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The University of Southampton

NPMS3041 Autonomous Midwifery Practice with Case-load Experience

Module Overview

Theoretical component: The theoretical component will include learning activities associated with decision-making followed by interactive sessions that build into transition to becoming a practising midwife. The role of the midwife as assessor will be explored to support you as a future supervisor of new learners in practice. You will be offered a 1-1 record-keeping audit by a Professional Midwifery Advocate to support your transition to a qualified midwife. Practice related component: You will be required to complete five caseload experiences. This will be introduced earlier within the programme to allow time for planning and risk assessing. There is a risk assessment caseload document that needs completing per caseload. Each caseload will require a user feedback evaluation, This will be something that you will incorporate within a written reflection and add to your portfolio of evidence that will support future first post interviews.

Aims and Objectives

Module Aims

To consolidate and enhance the knowledge and skills required for contemporary midwifery practice. To refine your ability to analyse practice and the underpinning evidence based To begin the transition for your first midwifery post.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Critically evaluate the role and importance of contemporaneous records
  • Critically analyse programmes of care demonstrating modifications for the improvements of outcomes for women, babies and their families
  • Demonstrate and evaluate safe practice within the limitations of the individual’s own competence, knowledge and sphere of professional practice, consistent with the legislation relating to midwifery practice
  • Critically appraise the diagnostic and decision making skills required for the safe assessment, planning and delivery of care for a woman with complex health care needs during childbirth
  • Recognise and critically appraise within maternity services, the value of the patient voice


Decision making theories Risk assessment and management Clinical audit – including Care Quality Commission Regulatory requirements Transition to first post Planning care in partnership with women, including consideration of capacity Patient voice Working in partnership with other professionals /agencies Development of the role of autonomous practitioner Enhancing the decision making and risk assessment skills required for autonomous contemporary practice Fitness to practice and professional self-regulation Duty of care The role of Professional Midwifery Advocate Accountability Understanding self Continuing Professional Development (CPD) - Statutory requirements. Reflective practice relevant to CPD Risk management and human error Case load experience in practice Suturing practical skill Midwife as assessor and educator Programme threads are linked throughout and include: • Baby Friendly principles • Medicines management • Mental health and well-being • Values Based Journey

Special Features

A caseload experience of a minimum of five women is expected as a course requirement. For each caseload experience, you will be required to collect a patient voice feedback sheet, which will be used within an in-depth reflection of each caseload experience. This module therefore links with the practice experience modules 5 and 6 for caseload exposure. Course requirement: Patient voice feedback sheet, which will be used within an in-depth reflection of each caseload experience to be recorded within the EAoPP You will be offered to attend a record-keeping audit with a professional midwifery advocate. The purpose of undertaking this audit is to identify key personal learning objectives to enhance care/documentation practice. You will be expected to engage in clinical audit to consider how practice is monitored, evaluated and enhanced at a service and individual level.

Learning and Teaching

Teaching and learning methods

Lectures Group work Case-load practice Self directed study Audit Film Values Based Enquiry Tutorials

Preparation for scheduled sessions10
Completion of assessment task36.75
Work based learning2
Wider reading or practice100.75
Total study time187.5

Resources & Reading list

Standing, M (editor) (2010). Clinical judgement and decision-making in nursing and interprofessional healthcare. 

Thompson, C and Dowding, D (editors) (2009). Essential decision making and clinical judgement for nurses. 

Raynor, M., Marshall, J. Sullivan, A (2005). Decision-Making in Midwifery Practice. 

Jacob, S and Lavender, T (editors) (2008). An essential guide for student midwives: Preparing for professional practice.. 

Midwifery 2020 – Delivering Expectations.

Tingle, J and Bark, P (editors) (2011). Patient safety, Law policy and Practice.. 



Case study


MethodPercentage contribution
Essay  ( words) 100%


MethodPercentage contribution
Essay  (2500 words) 100%

Repeat Information

Repeat type: Internal


Costs associated with this module

Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.

In addition to this, students registered for this module typically also have to pay for:

Equipment and Materials

You may like to bring food products for suturing skills workshop as guided by midwifery tutor.


All texts key are available within the library or can be purchased online or within the bookshop located on campus. For the current costs you are requested to check on line, if purchased this will be at your own cost.

Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at

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