A qualitative study exploring student midwives' experiences of carrying a caseload as part of their midwifery education in England.
OBJECTIVE
To explore student midwives' experiences of caseloading to develop an understanding of how they perceive this educational strategy has impacted on their learning journey to becoming a midwife.


METHODS
A qualitative approach drawing upon the principles of grounded theory. Data were collected by in-depth semi-structured interviews.


METHODS
A university in the South of England providing undergraduate pre-registration midwifery education across Advanced Diploma and BSc (Hons) programmes.


METHODS
Eight Caucasian female final-year student midwives aged 23-50 years who had completed their caseloading experience.


RESULTS
One core category ('making it good') and four major categories emerged: (1) 'developing and managing caseload', (2) 'learning partnerships', (3) 'feeling like a midwife' and (4) 'afterwards'. The core category was reflected in all the other categories and was dependent upon them.


CONCLUSIONS
Students identified caseloading as a highly beneficial learning approach, facilitating application of theory to practice and acquisition of new skills promoting confidence and competence in practice. Students articulated an overwhelming desire and concern to meet and facilitate women's expectations. Perceptions of letting the woman down evoked feelings of inadequacy and failure. Flexible working practices, on-call commitment and carrying a caseload alongside academic and home commitments was, for many, emotionally stressful. Effective preparation of students for the realities of caseloading, the development of realistic caseloads that take account of the student's individual situation, and the provision of supportive frameworks are essential.
Rawnson
Stella
S
Bournemouth University, School of Health and Social Care, Room 609, Royal London House, Christchurch Road, Bournemouth BH1 3LT, UK. srawnson@bournemouth.ac.uk
D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology*; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D004521:Educational Measurement; D004739:England; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008880:Midwifery / Q000193:education*; D015402:Nursing Education Research; D011231:Preceptorship / Q000379:methods; D018794:Problem-Based Learning / Q000379:methods*; D013338:Students, Nursing / Q000706:statistics & numerical data*; D055815:Young Adult