Sustaining quality education and practice learning in a pandemic and beyond: ‘I have never learnt as much in my life, as quickly, ever’

The context of healthcare and of healthcare education has radically changed as a result of the Covid-19 pandemic. To identify positive strategies for midwifery education in this context, five case studies from the UK and beyond were conducted using an appreciative enquiry approach, from the perspectives of students, the maternity services, cross-university collaboration, and digital learning. A health system analysis was used to identify strategies to cope, adapt, and transform for the future, at the levels of individuals, teams, and the whole system. Findings showed that the implementation of effective responses was possible. Responding effectively and rapidly to a shock as profound as this pandemic requires courageous, respectful, evidence-based, innovative, collaborative, cross-sectoral working and leadership across education institutions, practice settings, the regulator, government, and with students themselves. Pre-existing trusting relationships and collaborative systems supported rapid responses. Effective digital learning requires a pro-active, student-centred approach, and addressing the problems of inequitable access to equipment and space. Joint problem-solving and focussing on the key outcomes that matter contribute to developing successful strategies and robust processes. The pandemic provides an opportunity for student midwives to be re-imagined as essential members of midwifery teams and not ‘just students’. Transformative actions identified include whole-system working, tackling longstanding problems including racism, poverty, prejudice, and systemic discrimination, and keeping students at the heart of the education system

The UK policy context : reconfiguration of the Unicef UK Baby Friendly Initiative to reflect the importance of relationships and ensuring sustainability

Over the last 20 years, the Unicef UK Baby Friendly Initiative (BFI) has succeeded in gaining national recognition for the importance of breastfeeding and creating new ‘common knowledge’ related to many breastfeeding practices in the health service and among policy makers. For example, once hotly debated topics such as skin-to-skin contact, rooming in, teaching mothers how to breastfeed and avoiding supplements are now accepted as good practice. While not every mother in the UK receives this level of support, overall standards have improved and breastfeeding initiation rates have steadily increased: from 62% in 1990, to 76% in 2005, to 81% in 2010

A GOOD LIFE? CRITICAL FEMINIST APPROACHES TO INFLUENCER ECOLOGIES

Social media platforms are widely lauded as bastions for entrepreneurial self-actualisation and creative autonomy, offering an answer to historically exclusive and hierarchical creative industries as routes to employability and success. Social media influencers are envied by audiences as having achieved ‘the good life’, one in which they are able to ‘do what they love’ for a living (Duffy 2017). Despite this ostensive accessibility and relatability, today’s high-profile influencer culture continues to be shaped by ‘preexisting gendered and racial scripts and their attendant grammars of exclusion’ as Sarah Banet-Weiser (2012) argued in the early days of socially mediated entrepreneurship (p. 89; see also Bishop, 2017). In Western contexts only a narrow subset of white, cis-gender, and heterosexual YouTubers, Instagrammers, TikTokers, and Twitch streamers tend to achieve visibility as social media star-creators, and celebratory discourses of diversity and fairness mask problematic structures that exclude marginalized identities from opportunities to attain success. A key aim of this panel is thus to draw attention to marginalized creator communities and subjectivities, including women, non-white, and queer creators, all of whom face higher barriers to entry and success. More broadly, by taking seriously both the practices and discourses of social media influencers, the panellists aim to challenge popular denigrations of influencers as vapid, frivolous, or eager to freeload. We locate such critiques in longstanding dismissals of feminized cultural production (Levine, 2013) and argue, instead, that we need to take seriously the role of influencers in various social, economic, and political configurations