Cent Eur J Nurs Midw 2025, 16(4):2328-2340 | DOI: 10.15452/cejnm.2025.16.0023

Preceptors’ perceptions and experiences of clinical birth education: a qualitative study

Gözde Gökçe İsbir, Meltem Aydın Beşen
Department of Midwifery, Faculty of Health Sciences, Mersin University, Turkey

Aim: This study aimed to explore preceptors’ perceptions and experiences of clinical birth education.

Design: A qualitative descriptive design was employed.

Methods: The study involved 22 preceptors engaged in clinical birth education. Data were collected through semi-structured interviews and analyzed using conventional content analysis.

Results: Analysis revealed four overarching themes: (1) causes of fear, (2) sources of motivation, (3) deficiencies in clinical midwifery education, and (4) characteristics of high-quality education.

Conclusion: Optimizing clinical learning in birth wards requires effective management of students’ emotions and the enhancement of their motivation. Addressing deficiencies, improving the clinical learning environment, and selecting qualified preceptors – supported by targeted preceptorship training are critical to advancing the quality of birth education.

Klíčová slova: birth education, clinical education, midwifery, preceptor

Vloženo: 13. leden 2025; Revidováno: 1. září 2025; Přijato: 4. září 2025; Zveřejněno: 6. prosinec 2025  Zobrazit citaci

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İsbir GG, Beşen MA. Preceptors’ perceptions and experiences of clinical birth education: a qualitative study. Central European Journal of Nursing and Midwifery. 2025;16(4):2328-2340. doi: 10.15452/cejnm.2025.16.0023.
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    Reference

    1. American College of Nurse-Midwives. (n.d.). Accreditation Commission for Midwifery Education (ACME). https://www.midwife.org/acme
    2. Barker, E. R., & Pittman, O. (2010). Becoming a super preceptor: a practical guide to preceptorship in today's clinical climate. Journal of the American Academy of Nurse Practitioners, 22(3), 144-149. https://doi.org/10.1111/j.1745-7599.2009.00487.x Přejít k původnímu zdroji... Přejít na PubMed...
    3. Bayri Bingol, F. B., Demirgöz Bal, M., Aygun, M., & Bilgic, E. (2020). Secondary traumatic stress among midwifery students. Perspectives in Psychiatric Care. https://doi.org/10.1111/ppc.12674 Přejít k původnímu zdroji... Přejít na PubMed...
    4. Benner, P. (2004). Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education. Bulletin of Science, Technology & Society, 24(3), 188-199. https://doi.org/10.1177/0270467604265061 Přejít k původnímu zdroji...
    5. Bogossian, F., McKenna, L., Higgins, M., Benefer, C., Brady, S., Fox-Young, S., & Cooper, S. (2012). Simulation based learning in Australian midwifery curricula: results of a national electronic survey. Women and Birth, 25(2), 86-97. https://doi.org/10.1016/j.wombi.2011.02.001 Přejít k původnímu zdroji... Přejít na PubMed...
    6. Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a qualitative description approach in health care research. Global Qualitative Nursing Research, 4. https://doi.org/10.1177/2333393617742282 Přejít k původnímu zdroji... Přejít na PubMed...
    7. Bradshaw, C., Pettigrew, J., & Fitzpatrick, M. (2019). Safety first: factors affecting preceptor midwives experiences of competency assessment failure among midwifery students. Midwifery, 74, 29-35. https://doi.org/10.1016/j.midw.2019.03.012 Přejít k původnímu zdroji... Přejít na PubMed...
    8. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa Přejít k původnímu zdroji...
    9. Brunstad, A., & Hjälmhult, E. (2014). Midwifery students learning experiences in labor wards: a grounded theory. Nurse Education Today, 34(12), 1474-1479. https://doi.org/10.1016/j.nedt.2014.04.017 Přejít k původnímu zdroji... Přejít na PubMed...
    10. Castro Lopes, S., Nove, A., Hoope-Bender, P. T., de Bernis, L., Bokosi, M., Moyo, N. T., & Homer, C. S. E. (2016). A descriptive analysis of midwifery education, regulation and association in 73 countries: the baseline for a post-2015 pathway. Human Resources for Health, 14, 37. https://doi.org/10.1186/s12960-016-0134-7 Přejít k původnímu zdroji... Přejít na PubMed...
    11. Cavanagh, S. J., & Snape, J. (1997). Educational sources of stress in midwifery students. Nurse Education Today, 17(2), 128-134. https://doi.org/10.1016/s0260-6917(97)80030-5 Přejít k původnímu zdroji... Přejít na PubMed...
    12. Coldridge, L., & Davies, S. (2017). "Am I too emotional for this job?" An exploration of student midwives' experiences of coping with traumatic events in the labour ward. Midwifery, 45, 1-6. https://doi.org/10.1016/j.midw.2016.11.008 Přejít k původnímu zdroji... Přejít na PubMed...
    13. Cooper, S., Cant, R., Porter, J., Bogossian, F., McKenna, L., Brady, S., & Fox-Young, S. (2012). Simulation based learning in midwifery education: a systematic review. Women and Birth, 25(2), 64-78. https://doi.org/10.1016/j.wombi.2011.03.004 Přejít k původnímu zdroji... Přejít na PubMed...
    14. Davies, S., & Coldridge, L. (2015). "No Man's Land": an exploration of the traumatic experiences of student midwives in practice. Midwifery, 31(9), 858-864. https://doi.org/10.1016/j.midw.2015.05.001 Přejít k původnímu zdroji... Přejít na PubMed...
    15. Davison, C., Davison, C., Geraghty, S., & Morris, S. (2018). Midwifery students' understanding and knowledge of normal birth before "delivery" of curriculum. Midwifery, 58, 77-82. https://doi.org/10.1016/j.midw.2017.12.015 Přejít k původnímu zdroji... Přejít na PubMed...
    16. Day-Stirk, F., McConville, F., Campbell, J., Laski, L., Guerra-Arias, M., Hoope-Bender, P. T., Michel-Schuldt, M., & de Bernis, L. (2014). Delivering the evidence to improve the health of women and newborns: state of the World's Midwifery, report 2014. Reproductive Health, 11, 89. https://doi.org/10.1186/1742-4755-11-89 Přejít k původnímu zdroji... Přejít na PubMed...
    17. Demirgöz Bal, M., Bayri Bingol, F., Karakoc, A., & Aslan, B. (2019). How can vaginal birth management skills be gained much better? Clinical and Experimental Health Sciences, 9(4), 328-333. https://doi.org/10.33808/clinexphealthsci.571439 Přejít k původnímu zdroji...
    18. Dyer, J. M., & Latendresse, G. (2016). Identifying and addressing problems for student progression in midwifery clinical education. Journal of Midwifery & Women's Health, 61(S1), 28-36. https://doi.org/10.1111/jmwh.12507 Přejít k původnímu zdroji... Přejít na PubMed...
    19. Embo, M., Driessen, E., Valcke, M., & van der Vleuten, C. P. M. (2014). A framework to facilitate self-directed learning, assessment and supervision in midwifery practice: a qualitative study of supervisors' perceptions. Nurse Education in Practice, 14(4), 441-446. https://doi.org/10.1016/j.nepr.2014.01.015 Přejít k původnímu zdroji... Přejít na PubMed...
    20. Filby, A., McConville, F., & Portela, A. (2016). What prevents quality midwifery care? A systematic mapping of barriers in low and middle income countries from the provider perspective. PloS One, 11(5), e0153391. https://doi.org/10.1371/journal.pone.0153391 Přejít k původnímu zdroji... Přejít na PubMed...
    21. Güner, S. Yurdakul, M., & Yetim, N. (2015). Türkiye'de ebelik mesleğinin sorunlarina akademik bakişi yansitan nitel bir çalişma [A qualitative study on the academic approach to the professionalization of midwifery in Turkey]. Yükseköğretim ve Bilim Dergisi [Journal of Higher Education and Science], 5(1), 80-87. Přejít k původnímu zdroji...
    22. Hanifi, N., Delkhosh, M., & Parvizy, S. (2018). Motivation in the clinical education of nursing students: a hybrid concept analysis method. Preventive Care in Nursing & Midwifery Journal, 7(4), 19-31.
    23. Holloway, I., & Wheeler, S. (2002). Qualitative research in nursing. Blackwell Science.
    24. Houghton, C., Murphy, K., Shaw, D., & Casey, D. (2015). Qualitative case study data analysis: an example from practice. Nurse Researcher, 22(5), 8-12. https://doi.org/10.7748/nr.22.5.8.e1307 Přejít k původnímu zdroji... Přejít na PubMed...
    25. İsbir, G. G., Güner, S., Aydin Beşen, M., & Thomson, G. (2023). Evaluation of labour and birth education by midwifery educators: a qualitative study from Turkey. Nurse Education in Practice, 66, 103515. https://doi.org/10.1016/j.nepr.2022.103515 Přejít k původnímu zdroji... Přejít na PubMed...
    26. Ismail, L. M. N., Aboushady, R. M. N., & Eswi, A. (2016). Clinical instructor's behavior: Nursing student's perception toward effective clinical instructor's characteristics. Journal of Nursing Education and Practice, 6(2), 96-105. https://doi.org/10.5430/jnep.v6n2p96 Přejít k původnímu zdroji...
    27. Jordan, R., & Farley, C. L. (2008). The confidence to practice midwifery: preceptor influence on student self-efficacy. Journal of Midwifery & Women's Health, 53(5), 413-420. https://doi.org/10.1016/j.jmwh.2008.05.001 Přejít k původnímu zdroji... Přejít na PubMed...
    28. Karaçam, Z. (2016). Türkiye'de profesyonel bir disiplin olarak ebelik mesleğinin durumu: yasal düzenlemeler, eğitim ve araştirma [The state of the midwifery as a professional career in Turkey: legal regulations, education and research]. Lokman Hekim Dergisi [Lokman Hekim Journal], 6(3), 128-136.
    29. Keser Özcan, N., Boyacioğlu, N. E., Güdücü, N., Göncü Serhatlioğlu, S., Yildirim, E., Koç, M., & Bingol, F. (2019). Turkish midwifery students' fear of delivery process. Journal of Caring Sciences, 8(3), 121-127. https://doi.org/10.15171/jcs.2019.018 Přejít k původnímu zdroji... Přejít na PubMed...
    30. Koçak, Y. Ç., Öztürk Can, H., Yücel, U., Demirelöz Akyuz, M., & Turfan, E. Ç. (2017). Türkiye'de ebelik bölümlerinin akademik ve fiziki profili [Academic and physical profile of midwifery department in Turkey]. Sağlik Bilimleri ve Meslekleri Dergisi [Journal of Health Sciences and Professions], 4(2), 88-97. https://doi.org/10.17681/hsp-dergisi.293047 Přejít k původnímu zdroji...
    31. Kocatürk, A. A. (2017). Ebelik eğitiminde klinik uygulama sorunlari [Problems in clinical practice in midwifery education]. Sağlik Düşüncesi ve Tip Kültürü Dergisi [Journal of Health Thought and Medical Culture], 45, 56-59.
    32. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage. Přejít k původnímu zdroji...
    33. Logan, B. L., Kovacs, K. A., & Barry, T. L. (2015). Precepting nurse practitioner students: one medical center's efforts to improve the precepting process. Journal of the American Association of Nurse Practitioners, 27(12), 676-682. https://doi.org/10.1002/2327-6924.12265 Přejít k původnímu zdroji... Přejít na PubMed...
    34. Lukasse, M., Lilleengen, A. M., Fylkesnes, A. M., & Henriksen, L. (2017). Norwegian midwives' opinion of their midwifery education - a mixed methods study. BMC Medical Education, 17, 80. https://doi.org/10.1186/s12909-017-0917-0 Přejít k původnímu zdroji... Přejít na PubMed...
    35. Merriam, S. B., & Bierema, L. L. (2014). Adult learning: linking theory and practice. Jossey-Bass.
    36. Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: a methods sourcebook (3rd ed.). Sage.
    37. Newell, R., & Burnard, P. (2011). Research for evidence-based practice in healthcare (2nd ed.). Wiley Blackwell.
    38. OECD. (2019). Health care resource: midwifery. Organisation for Economic Co-operation and Development. https://stats.oecd.org/index.aspx?queryid=30174 Přejít k původnímu zdroji...
    39. Onat, G. (2017). Ebelik öğrencilerinin "doğum algilari" üzerinde dönüşüm yaratmak: bir eğitim modelleme örneği [To create a transformation in the midwifery students' "perception of labour process": an example of a modelling of training]. Ulusalrarasi Hakemli Kadin Hastaliklari ve Anne Çocuk Sağliği Dergisi [International Refereed Journal of Gynaecological Diseases and Maternal Child Health], 11.
    40. Pajohideh, Z. S., Mohammadi, S., Keshmiri, F., Jahangirimehr, A., & Honarmandpoural, A. (2023). The effects of normal vaginal birth simulation training on the clinical skills of midwifery students: a quasi-experiment study. BMC Medical Education, 23, 353. https://doi.org/10.1186/s12909-023-04319-9 Přejít k původnímu zdroji... Přejít na PubMed...
    41. Rüzgar, Ş., & Çeber Turfan, E. (2025). Midwifery students' clinical competence and self-confidence regarding midwifery skills during mentoring practice: a comparative quasiexperimental study. International Journal of Caring Sciences, 18(1), 440-450.
    42. Texas Board of Nursing. (2013). Texas Board of Nursing Bulletin, 44(4).
    43. Thompson, J. B., Fullerton, J. T., & Sawyer, A. J. (2011). The International Confederation of Midwives: global standards for midwifery education (2010) with companion guidelines. Midwifery, 27(4), 409-416. https://doi.org/10.1016/j.midw.2011.04.001 Přejít k původnímu zdroji... Přejít na PubMed...
    44. Thunes, S., & Sekse, R. J. T. (2015). Midwifery students first encounter with the maternity ward. Nurse Education in Practice, 15(3), 243-248. https://doi.org/10.1016/j.nepr.2015.01.012 Přejít k původnímu zdroji... Přejít na PubMed...
    45. Turale, S. (2020). A brief introduction to qualitative description: a research design worth using. Pacific Rim International Journal of Nursing Research, 24(3), 289-291.
    46. Turkiye Cumhuriyeti Saglik Bakanligi [Republic of Turkey Ministry of Health]. (2018). Sağlik Araştirmalari Genel Müdürlüğü. Sağlik İstatistikleri Yilliği, Ankara [General Directorate of Health Research. Health Statistics Yearbook, Ankara]. https://dosyasb.saglik.gov.tr/Eklenti/36134,siy2018trpdf.pdf?0
    47. Turkmen, H., & Ekti Genç, R. (2017). Ebelik ve yenidoganda malpraktis [Midwifery and malpractice in the neonatal]. Anadolu Hemşirelik ve Sağlik Bilimleri Dergisi [Journal of Anatolia Nursing and Health Sciences], 20(2), 154-159.
    48. Vermeulen, J., Beeckman, K., Turcksin, R., Van Winkel, L., Gucciardo, L., Laubach, M., Peersman, W., & Swinnen, E. (2017). The experiences of last-year student midwives with high-fidelity perinatal simulation training: a qualitative descriptive study. Women and Birth, 30(3), 253-261. https://doi.org/10.1016/j.wombi.2017.02.014 Přejít k původnímu zdroji... Přejít na PubMed...
    49. Weitzel, K. W., Walters, E. A., & Taylor, J. (2012). Teaching clinical problem solving: a preceptor's guide. American Journal of Health-System Pharmacy, 69(18), 1588-1599. https://doi.org/10.2146/ajhp110521 Přejít k původnímu zdroji... Přejít na PubMed...
    50. World Health Organization. (2013). Transforming and scaling up health professionals' education and training: World Health Organization guidelines 2013. Geneva, Switzerland. https://www.who.int/publications/i/item/transforming-and-scaling-up-health-professionals%E2%80%99-education-and-training
    51. World Health Organization. (2016). Global strategy on human resources for health: workforce 2030. Geneva, Switzerland. https://www.who.int/publications/i/item/9789241511131
    52. World Health Organization. (2019). Strengthening quality midwifery education for universal health coverage 2030: framework for action. Geneva, Switzerland. https://www.who.int/publications/i/item/9789241515849
    53. Yoruk, S. (2012). Türkiye'de ebelik eğitiminin gelişimi [Development of midwifery education in turkey]. Türkiye Klinikleri Tip Etiği-Hukuku-Tarihi Dergisi [Turkiye Klinikleri Journal of Medical Ethics-Law and History]. 20(1), 38-42.

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