Student midwives' experiences of Ubuntu principles in midwifery care at Vhembe District.

Abstract

Background: Ubuntu, a philosophy of human dignity, moral high ground, compassion, interconnectedness and community, significantly enhances ethical and caring practices in nursing and midwifery.

Aim: This study explored student midwives' experiences in applying Ubuntu principles in midwifery services in Vhembe District, Limpopo province.

Setting: The study was conducted at the Vhembe District in Limpopo province, focusing on Level 4 student midwives learning at two tertiary nursing education institutions.

Methods: This study used a qualitative, exploratory and descriptive approach. The study was conducted in three selected hospitals of Vhembe District, which were purposively selected. Thirty Level 4 student midwives from two tertiary nursing education institutions were purposefully selected from three district hospitals. Data were collected through face-to-face, semi-structured interviews, and thematically analysed using Tesch's eight-step approach. Credibility, transferability, dependability and confirmability ensured trustworthiness. Ethical principles were rigorously followed throughout the research process.

Results: The findings revealed both positive and negative experiences. Student midwives reported patient support, mutual respect and collegiality, alongside discrimination and abuse. These contrasting accounts point to a disconnect between Ubuntu principles and actual clinical practice, highlighting the gap between ethical ideals and the lived realities of midwifery care.

Conclusion: While some areas of clinical practice support Ubuntu values, there are significant gaps. Student midwives are exposed to positive and negative experiences in the practice of Ubuntu in midwifery services. The study recommends Ubuntu principles in midwifery practice and education to promote human-oriented and ethical care.

Contribution: The study advocates for the consistent affirmation of Ubuntu in midwifery practice and education to promote ethical integrity and enhance the quality of maternal care.