Strengthening midwifery education through clinical experience: Findings from a qualitative study in Indonesia

Abstract

BackgroundOne of the Indonesian Government’s strategies to reduce maternal mortality rates has been to place a midwife in every village to provide midwifery care and facilitate essential primary healthcare services. To increase the numbers of midwives, the Indonesian Government began opening midwifery schools. However, Indonesia’s maternal mortality rates remained high. This raises the question of the quality of midwifery education in Indonesia and how this education could be strengthened so that midwifery plays a key role in reducing maternal mortality rates. Aim of the researchThe aim of this study was to identify the barriers and enablers to strengthening midwifery education in Indonesia. MethodsA qualitative descriptive approach and in-depth interviews was the method used with 37 participants from 12 midwifery schools in eight cities situated in six provinces in Indonesia. Indonesian midwives, midwifery lecturers, midwifery students, newly graduated midwives, and obstetricians were interviewed in Bahasa Indonesia. Interviews were transcribed, translated, and thematically analysed following Braun and Clark (2006). FindingsThis article focuses on findings on “midwifery clinical experience”, a theme which contained four sub-themes: “effective hands-on clinical experience”, “theory-practice gap”, “role of the mentor in practice”, and “the system in the clinical environment”. ConclusionThis study highlights barriers to preparing midwifery students for obtaining adequate midwifery knowledge and skills during clinical placement. Quality clinical experience would improve knowledge and skills for better preparedness for students to competently meet their role as midwives, contributing to the strengthening of midwifery education in Indonesia.