title: 'Teaching on the Run' with Australian midwives in a tertiary maternity hospital.
abstract: Teaching On The Run (TOTR) is an Australian program for health professionals involved in clinical supervision. An amended TOTR program was evaluated with midwives acting as preceptors assisting learners integrate theory with clinical practice. A mixed method study was employed to compare midwives' perceived skills and confidence before and after completion of TOTR workshops. A secondary aim explored midwifery learners' (students and new graduates) perceptions of support from preceptors during the implementation of TOTR. Sixty five midwives completed the TOTR workshops with 46 providing data before program enrolment and 1-3 months after completion of the final TOTR workshop. Significant improvements were found for midwifery preceptors with before and after comparisons using Preceptor Self-Efficacy and Self-Evaluation Questionnaires. Using the Nursing Facilitator Clinical Questionnaire, preceptees or midwifery learners (n = 49) scored the 'qualities of their preceptors', 'their clinical practice', 'clinical learning' and 'how feedback was provided' highly with no changes between 2013 and 2014. Nineteen students then participated in three focus group interviews, analyzed using a six step systematic process. One overarching theme, 'Guiding me through' emerged with four themes: 'Getting to know each other'; 'Willingness to share knowledge'; 'Leading by example'; and 'The system acknowledging and valuing the preceptor role'.
authors.affiliation: School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: y.hauck@curtin.edu.au.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Hauck
authors.affiliation: School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: lucy.lewis@curtin.edu.au.
authors.forename: Lucy
authors.initials: L
authors.lastname: Lewis
authors.affiliation: Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: alissa.pemberton@health.wa.gov.au.
authors.forename: Alissa
authors.initials: A
authors.lastname: Pemberton
authors.affiliation: Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: caroline.crichton@health.wa.gov.au.
authors.forename: Caroline
authors.initials: C
authors.lastname: Crichton
authors.affiliation: Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: janice.butt@health.wa.gov.au.
authors.forename: Janice
authors.initials: J
authors.lastname: Butt
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D002983:Clinical Competence; D004506:Education, Nursing; D005260:Female; D017144:Focus Groups; D006771:Hospitals, Maternity; D006801:Humans; D008875:Middle Aged; D008880:Midwifery / Q000193:education*; D011231:Preceptorship / Q000379:methods*; D011247:Pregnancy; D013338:Students, Nursing; D011795:Surveys and Questionnaires; D013663:Teaching
keywords: Midwifery; Mixed methods; Preceptee; Preceptor; Self-efficacy; Self-evaluation