Community Midwifery ‘Performances’ and the Presentation of Self

Deery, Ruth

doi:10.1007/978-1-137-08641-9_5

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…It can also require staff to emotionally manage themselves in order to present an appropriate emotional response and persona to others [ 46 , 50 ], and it can extend from public and workplace settings into domestic and private spheres [ 45 ]. As some studies have further served to highlight, the emotional labour undertaken by staff can also be affected by organisational features and constraints, such as ward routines and requirements to follow strict protocols [ 34 , 51 ]. The impact of organisational features was also apparent in our study in which we found that staff members’ experiences of stress and the attendant emotional work undertaken could be affected by whether their centre was a new or established DAFNE centre with a long or short patient waiting list.…”

Section: Discussionmentioning

confidence: 99%

Uncovering the emotional aspects of working on a clinical trial: a qualitative study of the experiences and views of staff involved in a type 1 diabetes trial

Lawton

Kirkham

White

et al. 2015

Trials

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BackgroundThe perspectives and experiences of trial staff are increasingly being investigated as these can be used to improve recruitment, adherence to trial protocols and support given to future staff. We interviewed staff working on a type 1 diabetes trial in order to aid interpretation of trial findings, inform recommendations for the rollout of the treatments investigated and provide recommendations for the conduct of future trials. However, our interviews uncovered aspects of trial work erstwhile unrecognised or underreported in the trials literature, and it is these which form the focus of this paper.MethodsIn-depth interviews were conducted with (n = 18) staff, recruited from seven centres, who were involved in recruitment and trial delivery. Data were analysed thematically.ResultsAlongside logistical and practical issues which made trial work challenging, staff often talked spontaneously and at length about how trial work had affected them emotionally. Staff not only described the emotional stresses arising from having to meet recruitment targets and from balancing research roles with clinical responsibilities, they also discussed having to emotionally manage patients and their colleagues. The emotional aspects of trial work particularly came to the fore when staff notified patients about their treatment allocation. On such occasions, staff described having to employ emotional strategies to pre-empt and manage potential patient disappointment and anger. Staff also described having to manage their own emotions when patients withdrew from the trial or were not randomised to the treatment arm which, in their clinical judgment, would have been in their best interests. To help address the emotional challenges they encountered, staff highlighted a need for more practical, emotional and specialist psychological support.ConclusionsMore attention should be paid to the emotional aspects of trial work to help ensure trial staff are adequately supported. Such support could comprise: increased training for staff to improve their own and patients’ understandings of randomization, role-play to develop techniques to manage patient anger and disappointment, sharing of good practice, formalised team support with psychological input and access to specialist psychological support to troubleshoot complex emotional and ethical issues.

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Section: Discussionmentioning

confidence: 99%

Uncovering the emotional aspects of working on a clinical trial: a qualitative study of the experiences and views of staff involved in a type 1 diabetes trial

Lawton

Kirkham

White

et al. 2015

Trials

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“…The pressure of time and the strategies the midwives used to complete the task in the timeframe available, resulted in women not asking questions and midwives only seeking to find out answers to the medical aspects of care. However, there are many factors which impact on the midwives' ability to provide holistic care to women, including the organisational demands on midwives, increasing workloads and also professional and personal relationships (Deery, 2009).…”

Section: Organisational Factorsmentioning

confidence: 99%

Women׳s views on partnership working with midwives during pregnancy and childbirth

2016

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“…This echoes McCourt and Stevens' (2009) findings that reciprocity added to job satisfaction and less stress in midwifery. A study of community midwives in the UK found that midwives became emotionally fatigued when relationships were not reciprocal and fulfilling (Deery, 2009;Deery & Hunter, 2010).…”

Section: Working In Partnership With Women and Their Whanau/families mentioning

confidence: 99%

Partnership and reciprocity with women sustain Lead Maternity Midwives in Practice

McAra‐Couper¹,

Gilkison²,

Crowther³

et al. 2014

nzcomjnl

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New Zealand has a unique maternity service model, whereby women at low risk of complications receive their maternity care from a community based Lead Maternity Carer (LMC) who is usually a midwife, but could be a general practitioner or an obstetrician. Over 80% of women in New Zealand choose to have a midwife as their LMC (Grigg & Tracy, 2013; Guilliland & Pairman, 2010). LMC midwives practise under contract to the Ministry of Health, taking a caseload and providing continuity of care (which requires being on call) for the women booked with them. This qualitative descriptive research set out to understand what sustains on call case-loading LMC midwives who have practised as LMCs for at least eight years. Eleven midwives with 8 to 20 years in practise were recruited and interviewed. Thematic and content analysis was carried out on the data. This article presents an overview of the findings from this study and extracts of selected data. Themes emerged from the findings which described how midwives were sustained in on call, caseloading practice. Themes identified include: the joy of midwifery practice; working in partnership; supportive family relationships; supportive midwifery relationships; generosity of spirit; like-minded midwifery partners, practice arrangements; managing the unpredictability of being on-call; realising one is not indispensable; learning to say "no"; negotiating and keeping boundaries; and passing on the passion for midwifery. This paper is the first in a series. It explores the themes of partnership, and how working in partnership sustains the joy of practice and provides context to the study. Future papers from the study will report on other themes from the study. The significance of this research is that it informs present and future maternity service provision and education.

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Community Midwifery ‘Performances’ and the Presentation of Self

Cited by 7 publications

References 19 publications

Uncovering the emotional aspects of working on a clinical trial: a qualitative study of the experiences and views of staff involved in a type 1 diabetes trial

Uncovering the emotional aspects of working on a clinical trial: a qualitative study of the experiences and views of staff involved in a type 1 diabetes trial

Women׳s views on partnership working with midwives during pregnancy and childbirth

Partnership and reciprocity with women sustain Lead Maternity Midwives in Practice

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