Midwives and clinical investigation: A review of the literature

Alexander, Catherine; Bogossian, Fiona

doi:10.1016/j.wombi.2018.02.003

Cited by 13 publications

(13 citation statements)

References 24 publications

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“…[1] Across the world, country specific legal and professional structures are in place. While legislation is largely viewed as supportive of the profession, fear of litigation has been shown to have a negative impact on how midwives practice [15,16] with regulation and a blame culture and 'the fear factor of risk' [17] and litigation [18,19] inserting a very real fear factor within the realm of professional autonomy and judgement.In the United Kingdom (UK), for example, Midwifery is a protected legal function making it a criminal offence for anyone other than a registered midwife or medical practitioner, (except while in training or in an emergency) to attend a woman in childbirth [20]. All women have the right to access the care of a midwife free at the point of delivery and theoretically, taking account of their medical, childbirth histories and preferences can choose to deliver at home, in a birth center (Midwifery Unit) or in an Obstetric Hospital.…”

Section: The International Confederation Of Midwives (Icm) Define a Mmentioning

confidence: 99%

“…A recent study commissioned by the Royal College of midwives highlighted that many midwives felt exhausted by their day-to-day work, emotionally and physically drained, dreaded the thought of another day's work and seriously wondered how much longer they could carry on. Hunter (2018) (p. 15) [63] In addition, as mentioned previously, midwives practice within an increasing litigious environment and are fearful of making a mistake or missing something that may cause harm to a mother or baby [16,17,64]. Examples of externally driven deprofessionalization include overseas midwives who on travelling to UK are not assessed as competent by NMC Competence Centers or are assessed as not reaching the required competency standard in the English language.…”

Section: The-de-professionalizedmentioning

confidence: 99%

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Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Gillen

2019

Education Sciences

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This paper seeks to deconstruct the place of midwives as professionals using the novel interdisciplinary lens of the Place Model—an innovative analytical device which originated in education and has been previously applied to both teachers and teacher educators. The Place Model allows us to map the metaphorical professional landscape of the midwife and to consider how and where midwives are located in the combined context of two senses of place: in the sociological sense of public esteem and also the humanistic geography tradition of place as a cumulative process of professional learning. A range of exemplars will bring this map to life uncovering both the dystopias and potentially utopian places in which midwives find their various professional places in the world. The Model can be used to help student midwives to consider and take charge of their learning and status trajectories within the profession.

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Section: The International Confederation Of Midwives (Icm) Define a Mmentioning

confidence: 99%

Section: The-de-professionalizedmentioning

confidence: 99%

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Gillen

2019

Education Sciences

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“…A study conducted in Israel among midwives and a scoping review in Australia affirms the above findings as both reports that midwives had sleeping problems after traumatic death events. [15,16,26] On the contrary, burnout was found to be one of the highest contributing factors among midwives working in perinatal wards. [27,28] Dartey et al [5] maintain that extended periods of lack of sleep among midwives can lead to poor mental states and, eventually, the poor quality of work life.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Stress Disorder among midwives after exposure to maternal death and stillbirth in Khomas Region of Namibia

Endjala

Amukugo

Ngitanwa

2021

IJH

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Objective: Despite global efforts to decrease maternal death and stillbirths worldwide, maternal mortality rate and stillbirth remain high in the global south countries. These deaths often have immediate and long-lasting effects on midwives who care for these women.Methods: This paper explores the effects of maternal death and stillbirth on midwives in Namibia. A qualitative approach was adopted using a descriptive, exploratory and contextual design. The objective of this study was to explore the Post-Traumatic Stress Disorder (PTSD) related feelings among midwives after exposure to maternal death and stillbirth. Data was collected using Focus Group Discussions (FGD) and individual interviews. Four FGDs and four individual interviews were conducted with midwives from two state hospitals in Windhoek. Midwives were purposively selected, and a total of 29 midwives participated in the study. Individual interviews and FGDs were audiotaped and transcribed verbatim. Data were analysed using content analysis and coded using Tech’s steps of open-coding.Results: The researcher identified one central theme with six sub-themes. The study showed that the midwives experienced PTSD related feelings such as insomnia and nightmares, recollection of the event (flashbacks), sense of self-blame, guilt, anger, shame, and being haunted/tormented.Conclusions: It is concluded that maternal death and fresh stillbirth can lead to PTSD effects on midwives, hence addressing these challenges. Therefore, the researchers recommend that hospitals in the Khomas Region develop and implement the wellness programmes in the workplace, such as the Employee Assistance Programme, to support midwives who experienced these traumatic events to prevent and manage these effects in the future. Equally, further research is needed to evaluate the impact of the wellness programme on midwives who experienced MDs and FSBs in Namibia.

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“…ProQol measures Compassion Satisfaction (positive aspect of helping, i.e., pleasure and satisfaction derived from helping and care giving), Burnout (negative aspects of helping, such as feeling worn out, exhausted, fatigued, frustrated, depressed, hopeless & inefficient) and Secondary Traumatic Stress (exposure to traumatic, stressful events and/or feeling afraid). Each of these sub-scales is scored to indicate low (≤ 22), average (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41), or high (≥42) levels of the construct. The survey participants scored average (64%) or high (35%) high levels of Compassion Satisfaction (higher scores are more positive); Burnout was scored as low (50%) or average (50%) and Traumatic Stress as low (69%) or average (30%); lower scores are more positive for Burnout and Traumatic stress (alphas = 0.80, 0.89, 0.85 respectively).…”

Section: Wellbeingmentioning

confidence: 99%

“…Many midwives perceive themselves as deskilled in some areas of midwifery practice, 30 which is compounded by fear of lack of support from management when litigation arises. 31 Management require to address these issues in a positive and determined way. Some midwives appeared to be unable to imagine themselves successfully juggling work and home life, whilst working within an CMC model.…”

Section: Role Of the Organisationmentioning

confidence: 99%

Midwives’ views of changing to a Continuity of Midwifery Care (CMC) model in Scotland: A baseline survey

et al. 2020

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Background: There is good evidence that Continuity of Midwifery Care (CMC) is associated with improved clinical outcomes, greater maternal satisfaction, and improved work experiences for midwives. Changes made to the organisation require careful implementation, with on-going evaluation to monitor progress. Aim:To develop a survey tool that incorporates several validated scales, which was used to collect baseline data prior to implementing a high-quality Continuity of Midwifery Care (CMC) model in Scotland. 9 This tool gathered data about midwives' personal and professional wellbeing prior to service reorganisation, with a longitudinal study intended to measure change in midwives' reportage across time. This paper reports the baseline data-collection. Methods: An on-line survey was shared with practising midwives (n=321) in Scotland via the NHS intranet, verbally, email, and paper. The survey elicited midwives views about Continuity of Midwifery Care (CMC); values and philosophies of care; attitudes towards their professional role; personal and professional demographics; quality of life and wellbeing. Psychometric attitudinal scales were scored and free text comments themed according to positive/negative opinions of the new Continuity of Midwifery Care (CMC) model to highlight key concerns to be addressed and identify change barriers or facilitators. Findings: The majority of midwives indicated support for philosophies underpinning Continuity of Midwifery Care (CMC), which includes physiological birth and providing autonomous midwifery care. Participants also indicated positive attitudes towards their current role and organisation,with some worrying about how the organisation was going to implement the changes required.Worries included, receiving an overburdening workload, being deskilled in certain areas of midwifery practice, and lack of support were litigation to arise. Conclusion: Midwives support the values and philosophies that underpin Continuity of MidwiferyCare (CMC), yet worry about organisational change involved in evolving systems of care. Hence, management require to implement strategies to reduce fears. For example, delivering accurate and honest information, enabling midwives to plan, design and implement changes themselves, and providing emotional and material help.

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Midwives and clinical investigation: A review of the literature

Cited by 13 publications

References 24 publications

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Connecting Status and Professional Learning: An Analysis of Midwives Career Using the Place© Model

Post-Traumatic Stress Disorder among midwives after exposure to maternal death and stillbirth in Khomas Region of Namibia

Midwives’ views of changing to a Continuity of Midwifery Care (CMC) model in Scotland: A baseline survey

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