The role of the midwife in Australia: views of women and midwives

Homer, Caroline; Passant, Lyn; Brodie, Pat; Kildea, Sue; Leap, Nicky; Pincombe, Jan; Thorogood, Carol

doi:10.1016/j.midw.2007.11.003

Cited by 99 publications

(105 citation statements)

References 11 publications

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“…Five studies used a mixed-methods approach with triangulation of data from questionnaires and interviews [36][37][38] , or collected data from literature and focus groups 39,40 . Three studies applied a qualitative design including individual interviews 41,42 or focus groups 43 .…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…Woman-centered care prioritizes the woman's individual unique needs, as defined by the woman herself -assigning to the woman choice, control and continuity of care [5][6][7][8][9][10][11][12] . This concept description has resulted from consultation with women (recipients of maternity services), midwives, obstetricians and policy makers 10,13,14 but lacks a scientific theoretical foundation.…”

Section: Introductionmentioning

confidence: 99%

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Woman-centered care 2.0: Bringing the concept into focus

Fontein-Kuipers¹,

Groot²,

Staa³

2018

Eur J Midwifery

118

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INTRODUCTION Woman-centered care has become a midwifery concept with implied meaning. In this paper we aim to provide a clear conceptual foundation of woman-centered care for midwifery science and practice. METHODS An advanced concept analysis was undertaken. At the outset, a systematic search of the literature was conducted in PubMed, OVID and EBSCO. This was followed by an assessment of maturity of the retrieved data. Principle-based evaluation was done to reveal epistemological, pragmatic, linguistic and logic principles, that attribute to the concept. Summative conclusions of each respective component and a detailed analysis of conceptual components (antecedents, attributes, outcomes, boundaries) resulted in a definition of woman-centered care. RESULTS Eight studies were selected for analyses. In midwifery, woman-centered care has both a philosophical and a pragmatic meaning. There is strong emphasis on the woman-midwife relationship during the childbearing period. The concept demonstrates a dual and equal focus on physical parameters of pregnancy and birth, and on humanistic dimensions in an interpersonal context. The concept is epistemological, dynamic and multidimensional. The results reveal the concept's boundaries and fluctuations regarding equity and control. The role of the unborn child is not incorporated in the concept. CONCLUSION An in-depth understanding and a broad conceptual foundation of womancentered care has evolved. Now, the concept is ready for research and educational purposes as well as for practical utility.

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Section: Sample Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Woman-centered care 2.0: Bringing the concept into focus

Fontein-Kuipers¹,

Groot²,

Staa³

2018

Eur J Midwifery

118

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“…[41,42] Non-conducive work environments and job dissatisfaction affect midwives' and nurses' intention to leave the job or their career. [43,44] The study results suggested that autonomy for midwifery practice is an important factor to change practice and improve the quality of health care. After having participated in CPD, hospital midwives felt empowered to introduce innovation or change aimed to improve the quality of obstetric and neonatal care.…”

Section: Discussionmentioning

confidence: 95%

“…These findings are consistent with results from an Australian study by Homer et al, which revealed that health facilities' system of maternity care, domination of physicians, invisibility of midwifery in decision making and regulation, were the major barriers for midwives to fully enact their role in maternity services. [43] Edmondson and Walker found that in caseload midwifery…”

Section: Discussionmentioning

confidence: 99%

Midwives’ experience of participating in the Advanced Life Support in Obstetrics® educational program in Rwanda

Uwajeneza

Babenko-Mould

Evans

et al. 2015

JNEP

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High maternal and newborn mortality rates remain a global health issue. Ninety-nine percent of maternal deaths occur in low and middle income countries and many could be prevented by having more qualified health providers. In 2013, 62% of maternal deaths took place in Sub-Saharan Africa. The Advanced Life Support in Obstetrics (ALSO R ) Educational Program is an internationally recognized continuous professional development course aimed at increasing the knowledge, skills, competence, and confidence of health professionals to manage obstetric emergencies. The purpose of this qualitative descriptive study was to explore midwives' experiences of translating the knowledge and skills acquired from participating in the ALSO R program into their professional practice in Rwanda. A purposive sample of nine midwives participated in one-to-one interviews directed at understanding their experience of implementing their new knowledge and skills into practice. All interviews were audio-recorded and transcribed verbatim. Content analysis was used to illuminate five themes: 1) Improved midwifery practice, 2) Availability of resources, 3) Inter-professional collaboration, 4) Job (dis)satisfaction, and 5) Autonomy for midwifery practice. The findings revealed that although midwives reported increased knowledge, skills and confidence in management of obstetric emergencies, their ability to change practice was often hampered by non-conducive work environments, a shortage of health care providers, and insufficient equipment and materials. These findings can serve to inform ALSO R course module development, midwifery education development, and health human resources policy that can address obstetrical and newborn education needs and health service delivery in Rwanda.

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“…It was essential to ensure that the attributes being assessed were ones that reflected those considered desirable of a student midwife as well as upholding the University's midwifery programme philosophy (should I say what this is?). A structured literature search revealed that mothers have a definitive idea of the values and behaviour they desired from their care provider (Homer et al, 2009). These were recorded and compared to those encapsulated by the UK Nursing and Midwifery Council (2009) and International Confederation of Midwives (2011).…”

Section: Multiple Mini Interview Instrument Developmentmentioning

confidence: 99%

Developing and piloting the multiple mini-interview in pre-registration student midwife selection in a UK setting

Callwood

Cooke

Allan

2014

Nurse Education Today

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Background: Published research has shown the multiple mini interview (MMI) to be a reliable assessment instrument in medical and nursing student selection internationally. Objectives: To develop, pilot and examine the reliability of MMIs in pre-registration student midwife selection in one Higher Education Institution a UK setting. Design and setting: BSc (Hons) Midwifery Studies students at a Higher Education Institution in the UK volunteered to participate in 'mock' MMI circuits during the first week of their programme. DeVellis's framework for questionnaire development underpinned the generation of interview scenarios. Participants' responses to scenario questions were rated on a 7 point scale. Internal consistency was calculated for each station. Results: An eight station model was piloted. Communication skills were assessed at each station as a generic attribute. Station specific attributes assessed included compassion and empathy, respect for difference and diversity, honesty and integrity, intellectual curiosity and reflective nature, advocacy, respect for privacy and dignity, team working and initiative, the role of the midwife and motivation to become a midwife. Cronbach's alpha scores for each station ranged from 0.91 -0.97. Conclusion:The systematic development of the MMI model and scenarios resulted in 'excellent' reliability across all stations. These findings endorse the MMI technique as a reliable alternative to the personal interview in informing final decisions in pre-registration student midwife selection.

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The role of the midwife in Australia: views of women and midwives

Cited by 99 publications

References 11 publications

Woman-centered care 2.0: Bringing the concept into focus

Woman-centered care 2.0: Bringing the concept into focus

Midwives’ experience of participating in the Advanced Life Support in Obstetrics® educational program in Rwanda

Developing and piloting the multiple mini-interview in pre-registration student midwife selection in a UK setting

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