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Fitness for practice in nursing and midwifery education in Scotland, United Kingdom

Holland, Karen; Roxburgh, Michelle; Johnson, Martin; Topping, Keith; Watson, Roger; Lauder, William; Porter, Mary


Karen Holland

Michelle Roxburgh

Martin Johnson

Keith Topping

William Lauder

Mary Porter


Aim. The aim of this paper is to report findings from a major study that evaluated the Fitness for Practice nursing and midwifery curriculum in Scotland, UK. Background. The competence of student nurses and midwives at the point of registration has been the focus of debate and research. However, no major study, on such a large scale, had specifically evaluated pre-registration programmes to determine whether they enabled students to achieve 'fitness to practice'. Design. The study had a broad evaluation design conducted in three phases using a mixed methodology. Method. Phase 1 involved questionnaires, Objective Structured Clinical Examination's (OSCE) and curriculum evaluation. Phase 2 involved semi-structured interviews (some telephone) and focus groups across main stakeholders: students (n = 78), mentors (n = 78), practice-education facilitators (n = 24), academics (n = 59), senior clinical (n = 46) and education managers (n = 16), service users and carers (n = 10). Results. The findings suggest that the Fitness for Practice curriculum model in Scotland has on the whole been successful. The key finding is the predominant opinion of stakeholders that newly qualified nurses and midwives are perceived as being fit for practice at the point of registration. A perceived lack of confidence is, as with all transitions to new roles, an understandable outcome. Conclusions. Previous concern that student nurses and midwives are not 'fit for practice' has focused on the perceived lack of clinical skills at the point of registration, not on competence to practice in general. This study demonstrates that this is an important distinction and recognises that registration is only the beginning of a life long learning experience . Relevance to clinical practice. Students need to be supported to develop their confidence following registration as well as additional skills in their chosen field of practice. Appropriate mentorship and a period of preceptorship should be in place to accommodate this. © 2010 Blackwell Publishing Ltd.


Holland, K., Roxburgh, M., Johnson, M., Topping, K., Watson, R., Lauder, W., & Porter, M. (2010). Fitness for practice in nursing and midwifery education in Scotland, United Kingdom. Journal of clinical nursing, 19(3-4), 461-469.

Journal Article Type Article
Acceptance Date Jun 16, 2009
Online Publication Date Jan 12, 2010
Publication Date 2010-02
Print ISSN 0962-1067
Electronic ISSN 1365-2702
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 19
Issue 3-4
Pages 461-469
Keywords Curriculum; Evaluation; Fitness for practice; Mentorship; Pre-registration education; Student nurses and midwives
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