Influencing Student Learning through a Portfolio of Clinical Evidence

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Influencing Student Learning througha Portfolio of Clinical Evidence‣ Increasing awareness of personal practices‣ Developing communication skills… like the midwives in Olsen’s (1999) study, I tend not to give much thought to consentfor the [abdominal] examination and as a result may ask for permission to perform theexamination in a way which does not convey to the woman that she has a choice. Isometimes use phrases such as ‘good size’ and ‘growing well’ to describe the fetuswhich, without explanation may lead the woman to worry that the baby will be too big forher to deliver (Stapleton et al. 2002). As a result I feel that I need to give moreconsideration to the language I use when talking to a woman before and during anabdominal examination … (student 2)this experience [of having reflected on how parents were told that they had a baby withDown’s syndrome] has helped me see that it is important to work on and develop myinterpersonal skills as well as my clinical skills (student 5)
Influencing Student Learning througha Portfolio of Clinical Evidence‣ Increased awareness of personal practices‣ Developing communication skills … continued …this piece of work [reflective account of care] has made me think about ‘choice’ and‘consent’. It has made me realise that sometimes women are not given informed choice.Poor communication skills and closed questions often lead women giving consent forsomething they don’t truly understand or want … Communication with the woman andher partner is vital in building a relationship, which is based on trust (student 6)
Page 1 and 2: Ci Ci StuartDepartment of Midwifery
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Influencing Student Learning through a Portfolio of Clinical Evidence

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