Bereavement care education and training in clinical practice: Supporting the development of confidence in student midwives

Aims: To improve the confidence in student Midwives to provide bereavement careto parents following pregnancy loss and perinatal death. Background: The one-day interactive Educational Training Workshop in Bereavement Care (ETWBC) was developed for student midwives in their final year of their B.Sc. Midwifery Degree Programme and those completing a Higher Diploma in Midwifery to help improve their confidence to provide bereavement care in clinical practice. Design: A longitudinal sequential mixed-methods design was used to evaluate the outcome and processes of participation in the Workshop. This paper reports on the outcome evaluation. Methods: Participants completed the study questionnaires at all 3 time points: pre/post workshop and 3 month follow-up. Thirty nine of the 41 student midwives (Higher Diploma and 4th year B.Sc.) participated in the workshop. 97.44% (n = 38) of the participants completed all the questionnaires. Results: Participation in the ETWBC increased student's midwives confidence (measured using knowledge and skills scales); Bereavement support skills [F(2,72) = 21.150, p <.000, partial eta squared = 0.370] and Bereavement support knowledge [F(1.6,60) = 48.460, p <.000, partial eta squared = 0.567]to provide bereavement care. Improvement in Student Midwives’ level of self-awareness of the needs of bereaved parents [F(2,72)= 20.311, p <.000, partial eta squared = 0.361] and of their own personal needs [F (1.7, 61) = 30.387, p <.000, partial eta squared = 0.458] in relation to providing bereavement support were also found. Conclusion: Participation in the Education Training Workshop on Bereavement Care helped increase student midwives confidence to provide bereavement care to grieving parents and to increase their self-awareness around their clinical practice in this area. The ETWBC is recommended as a brief effective educational intervention for inclusion in Midwifery curricula which could be modified for use with other relevant professional groups.