A delphi survey of midwives and midwifery students to identify non-midwifery duties

McKenna, Hugh; Hasson, Felicity; Smith, Miriam Mobley

doi:10.1054/midw.2002.0327

Cited by 30 publications

(27 citation statements)

References 22 publications

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“…Therefore the experts opinions are free from the influence of other panel members. [7][8][9] The strong aspects in this Delphi study include the size of the expert panel and the wide variety of experts with different backgrounds. In addition, the items have been appraised by a total of 20 patients with MTSS, in two rounds.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports suggested using thresholds between 50% and 70%. [8,9] In this research project, it was decided to set the threshold at 67%; however, there was >75% agreement for all but one item. [7] A report on the validation study, in which items for the MTSS score were selected and its reliability, validity and responsiveness is assessed elsewhere.…”

Section: Discussionmentioning

confidence: 99%

“…These expert opinions are solicited "blind". [7][8][9] For this study the authors received permission from the local medical ethics committees of the provinces of Utrecht (12-542/C) and Zuid-Holland (12-092).…”

Section: Methodsmentioning

confidence: 99%

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The medial tibial stress syndrome score: item generation for a new patient reported outcome measure

Winters

2016

S. Afr. j. sports med

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Background: There is no valid and reliable instrument thatevaluates injury severity and treatment effects for medial tibialstress syndrome (MTSS) patients.Objective: The aim was to generate items for the MTSS score, anew patient-reported outcome measure for patients with MTSS.Methods: The authors consulted experts in the field of MTSS togenerate items that measure the severity of MTSS and to reachconsensus on the relevance of items for the MTSS score. Thisresearch consisted of a pilot study and two Delphi rounds. TheDelphi approach entails the consultation of experts about a topicfor which no evidence is available during which consensus issought on this topic. Additionally, 20 MTSS patients appraisedthe MTSS score on readability and comprehension.Results: Nineteen experts consented to participate, 13 of whomreached consensus. Generated items address the followingdomains: ‘limitation in sporting activities’, ‘pain while performingsporting activities’, ‘pain while performing activities of dailyliving’ and ‘pain at rest’. Patients with MTSS confirmed the goodreadability and comprehension of the items.Conclusion: This study supports the importance of items in theaforementioned domains while evaluating treatment effects inpatients with MTSS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The medial tibial stress syndrome score: item generation for a new patient reported outcome measure

Winters

2016

S. Afr. j. sports med

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“…Historically, midwifery assistants undertook what was considered to be, 'low skilled', task-orientated work that was mainly clerical or domestic in nature (McKenna et al, 2002). Thornley argues that attempts by midwifery and nursing to achieve social closure, through registration, failed and that many:…”

Section: Professional Closurementioning

confidence: 99%

Role redesign in the National Health Service

Prowse

2008

Work, Employment and Society

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This article examines the effects of role redesign on the work and professional boundaries of midwives employed in the National Health Service. It outlines midwives' views and experiences of attempts to change their skills and professional boundaries and, using the concept of closure, considers the implications for the midwifery profession. The findings show that role redesign is changing midwives' work and that the traditional emotional, social and caring skills associated with a midwife are being undermined by the growth in technical work. Importantly, midwives attempts to use closure have met with limited success and aspects of their work which they enjoy are being delegated to maternity support workers, while midwives' roles expand to include work traditionally performed by doctors. Midwives' concerns about the implications of work redesign for maternity care and their professional boundaries reflect the uncertainty surrounding the profession about the future role and skills of a midwife.

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“…11,12,13 It appears that medically based routines and non-midwifery duties challenge the use of time, resulting in education being offered to parents in a manner that is rushed with information seeming overwhelming or irrelevant. 1,12,14,15,16 Opportunities to teach or reinforce parenting skills are limited. 17 A study undertaken in Dublin estimated that midwives spent 8 h during a 24-h period on non-midwifery duties.…”

Section: Introductionmentioning

confidence: 99%

Encountering the culture of midwifery practice on the postnatal ward during Action Research: An impediment to change

2009

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A delphi survey of midwives and midwifery students to identify non-midwifery duties

Cited by 30 publications

References 22 publications

The medial tibial stress syndrome score: item generation for a new patient reported outcome measure

The medial tibial stress syndrome score: item generation for a new patient reported outcome measure

Role redesign in the National Health Service

Encountering the culture of midwifery practice on the postnatal ward during Action Research: An impediment to change

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