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

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. (C) 2019 Published by Elsevier Ltd on behalf of Australian College of Midwives.