‘Forgotten as first line providers’: The experiences of midwives during the COVID-19 pandemic in British Columbia, Canada

Memmott, Christina; Smith, Julia; Korzuchowski, Alexander; Tan, Heang-Lee; Oveisi, Niki; Hawkins, Kate; Morgan, Rosemary

doi:10.1016/j.midw.2022.103437

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…The mean scores for all participants (Group 1) for the Care Environment showed a decline in supportive organization systems and effective staff relationships and an increase in the physical environment . The decline in supportive organization systems during the pandemic has been reported in other literature (Memmott et al., 2022). Regular attendance at C.A.R.E.…”

Section: Discussionsupporting

confidence: 68%

Enhancing new graduate nurses and midwives person‐centredness through clinical supervision during COVID‐19; evaluation of a non‐randomized intervention study

Edgar,

Moroney,

Wilson

2023

Journal of Advanced Nursing

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AimThe aim of the study was to evaluate a person‐centred model of clinical supervision to enhance person‐centredness.DesignExperimental, quantitative.MethodsOne hundred and three New Graduates were supported to reflect through a person‐centred lens (July–December 2020). Evaluation was undertaken at 6 months using: the Manchester Clinical Supervision Scale‐26 (effectiveness of supervision) and the Person‐centred Practice Inventory (measures attributes of the nurse/midwife, the care environment and person‐centred processes). Due to participation difficulties, scores were calculated by attendance rates using descriptive and inferential statistics.ResultsRegular attendees scored higher on the supervision's effectiveness; however, this did not reach efficacy. ‘Finding time’ to attend contributed to low scores. Supervision scored well on its supportive function when attended. Many New Graduates perceived a decline in their care environment. Attendance aside, New Graduates averaged an increased in their person‐centred attributes and processes. Greater participation was found in those who scored higher at baseline on their person‐centred attributes and processes, and this higher scoring continued at 6 months than those who attended less.ConclusionNew Graduates who perceive themselves as person‐centred and reflective at baseline are more likely to attend a person‐centred clinical supervision and score higher at 6 months than those who attended less often. New Graduates found support within supervision during challenging times.Implications for Practice for Professional and/or Patient CareFor successful implementation of Person‐centred Clinical Supervision, New Graduates need support to attend, as attendance supports them to begin seeing value in the process.ImpactThis intervention kept person‐centred practice at the forefront of New Graduates reflection, in a time of extreme change. The research has implications for nursing and midwifery management with the imperative to deliver person‐centred care and create the person‐centred cultures for staff to feel supported and empowered.Reporting MethodTransparent Evaluation of Non‐randomized Designs (TREND).Patient of Public ContributionNo patient or public contribution.Contribution to Wider Community New Graduates grow their person‐centredness over their transitioning year; however, this can be enhanced with regular clinical supervision underpinned by person‐centred theory. Clinical supervisors can provide support to New Graduates when the environment is challenged.

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Section: Discussionsupporting

confidence: 68%

Enhancing new graduate nurses and midwives person‐centredness through clinical supervision during COVID‐19; evaluation of a non‐randomized intervention study

Edgar,

Moroney,

Wilson

2023

Journal of Advanced Nursing

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“…In 2015, BCs in Montreal confirmed the importance of the involvement of women and their partners as one of their fundamental values: “The participation of parents, to whom the establishment confers real resources adapted to their reality, is the very foundation of the community character of a BC.“ [ 18 ]. Unfortunately, COVID-19 significantly impacted Canadian midwives due to lack of recognition, drastic increases in their workloads, and even moral distress that exacerbated burnout [ 19 ]. In particular, the pandemic protocols limited their ability to provide emotional support and develop the deeper relationships with clients, which they say is “the essence of midwifery care” [ 19 ].…”

Section: Contextmentioning

confidence: 99%

“…Unfortunately, COVID-19 significantly impacted Canadian midwives due to lack of recognition, drastic increases in their workloads, and even moral distress that exacerbated burnout [ 19 ]. In particular, the pandemic protocols limited their ability to provide emotional support and develop the deeper relationships with clients, which they say is “the essence of midwifery care” [ 19 ]. As a result, BCs came to be seen as a privileged place for a care and services partnership with women during the perinatal period.…”

Section: Contextmentioning

confidence: 99%

Care and services partnership in Quebec birthing centres: myth or reality?

Sales,

Normandin,

Pomey

2024

BMC Pregnancy Childbirth

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Context Working with women to best meet their needs has always been central to midwifery in Quebec, Canada. The creation of birthing centres at the end of the 1990s consolidated this desire to prioritize women’s involvement in perinatal care and was intended to encourage the establishment of a care and services partnership between care providers and users. The aim of this pilot study is to evaluate the perceptions of clients, midwives and birth assistants of the way in which women are involved in partnership working in Quebec birthing centres. Methods A single qualitative case and pilot study was conducted with midwives (n = 5), birth assistants (n = 4), a manager (n = 1), clients (n = 5) and members of the users’ committee (n = 2) at a birthing centre in Quebec, Canada in July and August 2023. The partnership was evaluated using the dimensions of a validated CADICEE questionnaire. Results The women and professionals stressed that the relationship was established in a climate of trust. The caregivers also attached importance to autonomy, information sharing and decision-making, adaptation to context, empathy and recognition of the couple’s expertise. The women confirmed that they establish a relationship of trust with the professionals when the latter show empathy and that they adapt the follow-up to their knowledge and life context. Key factors in establishing this kind of care relationship are the time given, a de-medicalized environment, the comprehensive care received, and professionals who are well-informed about the partnership. In addition, the birthing centre has a users’ committee that can put forward ideas but has no decision-making powers. Conclusions Both the women and the professionals at the birthing centre appear to be working in partnership. However, at the organizational level, the women are not involved in decision-making. A study of all birthing centres in Quebec would provide a more comprehensive picture of the situation.

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Meta-synthesis of the experiences of midwives providing care during the COVID-19 pandemic

LoGiudice

2024

Midwifery

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‘Forgotten as first line providers’: The experiences of midwives during the COVID-19 pandemic in British Columbia, Canada

Cited by 6 publications

References 24 publications

Enhancing new graduate nurses and midwives person‐centredness through clinical supervision during COVID‐19; evaluation of a non‐randomized intervention study

Enhancing new graduate nurses and midwives person‐centredness through clinical supervision during COVID‐19; evaluation of a non‐randomized intervention study

Care and services partnership in Quebec birthing centres: myth or reality?

Meta-synthesis of the experiences of midwives providing care during the COVID-19 pandemic

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