Abstract
PEER (Peer, Education, Evaluation, Review) is a model of peer review which involved midwives meeting regularly as a group with each midwife presenting a case study to the group. Case review followed set rules covering confidentiality, positive feedback and critical evaluation. The aim of this project was to evaluate the implementation of the PEER model of peer review for midwives. Three centres participated, selected to represent a range of midwifery practice. There were two groups of five midwives from each centre, 30 midwives in all. The research tools included; semi-structured interviews, an adjective checklist diary, semi-structured group interviews and a postal questionnaire. Midwives were overwhelmingly positive about the experience of participating in PEER. They had appreciated the opportunity to reflect on their practice and learn from other's experiences. Many indicated it had increased awareness of accountability and the importance of record keeping. PEER provides a model of peer review, which is acceptable to, and supported by midwives, providing a positive impetus for changing and sustaining practice.
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