Is the organisation and structure of hospital postnatal care a barrier to quality care? Findings from a state-wide review in Victoria, Australia

McLachlan, Helen; Forster, Della; Yelland, Jane; Rayner, Jo‐Anne; Lumley, Judith

doi:10.1016/j.midw.2006.10.006

Cited by 59 publications

(49 citation statements)

References 19 publications

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“…Morrison et al [66], for example, documented the effects of postnatal-ward disruption on the mother-infant dyad, recording a mean of 54 interruptions per participant during the 12-hour observation period (8am to 8pm on postnatal day 1), lasting an average of 17 minutes each. These "frequent, erratic, and lengthy" (p713) interruptions, and the concomitant lack of private, quiet time alone with their family, were described as extremely disruptive by mothers in this study and others [35,67,68].…”

Section: Sleep Disruption and Separation In Early Infancymentioning

confidence: 62%

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

Russell¹,

Robinson²,

Ball³

2013

TOSLPJ

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Abstract:Coping with sleep disruption is a common difficulty faced by new parents. Here we take a critical, contextual and evolutionary perspective on recent evidence surrounding the development of normal infant sleep in the postnatal period, its relationship with feeding method and the relevance of sleep location. Firstly, we explore the question of defining 'normal' infant sleep, considering the timing of sleep consolidation, cross-cultural and historical perspectives, and the impact of feeding method on infant waking and parental tiredness. In the second part of the review we focus on infant sleep location, physiological and behavioural functioning and sleep safety. We summarise recent research exploring the consequences of alternate infant sleep locations, including in-hospital interventions testing the effect of these sleep locations on outcomes associated with mother-infant proximity. Finally we provide an up-to-date review of SIDS research, including case-control and cross-cultural studies that inform policy-creation and authoritative advice to parents. We find that many researchers still neglect crucial variables affecting infant sleep including sleep location and feeding method and conclude that whilst the field of infant sleep research is well-established, future studies would benefit from consideration of infant evolutionary biology and the heterogeneity of infant care practices, which would lead to valuable new research insights in understanding normal infant sleep.

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Section: Sleep Disruption and Separation In Early Infancymentioning

confidence: 62%

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

Russell¹,

Robinson²,

Ball³

2013

TOSLPJ

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“…While care pathways or plans are in regular use in most hospitals, these frequently amount to a checklist of tasks and there is limited evidence that such pathways improve the quality of care. 29 Few studies have attempted to understand what components of postnatal care women find most helpful and there is a dearth of studies investigating innovation in postnatal care. 5 In Phase Two of the study, midwives participated in an action research process to design strategies to improve care.…”

Section: Discussionmentioning

confidence: 99%

Time to listen: Strategies to improve hospital-based postnatal care

et al. 2008

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“…The coping strategies identified -task orientation, workload reduction and resistance to change -have all previously been reported among stressed and overburdened midwives both in the UK and Australia (Hunter et al 2008;McLachlan et al 2008;McKellar et al 2009;Deery and Hunter 2010). They enable midwives to regain some control over their daily activities (Dykes 2006;Deery and Hunter 2010).…”

Section: Mechanisms Supporting Non-compliance: Coping Strategiesmentioning

confidence: 93%

‘Oh no, no, no, we haven׳t got time to be doing that’: Challenges encountered introducing a breast-feeding support intervention on a postnatal ward

2015

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Citation: Hunter, L., Magill-Cuerden, J. and McCourt, C. (2015). 'Oh no, no, no, we haven't got time to be doing that': Challenges encountered introducing a breast-feeding support intervention on a postnatal ward. Midwifery, 31(8), pp. 798-804. doi: 10.1016Midwifery, 31(8), pp. 798-804. doi: 10. /j.midw.2015 This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent Implications for practice:Midwives and maternity support workers need to be able to control their time and space, and feel able to provide the relational care they perceive that women need, before breastfeeding support interventions can be successfully implemented in practice. Frustration with current ways of working, and a willingness to consider other approaches, could be harnessed to initiate change that would benefit health professionals and the women and families in their care. However, without appropriate leadership or facilitation for change, this could alternatively encourage learned helplessness and passive resistance.Hunter L, Magill-Cuerden J, McCourt C 2015 2

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Is the organisation and structure of hospital postnatal care a barrier to quality care? Findings from a state-wide review in Victoria, Australia

Cited by 59 publications

References 19 publications

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

Infant Sleep Development: Location, Feeding and Expectations in the Postnatal Period

Time to listen: Strategies to improve hospital-based postnatal care

‘Oh no, no, no, we haven׳t got time to be doing that’: Challenges encountered introducing a breast-feeding support intervention on a postnatal ward

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