BMidwif Midwifery / Course details

Year of entry: 2024

Course unit details:
Midwifery Practice 4

Course unit fact file
Unit code NURS44110
Credit rating 60
Unit level Level 7
Teaching period(s) Full year
Offered by Nursing & Midwifery
Available as a free choice unit? No


This unit will enable you to further develop the knowledge and skills you have acquired in readiness for professional practice and your role as a skilled midwifery practitioner and leader. Within the clinical environment you will demonstrate your proficiency in midwifery practice and continue to develop your skills as a leader. You will maintain and further develop your skills in Newborn and Infant Physical Examination under the supervision of a qualified practitioner. You will demonstrate proficient knowledge and skills in evidence-based medicines administration and optimisation. You will critically reflect on clinical incidents, including those where complex decisions are required, in order to consolidate the link between theory and your clinical practice. Throughout this unit you will predominantly learn in the clinical environment and via face-face and online learning.


This unit aims:

  • enable learners to apply and critically reflect on their acquired theory of professional midwifery practice in clinical situations, including those that are complex in nature, in partnership with qualified health professionals, with supervision and direction appropriate to knowledge and skills.
  • support learners in maintaining the skills for safe administration of medicines, and for Newborn and Infant Physical Examination.

Teaching and learning methods

The intended learning outcomes (ILOs) and aims are all constructively aligned to ensure the teaching and assessment methods support the learners’ achievement of these to the highest standard. The assessment ensures that all aims and ILOs can be demonstrated as met during the assessment task and in order to facilitate learners’ understanding of the ILOs the following teaching methods will be used:

  • Practice-based learning
  • Online resources
  • Independent study

NHS Core Skills e-learning: mandatory completion

Knowledge and understanding

  • Demonstrate comprehensive knowledge and a critical understanding of the midwife’s professional accountability and responsibility associated with the safe administration of medicines.
  • Comprehensively understand calculations relevant to prescribing and practical dosing and the required processes to generate an accurate prescription.
  • Critically review and appraise care given and complex decisions made in light of best available evidence and the outcomes of care, and identify creative solutions and appropriate actions to develop knowledge and skills.

Intellectual skills

  • Able to prioritise in complex situations, make sound judgements in the absence of complete data and communicate conclusions clearly to specialist and non-specialist audiences.
  • Proficiently collaborate in multidisciplinary decision-making, planning and implementation of midwifery and newborn care.
  • Demonstrate proficient collaboration and team working with interdisciplinary and multiagency teams or groups to address complex needs, promote quality improvement and teach others.
  • Demonstrate self-direction and originality in tackling and solving problems and act autonomously in planning and implementing tasks at a professional level.

Practical skills

  • Demonstrate professional behaviour by enacting NHS England’s 6 Cs.
  • Proficiently promote and provide continuity of carer. 
  • Proficiently conduct the full systematic physical examination of the newborn infant under the guidance of a qualified practitioner.
  • Demonstrate proficiency in planning, implementing and evaluating plans of care in partnership with individuals and families to anticipate, prevent, recognise and respond to complications including implementing first-line intervention and emergency management.
  • Demonstrate effective and accurate record keeping, appropriately shares findings and escalates concerns, including in emergencies.

Transferable skills and personal qualities

  • Demonstrate the ability to initiate and maintain kind, trusting, respectful relationships, work in partnership with and advocate for all individuals across the childbearing continuum.
  • Ability to communicate, share information and conduct person-centred conversations that promote health, including sensitive topics and during emergencies.
  • Recognise and respond to vulnerability in self and others.

Assessment methods

Midwifery Ongoing Record of Achievement - 67%

Critical incident accounts - Identify 2 or 3 practice-based incidents on which to reflect using structured, set questions that require you to clearly link theory with practice and consider your professional development.  - 33%

Feedback methods


Recommended reading

  • Barber, P. and Robertson, D. (2015). Essentials of Pharmacology for Nurses. 3rd edition. Maidenhead: McGraw-Hill.
  • Bass, J., Fenwick, J. and Sidebotham, M. (2017). ‘Development of a Model of Holistic Reflection to facilitate transformative learning in student midwives’. Women and birth¿: journal of the Australian College of Midwives, 30(3), pp.227–235.
  • Bassot, B. (2016). The reflective practice guide: an interdisciplinary approach to critical reflection . London; Routledge.
  • Béres L. and Fook J. (2020). Learning Critical Reflection: Experiences of the Transformative Learning Process. 1st Edition. Abingdon; Routledge.
  • Daemers, DOA, van Limbeek, EBM, Wijnen, HAA, Nieuwenhuijze MJ, de Vries RG. (2017). Factors influencing the clinical decision-making of midwives: a qualitative study. BMC Pregnancy Childbirth 17, pp 345.
  • Davey L and Houghton D. (2020). The Midwife’s Pocket Formulary. 4th Edition. Edinburgh, Elsevier.
  • Jefford, E., Fahy, K. and Sundin, D. (2010). A review of the literature: Midwifery decision-making and birth. Women and birth¿: Journal of the Australian College of Midwives, 23(4), pp.127–134.
  • Jones, T. (2020). A Student Guide to the Newborn Infant Physical Examination. London: Routledge.
  • Lapham, R. (2021). Drug Calculations for Nurses.<

Study hours

Scheduled activity hours
Work based learning 600

Teaching staff

Staff member Role
Elizabeth Nocton Unit coordinator

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