THE PRACTICE-BASED CONTEXT OF EDUCATIONAL-INNOVATION - NURSE AND MIDWIFE PREPARATION IN SCOTLAND

The use of an illuminative approach to the national evaluation of the first 18 months of Project 2000 nurse and pre-registration midwifery e ducation in Scotland has facilitated the generation of data about the contexts in which the new programmes function. The aim of this paper i s to present some of the data generated from programme participants ab out the conditions students experience in practice-based learning expe riences. The reported issues are direct or indirect effects of policy initiatives and service reforms. The current climate of change in heal th care provision has fostered a limited number of developments which are consistent with the aspirations of the new programmes and which of fer highly valued learning experiences to students. More often however the reforms have served to frustrate the intent of the programmes to offer students experiences which are patient-centred, holistic-care an d health oriented.