Preparar la entrevista de Midwife


Habéis aplicado para el programa de midwifery (ya sea por UCAS, NHS jobs, o mail) y os han seleccionado para el día de la entrevista. Suele ser en algún campus de la Universidad que será vuesra referencia, aunque también puede ser en el hospital que será vuestra referencia. Suele ocupar un sólo día. Lo primero de todo es empezar a preparar esa entrevista. Para ello vamos a intentar explicar como es esta entrevista: (consultar previamente 6Cs de Enfermería)

A: Parte de documentación

Es conveniente que llevéis todos vuestros documentos (pasaporte, pin nmc, título de la carrera, contrato actual...) con vosotros para la entrevista. Ya que os pedirán estos documentos para autentificar que sois vosotros.

B: Examen de matemáticas

Suele conocerse como "numeracy test". Depende de la Universidad o Hospital puede ser un cálculo de dosis o un test de matemáticas. Sueles tener tiempo límite.

C: Examen de inglés

Suele ser un texto (normalmente un artículo científico) relacionado con la materia y unas preguntas al final. Normalmente de desarrollo las preguntas, y con un tiempo límite. Se conoce también como "literacy test".

Ejemplos de Numeracy Test y Literacy Test

A continuación os dejo unos enlaces de ejemplos descargables, pero si buscáis por google "example literacy test" o "example numeracy test" casi todas las universidades suelen tener sus propios ejemplos de test hechos y listos para descargar. No os obsesionéis con esto, con que hagáis un par de cada creo que es suficiente.

Literacy Test Examples

Numeracy Test Examples

D: Entrevista grupal

De haberla (en mi caso no la hubo) es similar y muy parecida a la de enfermería. Una dinámica grupal (por favor consultar ese apartado si hay dudas).

E: Entrevista individual

Es la parte más compleja. Y en la que demuestras lo que ellos quieren ver. Ese debe ser tu objetivo. Dura entre 20 minutos o media hora. Depende del entrevistador. Las preguntas suelen ser muy variadas. En internet, hay cientos de ejemplos de preguntas y respuestas tipo. Más abajo os dejaré ejemplos de preguntas y respuestas, pero antes algunos consejos:

*Haber consultado la universidad y el hospital por internet (ayuda más aún que vayáis en persona a recopilar información): De modo que podáis estar informados de cómo es el hospital, su servicio de maternidad. Número de partos anuales, mejoras, servicios especiales...así como la Universidad, el saber cuantos estudiantes se gradúan por año, prestigio de la Universidad...todo lo que ponga de manifiesto que os preocupa donde vais a ir, y si os cogen, ya habéis mirado el sitio. Y que no sólo escogéis esa especialidad, sino también guiáis vuestra decisión por el sitio.

*Consultar todas las bases de datos que existen sobre midwife. Que os suenen. Y las revistas científicas de la materia. Miraros también algún artículo científico actual para hablar sobre él si surge la oportunidad. También informaros de las últimas guías clinicas sobre midwife.

Para ello consultar las guías NICE (toda una eminencia en UK) y en especial las de midwifery y sus avances, nuevas técnicas y estudios. Suelen ser muy valoradas por sus estudios clínicos. De todas, ésta en concreto fue lanzada en febrero de 2015, por lo que es muy recomendable de leer.

Con respecto a las bases de datos, podéis localizarlas de muchas maneras, yo me guiaría por este listado: (extraído de "The royal college of midwives")

Open access databases

Cochrane Library

The Cochrane Library is available freely throughout England under the terms of a Department of Health contract with the publishers, Wiley. It incorporates the following:

  • The Cochrane Database of Systematic Reviews (Cochrane reviews)
  • Database of Abstracts of Reviews of Effects (other reviews)
  • The Cochrane Central Register of Controlled Trials (clinical trials)
  • The Cochrane Methodology Register (methods studies)
  • Health Technology Assessment Database (technology assessments)
  • NHS Economic Evaluation Database (economic evaluations)
  • and is readily accessible via the National Library for Health web site. Similar access is available in other countries of the UK.


PubMed MEDLINE

PubMed, which incorporates the MEDLINE database together with some additional resources, is freely available at www.pubmed.gov. It is a very useful resource for midwifery searches, particularly on more "medical" topics. A National Library of Medicine tutorial on the use of PubMed is available. King's College London has also produced its own guide, Searching for literature using PubMed.

ACUBASE

ACUBASE is a database of over 11,000 French and English references and full text articles dedicated specifically to the discipline of acupuncture. It also includes conference proceedings.

AEGiS

AEGiS is a comprehensive, freely-available web-based source for HIV/AIDS-related information, including reference materials and late-breaking information from HIV/AIDS-specific publications and news sources from around the world. AEGiS works to disseminate potentially life-saving information and to archive all files in a permanent virtual library of the AIDS pandemic.

AEGiS is the definitive web-based source for HIV/AIDS-related information, offering reference materials, specific publications and news sources from around the world.

CAMBase

CAMbase is a virtual search engine with modern XML-based retrieval-technology, that enables the user to easily find relevant literature of complementary and alternative medicine (CAM) in different resources. The interface is available in English and German. The Complementary Medicine Unit at the Peninsula Medical School, Universities of Exeter and Plymouth is one of the contributing partners.

CAMPAIN

The Complementary and Alternative Medicine and Pain database (CAMPAIN), maintained by the University of Maryland School of Medicine Center for Integrative Medicine.For details of additional resources on complementary and alternative medicine, please visit the New Zealand Guidelines Group's list of evaluated resources, the NLH's Complementary and Alternative Medicine Specialist Library, and the databases page on the Research Council for Complementary Medicine site.

DrugData

DrugData is the library database of DrugScope, the drug information charity. It is a searchable database of over 100,000 records of drugs literature in the English language, covering journal articles, books and reports. The material is of relevance to substance misuse in pregnancy.

POPLINE

POPLINE, the world's largest bibliographic database on population, family planning, and related issues, is now available free of charge on the Internet. All 280,000 citations, representing published and unpublished literature, can be accessed for no charge. There are ready-made searches available on topics, such as adolescent pregnancy, AIDS, breastfeeding, domestic abuse, FGM, maternal and neonatal health. Individuals from developing countries can request up to 15 fulltext documents per day through the document delivery service.

Source: International Information Support Centre

The Source bibliographic database contains 25,000 items relating to health in developing countries. Mother and child health is one of the key topic areas. The content may be browsed or searched. As well as a bibliographic database, Source includes searchable databases of health organisations and distributors of free or low-cost health and disability information resources.

Social Care Online

Social Care Online, which is produced by SCIE, the Social Care Institute for Excellence, covers all aspects of social care. It may be useful for researching topics such as domestic violence, teenage pregnancy, substance misuse, and social exclusion. Content is drawn from a range of resources including journal articles, websites, research reviews, legislation and government documents, and service user knowledge.

Y ahora vamos a las preguntas tipo de entrevista de midwife: (estas preguntas están basadas en la propia experiencia y en una búsqueda de internet de todas las bases, foros y puntos de consulta de la materia. No son necesariamente las mismas que pueden aparecer en tu entrevista, pero sin ninguna duda son un ejemplo perfecto para prepararte)

PREGUNTAS TIPO CON RESPUESTA


Why want to be a midwife Or What first aroused your interest in midwifery?

Several reasons why midwifery became an interest to me I’m really interested in the health and biology side I find it .I think it’d be good to learn more about it in detail. There’s another side to it, which I think I’d enjoy like being an advocate for women I want to be able to go through experiences and support them to make informed choices and empower them. I’d enjoy working as part of a team and in the community among different social classes. Along side this I think the opportunities there are to just keep learning and acquiring more skills is fantastic, working shifts and having a variety is important to me. I’m a really good listener and communicator as well as supportive, caring person and I think I’ll be good at it. It’s something I’ve always wanted to do. 

What do you know?

I’m Aware that there’s a government initiative called baby friendly to promote breastfeeding among all social classes. I saw on watchdog that some women have had concerns about aerosols and deodorants causing harm and it’s being researched into. Some people are trying to ban all formula and bottle feeding advertising. I did some research on a few websites such as RCM researched current issues like increase in caesarean births, HIV screening, Refugees/Asylum Seekers and traveller mothers.


What are the roles?

Midwife means with woman so everything that’s involved in that such as offering women support and advice women through the antenatal, intrapartum and postnatal periods. To assist and advise of hygiene and pain control methods. Because these are healthy women, to provide a general monitoring of the mother and baby’s conditions. Provide information, listening to any worries, answering questions and alleviating any stress. Work within the multi- disciplinary team. Specialised areas like diabetes specialist or alcohol and drug misuse specialist. Obviously to deliver babies. But actually is MORE THAN DELIVER BABIES. 


How would you feel in difficult situations such as a full term baby dying?

Obviously I would be upset but I wouldn’t show it in front of the patient. I’d be thoughtful and professional. Just be sensitive, listen and support them and help to make them as comfortable. I could briefly speak to my colleagues about being upset after.



What skills and qualities make a good midwife?

Assertive, Approachable, flexible, diplomatic, understanding, the ability to stay calm under pressure, sensitivity, to be open minded, well organised and able to Empathise.



Home births:
Good: 
 More relaxed, familiar surroundings so access to what you want.· 

 Got family around them.· 

 Some people get really distressed at the prospective of hospitals so can relieve that.· 

Bad: 
 No obstetrician if things go wrong.· 

 Don’t get the benefit of talking to other new mums.· 

 Research done where they think home births more common to have lower apgar scores and birth traumas,· 


Why have you chosen this particular course? 

I wanted to do a degree because I do feel there’s better career prospects involved I didn’t want to go into nursing first and then midwifery because it’s completely different from nursing and I wouldn’t want to be a nurse. 

How would your friends describe you?
Quite empathic, Assertive, Approachable, diplomatic, understanding, the ability to stay calm under pressure, sensitivity, to be open minded, 

How does midwifery differ from nursing?
Midwives work with healthy fundamentally healthy people. Nurses work under a doctor whereas a midwife is the prominent career for both the mother and baby. 

What is the biggest advance in midwifery in the last thirty years?
2d/3d scanning

Should men be allowed to be midwifes? (ojo a esta) Yes I personally feel that it’s the qualities a person can bring to role. I am aware some might not agree because men don’t experience labour or pregnancy so they can’t relate but then I’m sure some midwifes never have children or haven’t had any yet either. 

PREGUNTAS TIPO SIN RESPUESTA


  • Can you demonstrate you have these qualities? 
  • Tell me about your work experience, what insight did it give you into the profession? 
  • Do you have any questions?
  • What do you feel makes a good midwifery student?
  • Can you define the role of the midwife?
  • Why have you chosen midwifery rather than paediatric nursing?
  • What do you know about the Nursing and Midwifery Council?
  • Describe a typical day for a midwife?
  • What are the current issues affecting midwifery?
  • What experience do you have of midwifery?
  • How have you researched midwifery and what resources did you use?
  • What will be the best and worst parts of being a midwife?
  • What are the skills needed to be a good midwife?
  • Describe how you have demonstrated these skills in the past?
  • How would you deal with a stillbirth?
  • Do you feel you can distance yourself enough from highly emotive situations?
  • How would you balance clinical requirements with empathy and care?
  • What are you like as a team worker?
  • When is it right to ask for help from a colleague or manager?
  • What might stop you from becoming a good midwife and what are you doing to addressthis?
  • How do you think you will deal with the emotional rollercoaster of midwifery?
  • Do you think it is selfish not to breast feed?
  • Can you be too young or too old to be a mother?
  • Should a woman’s right to choose outweigh what’s best for the baby?
  • Should behaviour during pregnancy, such as drug use or smoking, affect the care givenby a midwife?
  • What would you do if you felt a mother’s birth choices put her baby at risk?
  • A mother is aggressive and abusive to you. How would this affect your treatment ofher?
  • A woman has been in painful labour for so long, she starts to exhibit very negative feelings towards her baby. How would you react?
  • No family is perfect, but at what point should you step in to protect the newborn?
  • Tell us about yourself
  • Why did you decide to become a midwife?
  • What do you think makes you a good midwife?
  • What do you consider to be your strengths as a midwife?
  • Do you have any weaknesses?
  • What would you say are your strengths as a team member?
  • How do you recognise and cope with stress?
  • Tell us about your midwifery training – what did you enjoy the most?
  • What would you say was your major achievement during your training?
  • Can you give us some examples of good practice that you saw whilst on placement?
  • What did you find the most difficult?
  • Why have you applied for this post?
  • Why have you applied for this trust/hospital etc
  • What skills can you bring to this post?
  • What do you see as the main challenges?
  • What evidence have you got to demonstrate that you have the criteria that we are looking for in this post?  
  • How do you monitor and evaluate your professional competence?
  • Think of a time when you had to handle a difficult situation or problem, describe it to us, how you dealt with it and what the outcome was.  
  • What are your future career plans?
  • What would you like to ask us?
  • Specific Questions for Midwifery  If you have a problem with a patient who do you go to?
  • What interesting articles/research have been most influential to your practice?
  • What are your areas of special interest?
  • Questions on team midwifery and the multi disciplinary approach to care
  • “What if” e.g. a baby’s heart is dangerously high, the doctor doesn’t think it is a problem – what do you do?  
  • What do you understand by accountability?
  • What will be your priorities in the first six months?
  • How would you monitor standards of care?
  • How would you deal with controlled drug dependency?
  • What would you do if a woman was in the second stage of labour and contractions stopped?  
  • What would you do if a woman at term was admitted with a slight vaginal blood loss and was discharged by a junior doctor?  
  • If a woman had a post partum haemorrhage immediately following the delivery of a baby, what would you do?
  • 6 Issues & Trends  Need awareness of recent changes in the profession e.g. a woman centred approach offering greater choice and continuity of support, Evidence that your training has equipped you with the skills and knowledge to perform your specialist role  A full understanding of physical, psychological and emotional processes o  pregnancy and childbirth  Ability to lead, manage and co-ordinate care services (post grade 6) Good knowledge of local issues and drivers – hospital specific
  • How practice has been informed by reflection and portfolio development
  • Transition from student to professional midwife
  • Issues of supervising others
  • How would you like to see the National Service Framework being implemented in this area/unit?  
  • What do you see as the key drivers in this area? (low risk birthing units, vulnerable groups, increasing cultural issues relating to asylum seekers and refugees, drugs/alcohol, identified main public health issues e.g. post natal depression, smoking cessation, domestic violence, teenage pregnancy and breast feeding).  
  • What are your views on Changing Childbirth?
  • What do you think you need from a preceptorship and how might you use it to consolidate your training? (These might include support, identified mentor, on going reflective practice, in house training, further supervised clinical practice etc)  
  • What do you understand by supervision?
  • What do you see as the importance of supervision in this role?
  • When would you feel a need to contact a supervisor?
  • Many units are involved in various initiatives e.g. the Baby Friendly Initiative to increase rates of breastfeeding, so you might be asked what you know or your views on local initiatives where you are applying.  
  • Think of an incident that was unsettling. What did you learn from it that you have incorporated into your portfolio learning and into improving your general practice?  
  • Should midwives become more involved with issues of for example domestic violence?  
  • Given that this hospital does not have the budget to send you on external training courses how do you feel you will attend to the needs of your own continuing professional development? (This relates to ongoing objectives, portfolio management, in service training etc)  
  • You are working with a senior midwife whose practice raises some issues with you.· What would you do?  
  • It is your first time on a new ward – how would you start to build a good team rapport with your new colleagues?  How do you feel midwives will fit into Primary Care groups?
  •  How do you think midwives can be influenced by clinical governance?
  • How do you think midwifery can contribute to health improvement programmes?
  • What do you think the role of a midwife will look like in ten years time? (E.g. more community focus, public health issues etc?)
  • What is the role of a midwife?
  • Why do you want to be a midwife?
  • How will yo cope with the pressure of training and being midwife?

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