Birthplace as the midwife's work place: How does place of birth impact on midwives?

Davis, Deborah; Homer, Caroline

doi:10.1016/j.wombi.2016.02.004

Cited by 45 publications

(67 citation statements)

References 29 publications

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“…The results presented here are in line with other findings about opposing models that guide childbirth care in hospitals (Blaaka & Schauer Eri, 2008;Davis & Homer, 2016;Hunter, 2004;Olafsdottir, 2006Olafsdottir, /2011. Being in this field of tension can also be related to the different perspectives and the dominance of the medical/technocratic vs. social/midwifery models of childbirth care (Bryar & Sinclair, 2011;Davis-Floyd, 2003;Hunter, 2006).…”

Section: Discussionsupporting

confidence: 91%

“…They considered such care to be "real midwifery" and was described in a metasynthesis of midwifery care (O'Connell & Downe, 2009) as an overly "idealized" approach that is difficult to attain in hospital labour ward settings. In addition, the midwives' ambivalence to the birthing rooms and the office could be an expression of powerful social norms in hospital labour wards that have been identified as appearing busy, while doing "busy work" (Davis & Homer, 2016), instead of being with the women in the birthing rooms (Hunter, 2004(Hunter, , 2002, which has also been described as "vigilant attendance" and "the art of doing 'nothing' well" (Kennedy, 2000). A birthing culture with an overly reductionist perspective could result in obstetrical mistreatment (Bohren et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…This framework comprizes health systems required by all childbearing women and their families and midwifery is considered a fundamental component of this framework (Renfrew et al, 2014). Various studies into midwives' practice show that midwives feel that their work takes place between different "belief systems" (Blaaka & Schauer Eri, 2008), based on "conflicting models of care" (Olafsdottir, 2006(Olafsdottir, /2011, in which the midwives' approaches vary between being "with the woman" or being "with the institution" (Hunter, 2004) in workplace cultures in which they feel they are being monitored, as well as being controlled by clinical guidelines (Davis & Homer, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension

Nilsson

Ólafsdóttir

Lundgren

et al. 2019

International Journal of Qualitative Studies on Health and Well

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Purpose: There is a need to deepen knowledge about midwives' care in obstetric-led labour wards in which midwives are responsible for normal births. This ethnographic study explores the content and meaning of midwives' care of women in a hospital-based labour ward in Sweden prior to the introduction of a theoretical midwifery model of care. Methods: Data were gathered through participant observation, analysed through interpretation grounded in reflexivity discussions and are presented in the form of ethnographic descriptions. Results: The midwives' care was provided in a field of tension in which they had to balance contrasting models of care, described in the themes: The birthing rooms and the office-Different rooms of care, Women giving birth or being delivered-Midwives' expectations and relationships with women, Old and new caring roles of the midwife-Women giving birth in a "new age", Being and doing-Different approaches to caring, and Holistic and reductionist care-Guided by contrasting models and guidelines. The midwives' freedom to act as autonomous professionals was hindered by medical and institutional models of care and this led to uncertainty regarding their roles as midwives. Conclusions: Midwives having to balance their activities in a field of tension require midwifery models that can guide their practice.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension

Nilsson

Ólafsdóttir

Lundgren

et al. 2019

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…These results are consistent with those of 3 studies (Freeman et al, 2006;Priddis et al, 2012;Davis and Homer, 2016) that found maternal position to be influenced by other factors, including delivery room equipment, the midwife's practices and experience, and place of work. Their experience also appears to affect their practices, since those in practice for the fewest years offered the most alternatives to an epidural analgesic as well as a wider range of positions.…”

Section: Discussionsupporting

confidence: 91%

Positions during the first stage and the passive second stage of labor: A survey of French midwives

et al. 2018

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“…Within maternity services, several studies have documented midwifery workplace culture and identified a range of potential problems (Arundell, Mannix, Sheehan, & Peters, ; Ball, Curtis, & Kirkham, ; Catling, Reid, & Hunter, ; Cummins, Catling, Hogan, & Homer, ; Curtis, Ball, & Kirkham, ; Davis & Homer, ; Farrell & Shafiei, ; Pezaro, Clyne, Turner, Fulton, & Gerada, ). Issues such as low morale and inappropriate workplace behaviour, including bullying, may impact on midwives' capacity to care for women and newborn infants.…”

Section: Introductionmentioning

confidence: 99%

Developing the Australian Midwifery Workplace Culture instrument

Catling

Rossiter

McIntyre

2019

Int J of Nursing Practice

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Aim: To develop and psychometrically test the Australian Midwifery WorkplaceCulture instrument.Background: Workplace culture is critical within midwifery settings. Culture determines not only the well-being and continued retention of maternity staff and managers but it also affects the quality and ultimate safety of the care they provide to women, infants and families. Several studies have identified cultural problems within maternity services. Relatively few instruments take account of the unique aspects of these workplaces and the relationship between midwives and women. Design: Three-stage instrument development involved item generation (based on the Culture of Care Barometer), expert content validation and a pilot test. Methods: During 2016, 38 midwifery experts reviewed the initial items, and 322 midwives then pilot-tested the draft instrument. We used exploratory factor analysis to identify key domains and to refine the instrument. Results: The refined instrument contained 22 items in three distinct domains: relationship with managers, empowerment and collegiality. Conclusion: The instrument can contribute to understanding important dimensions of the culture in maternity workplaces and thus to examining problematic attitudes and practices. The instrument requires further development and testing with larger and more diverse samples of midwives and validation in specific midwifery settings and models of care. KEYWORDS attitude, health personnel, childbirth, maternity hospitals, midwifery, organizational culture, validation studies SUMMARY STATEMENTWhat is already known about this topic?• Previous research reports problems in the organizational culture in maternity services, increasing the stress on midwives and potentially affecting the care they provide to women and infants.• Negative workplace culture may contribute to attrition in maternity workforce.• There are few measures that specifically address midwifery workplace culture.• This paper presents a new instrument designed to measure dimensions of midwifery workplace culture, detailing item generation and pilot testing.• Analysis identified three domains that demonstrated good psychometric properties: relationship with management; empowerment and autonomy; collegiality and relationship with peers.Implications of this paper:• The exploratory factor analysis suggests the utility of this instrument for assessing workplace culture in midwifery settings.• The study recommends further testing of this instrument and validation in diverse midwifery workplaces, including large and small hospitals, community services and rural and remote areas.

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Birthplace as the midwife's work place: How does place of birth impact on midwives?

Abstract: Given the excellent outcomes of midwifery led care, we should focus on how we can facilitate the work of midwives in all settings. This study suggests that the culture of the birthplace rather than the physicality is the highest priority.

Cited by 45 publications

References 29 publications

Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension

Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension

Positions during the first stage and the passive second stage of labor: A survey of French midwives

Developing the Australian Midwifery Workplace Culture instrument

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