Shared learning on an international clinical placement: Promoting symbiotic midwifery practice knowledge

Document Type

Journal Article

Publication Title

Women and Birth




School of Nursing and Midwifery / Centre for Nursing, Midwifery and Health Services Research




Dube, M., Geraghty, S., Bull, A., Arini, K. N., Adnyani, S., Noviani, N. W., ... & Sriasih, N. G. K. (2020). Shared learning on an international clinical placement: Promoting symbiotic midwifery practice knowledge. Women and Birth, 33(6), e558-e566.



Aim: The aim of this study was to explore the experiences of shared learning between Australian and Balinese midwifery students during a two-week clinical placement in Bali Indonesia. Background: Cultural safety in midwifery is a key concept that is underpinned by the provision of holistic quality midwifery care to all women. Therefore, culturally safe midwifery care identifies, protects and promotes women’s individual cultures and is a key concept that is fostered in midwifery education. To educate culturally safe midwives, international placements to resource limited countries have become more common within midwifery education programs. Methods: This study used a qualitative research design with a convenience sampling design. The participants were enrolled in midwifery courses in a University in the Northern Territory of Australia (n = 9), a Balinese private midwifery school (n = 4) and a Balinese public midwifery school (n = 4). Thematic analysis was used to analyse the data. Findings: The findings were categorised into major themes under the headings of “Learning together despite differences”; “Cultural differences”, “Communication, Resources”, and “Recommendations for future placements”. Conclusion: This study provides a valuable insight into how shared learning increases students’ midwifery knowledge and is fundamental in understanding cultural differences that could be applied to students’ clinical midwifery practice.



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