Fitness for practice in nursing and midwifery education in Scotland, United Kingdom

Holland, K; Roxburgh, M; Johnson, M; Topping, K; Watson, R; Lauder, W; Porter, M

Abstract

Aim. The aim of this paper is to report findings from a major study that evaluated the Fitness for Practice nursing and midwifery
curriculum in Scotland, UK.
Background. The competence of student nurses and midwives at the point of registration has been the focus of debate and
research. However, no major study, on such a large scale, had specifically evaluated pre-registration programmes to determine
whether they enabled students to achieve ‘fitness to practice’.
Design. The study had a broad evaluation design conducted in three phases using a mixed methodology.
Method. Phase 1 involved questionnaires, Objective Structured Clinical Examination’s (OSCE) and curriculum evaluation.
Phase 2 involved semi-structured interviews (some telephone) and focus groups across main stakeholders: students (n = 78),
mentors (n = 78), practice-education facilitators (n = 24), academics (n = 59), senior clinical (n = 46) and education managers
(n = 16), service users and carers (n = 10).
Results. The findings suggest that the Fitness for Practice curriculum model in Scotland has on the whole been successful. The
key finding is the predominant opinion of stakeholders that newly qualified nurses and midwives are perceived as being fit for
practice at the point of registration. A perceived lack of confidence is, as with all transitions to new roles, an understandable
outcome.
Conclusions. Previous concern that student nurses and midwives are not ‘fit for practice’ has focused on the perceived lack of
clinical skills at the point of registration, not on competence to practice in general. This study demonstrates that this is an
important distinction and recognises that registration is only the beginning of a life long learning experience.
Relevance to clinical practice. Students need to be supported to develop their confidence following registration as well as
additional skills in their chosen field of practice. Appropriate mentorship and a period of preceptorship should be in place to
accommodate this.

Citation

Holland, K., Roxburgh, M., Johnson, M., Topping, K., Watson, R., Lauder, W., & Porter, M. (2010). Fitness for practice in nursing and midwifery education in Scotland, United Kingdom. Journal of Clinical Nursing, 19, 461-469. https://doi.org/10.1111/j.1365-2702.2009.03056.x

• Journal Article Type: Article
• Publication Date: Feb 1, 2010
• Deposit Date: May 9, 2011
• Journal: Journal of Clinical Nursing
• Print ISSN: 0962-1067
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 19
• Pages: 461-469
• DOI: https://doi.org/10.1111/j.1365-2702.2009.03056.x
• Publisher URL: http://dx.doi.org/10.1111/j.1365-2702.2009.03056.x