Ginette Lange, CNM, FNP, PhD, is Associate Professor on the faculty of the Nurse-Midwifery education program at the UMDNJ School of Health-Related Professions.
Student Perceptions of Ideal and Actual Midwifery Practice
Version of Record online: 24 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 2, pages 71–77, March-April 2006
How to Cite
Lange, G. and Kennedy, H. P. (2006), Student Perceptions of Ideal and Actual Midwifery Practice. Journal of Midwifery & Womens Health, 51: 71–77. doi: 10.1016/j.jmwh.2005.10.003
The ACNM Certification Council, Inc. (ACC) underwent a name change to the American Midwifery Certification Board (AMCB) in July of 2005. The research conducted for this article was done prior to the name change.
- Issue online: 24 DEC 2010
- Version of Record online: 24 DEC 2010
- preceptor practice;
- student perceptions;
- midwifery practice;
- espoused theory;
- theory in practice
This research was conducted to document midwifery students' observations of ideal midwifery care in different educational and clinical midwifery settings. A survey questionnaire using the 39 processes of exemplary midwifery process identified by Kennedy in 2000 was sent to a group of newly graduated certified nurse-midwives, all members of the American College of Nurse-Midwives. The questionnaire was constructed to permit the respondent to evaluate “ideal” and “actual” midwifery practices. Significant differences between actual observations and ideal perceptions of midwifery practice were found in two of the four clinical settings (birth centers and homebirth) and one type of education program (BA to BSN to CNM). No difference was found between traditional versus distance learning programs. Of most concern was that half of the respondents perceived a lack of congruity on ideal and actual midwifery practices that supported normal birth. The results of this study represent a “theory-practice” gap and should be considered by educators and preceptors in the development of curriculum and clinical experiences.