S. R, Benn, C.A. (2013) ‘Towards a relational model of decision-making in midwifery care’, Midwifery, 29(7), e42-8.

O’ Boyle, C (2013) ‘Just waiting to be hauled over the coals': Home birth midwifery in Ireland, Midwifery, 2013, Vol. 29, Issue 8, Pages 988-995

O'Brien, D., Coughlan, B., Thompson, S., Carroll, L., Sheehy, L., Brosnan, M., . . . Doherty, J. (2022). Exploring midwives' experiences of implementing the Labour Hopscotch Framework: A midwifery innovation.. European journal of midwifery, 6, 18. doi:10.18332/ejm/146081

Thompson, S., Coughlan, B., McCreery, T., Mhurichu, A. N., Sheehy, L., Doherty, J., . . . O’Brien, D. (2022). A POSITIVE BIRTH EXPERIENCE: MIDWIVES EMPOWERING WOMEN AND THEIR PARTNERS DURING THE BIRTH OF THEIR BABY WITH THE STEPS OF THE LABOUR HOPSCOTCH FRAMEWORK. Practising Midwife, 25(3), 8-14.

Doherty, J., & O'Brien, D. (2022). A participatory action research study exploring midwives’ understandings of the concept of burnout in Ireland. Women and Birth, 35(2), e163-e171. doi:10.1016/j.wombi.2021.06.002



O'Brien D, Butler MM, Casey M. The importance of nurturing trusting relationships to embed shared decision-making during pregnancy and childbirth Midwifery 98 01 Jul 2021 (Journal article)

O'Brien, D., Butler, M.M. and Casey, M., 2017. A participatory action research study exploring women's understandings of the concept of informed choice during pregnancy and childbirth in Ireland. Midwifery, 46, pp.1-7.

O'Brien, D., Casey, M., Butler,M.M (2018) Women's experiences of exercising informed choices as expressed through their sense of self and relationships with others in Ireland: A participatory action research study, Midwifery,Volume 65,Pages 58-66,


O’Hare, J., Fallon, A. (2011) ‘Women’s experience of control on labour and childbirth’, British Journal of Midwifery, 19 3, pp.164-169.

Olafsdottir, O.A., (2009) Inner Knowing and Emotions in the Midwife-Woman Relationship in emotions in midwifery and reproduction Hunter, B., Deery, R. (eds) London: Palgrave Macmillan


Pallant, J.F., Dixon, L., Sidebotham, M. and Fenwick, J., (2015) Further validation of the perceptions of empowerment in midwifery scale. Midwifery, 31(10), pp.941-945.

Reid (2007) Midwifery Freedom to Practice: an international exploration of midwifery practice Churchill Livingstone: Edinburgh

Renfrew MJ, Homer CSE, Downe S et al. The Lancet Series on Midwifery Executive Summary. 2014. https://www.thelancet. com/pb/assets/raw/Lancet/stories/series/midwifery/ midwifery_exec_summ.pdf

Renfrew, M.J.J.T.L.G.H., 2021. Scaling up care by midwives must now be a global priority. Lancet Glob Health 9 (1), e2–e3

Renfrew MJ, Homer CSE, Downe S et al. The Lancet Series on Midwifery Executive Summary. 2014. https://www.thelancet. com/pb/assets/raw/Lancet/stories/series/midwifery/ midwifery_exec_summ.pdf

Royal College of Midwives. State of Maternity Services Report 2018–England. London: RCM; 2018

UNFPA,, 2021. The State of the World’s Midwifery 2021. United Nations Population.Fund, New York.




Sandall, J., Soltani, H., Gates, S., Shennan, A. and Devane, D., 2016. Midwife‐led continuity models versus other models of care for childbearing women. The Cochrane Library.





Thompson, S ., Coughlan, Barbara; Sheehy, Lucille; Carroll, Lorraine; McCreery, Theresa; Cronin, Martina; Brosnan,Mary Aisling ni Mhurichu, Doherty, J., ; Mason, Olivia; Liran Shan, C, O'Brien, D ( 2019) An Evaluation of the Labour Hopscotch Framework at the National Maternity Hospital Published Commissioned Report National Maternity Hospital Dublin

S.M. Thompson, M.J. Nieuwenhuijze, L.K. Low, R. de Vries Exploring Dutch midwives’ attitudes to promoting physiological childbirth: A qualitative study Midwifery, 42 (2016), pp. 67-73

https://www.gov.ie/en/policy-information/d1a513-nursing-and-midwifery/

https://healthservice.hse.ie/about-us/onmsd/onmsd/specific-programmes/nclc-nursing-midwifery-onmsd.html

https://internationalmidwives.org/resources/state-of-the-worlds-midwifery-2021

WHO, 2019. Delivered by women, led by men: a gender and equity analysis of the global health and social workforce.

WHO, 2021. Global strategic directions for nursing and midwifery 2021–2025


Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
Autumn Lecture Offering 1 Week(s) - 5, 6 Fri 10:00 - 11:50
Autumn Lecture Offering 1 Week(s) - 5 Mon 09:00 - 09:50
Autumn Lecture Offering 1 Week(s) - 1, 2, 3, 4 Mon 09:00 - 10:50
Autumn Lecture Offering 1 Week(s) - 6 Mon 09:00 - 10:50
Autumn Lecture Offering 1 Week(s) - 5 Mon 10:00 - 10:50
Autumn Lecture Offering 1 Week(s) - 5, 6 Mon 14:00 - 14:50
Autumn Lecture Offering 1 Week(s) - 1, 2, 3, 4 Mon 14:00 - 15:50
Autumn Lecture Offering 1 Week(s) - Autumn: Weeks 1-6 Thurs 15:00 - 15:50