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Volume 3

Journal of Nursing Research and Practice

Nursing and Heart 2019

April 22-23, 2019

Nursing Education and Evidence Based Practice Conference

Heart Conference

April 22-23, 2019 Dubai, UAE

World

4

th

International

&

Amiddle-range theory for developing clinical reasoning skills in undergraduate midwifery students

Olivia B Baloyi

University of KwaZulu-Natal, South Africa

Background:

Clinical Reasoning (CR) remains central in midwifery care in the light of uncontrollable high maternal mortality rates

and errors in midwifery practice. However, there is no consensus, locally and internationally, on how clinical reasoning skills can be

developed in undergraduate students particularly within midwifery context.

Aim:

This study analysed the processes used to develop clinical reasoning skills within undergraduate midwifery students with

the aim of generating a middle-range theory for the production of competent midwifery graduates for optimum patient outcomes.

Qualitative and grounded theory approach, underpinned by Social Constructivism Paradigm, was used. Data were collected over

twelve months, using multiple methods of observations, interviews and document analysis. The participants comprised of midwifery

nursing students, the 2016 and 2017 cohorts as well as midwifery educators. A total of 16 focus group discussions and 12 individuals

in depth interviews were conducted.

Methods and analysis:

Data collection and initial data analysis occurred simultaneously using coding process, which comprised

of three distinct phases (open coding, axial coding and selective coding), with constant comparative analysis at each phase. Ethical

clearance was obtained from the University Ethics Committee, with the Protocol reference number HSS/1288/016D.

Findings:

Developing clinical reasoning skills emerged as the main concept in the middle-range theory that was generated in this

study. This main concept was supported by major concepts, which included context, nature of the curriculum, clinical reasoning

process, pillars including individual and system related outcomes.

Discussion and Conclusion:

Quality midwifery care is what is founded on the clinical reasoning abilities of the midwives. The

process of developing clinical reasoning skills is a hypothesis-oriented inquiry, hinged by process-product, relevant and responsive

curriculum.

Biography

Dr Baloyi is a faculty member in the School of Nursing, College of Health Sciences at the University of Kwa-Zulu Natal, Durban, South Africa. Her research

focusses on midwifery with specific interest midwifery education. In her PhD, she developed a model to guide the development of clinical reasoning skills within

undergraduate midwifery students. She also has a passion for qualitative and grounded theory research. Dr Baloyi is the author of 4 peer reviewed articles all

published in International Journals. As an emerging academic, Dr Baloyi is supervising two (2) PhD students and four (4) Masters.

baloyio@ukzn.ac.za

Olivia B Baloyi, J Nursing Research and Practice, Volume 3

DOI: 10.4172/2632-251X-C3-008