From hospital to home: Australian midwives’ experiences of transitioning into publicly-funded homebirth programs

Coddington, Rebecca; Catling, Christine; Homer, Caroline

doi:10.1016/j.wombi.2016.08.001

Cited by 14 publications

(21 citation statements)

References 30 publications

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“…A final sample of 12 studies was included in the review. There were ten qualitative papers [20–22, 40–46] and one mixed methods [47] and one quantitative paper [6]. The types of papers and the roles of the participants in the studies are outlined in Fig 3.…”

Section: Resultsmentioning

confidence: 99%

“…Such a guideline should be structured in a way to allow for transfer to various workplace settings and flexible enough to meet the needs of individuals. For example, length of supervision should depend on the confidence and competence of transitioning individuals [22, 41, 46].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, this is evident for nurses who are working in general practices [46]. Some transitioning individuals acknowledge such support in the workplace [22, 46] whilst others face challenges in adapting to being a sole practitioner [45, 46]. A strategy such as the development of exchange programs between a community nurse/midwife and hospital-based nurse/midwife might assist with this adaption.…”

Section: Discussionmentioning

confidence: 99%

“…Community nursing and midwifery has also become less visible than other health care services or specialities due to: (1) the geographical location from metropolitan, to regional and rural and remote communities [5]; (2) the shared responsibilities with other health professionals such as allied health and general practitioners [19, 20]; (3) complexity of social and health issues that require the development of referral pathways [21]; (4) the funding differences for community practice compared to acute care services [22, 23]. In Australia, community nursing and midwifery manage care across different funding boundaries, the latter often leaving community services with less capital to manage complex care.…”

Section: Introductionmentioning

confidence: 99%

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Developing a community-based nursing and midwifery career pathway – A narrative systematic review

et al. 2019

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Introduction Community nursing and midwifery is changing in response to a shift in care from hospital to home, brought about by increasing costs to care because of an aging population and increasing chronicity. Until now, community nursing positions and scope of practice has been dependent on service focus and location, which has led to the role being unclearly defined. Lack of appeal for a career in community practice and a looming workforce shortage necessitates a review into how community nursing and midwifery transition to practice is supported. Methods This review sought to identify, assess and summarize available evidence relating to transitioning into community nursing and midwifery practice as a speciality. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach. A narrative synthesis was then undertaken on papers that examined community nursing and midwifery pathway perspectives which define, and enable or inhibit a contemporary pathway. Thematic analysis used a theoretical framework developed for early career and rapid transition to nursing specialty practice. Results There is a paucity of research that identifies community nursing and midwifery as a discreet scope of practice. Twelve papers were eventually included in the review. Verbatim findings were extracted from the papers and clustered into categories based on the chosen theoretical framework. Major themes were ‘the self’ (professional and personal); ‘transition processes’; and, a ‘sense of belonging’. Sub themes included narrative identifying inhibitors and enablers in each theme. Discussion No definition of community practice or pathway was identified in nursing, although midwifery was clearly defined. Community nursing practice was described as generalist in nature although specialist knowledge is required. Being part of the community in the professional sense and personal sense was considered important. The importance of transition was identified where pre-entry exposure to community practice was seen as important. Stages in transition to practice were recognised as pre-entry; incomer; insider; and, a sense of belonging. The process of transition should be planned and individualised acknowledging past experience whilst acknowledging the specialist nature of community-based practice.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Developing a community-based nursing and midwifery career pathway – A narrative systematic review

et al. 2019

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“…The majority of homebirth services were and still are provided by midwives in private practice who are employed directly by women. There are a small number of publicly funded homebirth services which are staffed by midwives employed by public hospitals [32, 33].…”

Section: Methodsmentioning

confidence: 99%

Mapping the trajectories for women and their babies from births planned at home, in a birth centre or in a hospital in New South Wales, Australia, between 2000 and 2012

Scarf

Viney

et al. 2019

BMC Pregnancy Childbirth

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BackgroundIn New South Wales (NSW) Australia, women at low risk of complications can choose from three birth settings: home, birth centre and hospital. Between 2000 and 2012, around 6.4% of pregnant women planned to give birth in a birth centre (6%) or at home (0.4%) and 93.6% of women planned to birth in a hospital. A proportion of the woman in the home and birth centre groups transferred to hospital. However, their pathways or trajectories are largely unknown.AimThe aim was to map the trajectories and interventions experienced by women and their babies from births planned at home, in a birth centre or in a hospital over a 13-year period in NSW.MethodsUsing population-based linked datasets from NSW, women at low risk of complications, with singleton pregnancies, gestation 37–41 completed weeks and spontaneous onset of labour were included. We used a decision tree framework to depict the trajectories of these women and estimate the probabilities of the following: giving birth in their planned setting; being transferred; requiring interventions and neonatal admission to higher level hospital care. The trajectories were analysed by parity.ResultsOver a 13-year period, 23% of nulliparous and 0.8% of multiparous women planning a home birth were transferred to hospital. In the birth centre group, 34% of nulliparae and 12% of multiparas were transferred to a hospital. Normal vaginal birth rates were higher in multiparous women compared to nulliparous women in all settings. Neonatal admission to SCN/NICU was highest in the planned hospital group for nulliparous women (10.1%), 7.1% for nulliparous women planning a birth centre birth and 5.1% of nulliparous women planning a homebirth. Multiparas had lower admissions to SCN/NICU for all thee settings (hospital 6.3%, BC 3.6%, home 1.6%, respectively).ConclusionsWomen who plan to give birth at home or in a birth centre have high rates of vaginal birth, even when transferred to hospital. Evidence on the trajectories of women who choose to give birth at home or in birth centres will assist the planning, costing and expansion of models of care in NSW.

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Seeing birth in a new light: The transformational effect of exposure to homebirth for hospital-based midwives

2020

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From hospital to home: Australian midwives’ experiences of transitioning into publicly-funded homebirth programs

Cited by 14 publications

References 30 publications

Developing a community-based nursing and midwifery career pathway – A narrative systematic review

Developing a community-based nursing and midwifery career pathway – A narrative systematic review

Mapping the trajectories for women and their babies from births planned at home, in a birth centre or in a hospital in New South Wales, Australia, between 2000 and 2012

Seeing birth in a new light: The transformational effect of exposure to homebirth for hospital-based midwives

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