Handover of care and of information by community midwives, maternity care assistants and Preventive Child Healthcare professionals, a qualitative study

Minde, M; Veen-Belle, Daniëlle W. van; Ernst-Smelt, Hiske E; Rosman, Ageeth N.; Raat, Hein; Steegers, Eric A.P.; Kroon, Marlou L. A. de

doi:10.1016/j.midw.2019.07.012

Cited by 6 publications

(6 citation statements)

References 8 publications

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“…Top-down organisational support and formal operationalising of local support structures are needed; working contracts enable this yet cultural expectations appear to prohibit it. The introduction of more formal peer to peer support is routinely facilitated, such as Schwartz Round [ 46 ], Trauma Risk Management (TRiM) [ 39 ], and StartWell > EndWell’ [ 47 ] psychologically informed procedures; however, this must form part of a coherent care pathway, which enables doctors to access the help they need at the time and in the form they need, honouring contractual breaks in work shifts and signposting that involves a ‘warm handover’, i.e., direct facilitation of access to care [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

Daniels

Ingram

Pease

et al. 2021

IJERPH

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This study aimed to develop empirically grounded recommendations and a coherent model of psychological care derived from the experiences and psychological care needs of COVID-19 frontline doctors, using semi-structured interviews and thematic analysis. Participants were UK frontline doctors specialising in Emergency Medicine, Anaesthetics, or Intensive Care (n = 31) purposively sampled for maximum variation on gender, specialty, ethnicity, and trauma-related distress; most worked in ICU during the pandemic (71%). Four themes were derived: (1) ‘coping strategies’, participants used many, including exercise, mindfulness, and “wait until it gets really bad”; (2) ‘sources of support’, participants valued embedded psychological support, digital services, and informal conversations with colleagues or family, though there was little opportunity; (3) ‘organisational influences on wellbeing’, participants reported a love–hate relationship for concepts like ‘wellbeing’, seen as important but insulting when basic workplace needs were unmet; (4) ‘improving engagement with support’, analysis suggests we must reduce physical and psychological barriers to access and encourage leaders to model psychologically supportive behaviours. Doctors’ frontline COVID-19 working experiences shine a ‘spotlight’ on pre-existing problems such as lack of physical resources and access to psychological care. Empirically grounded recommendations and a model of incremental psychological care are presented for use in clinical services.

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Section: Discussionmentioning

confidence: 99%

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

Daniels

Ingram

Pease

et al. 2021

IJERPH

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“…All user groups stated that there is a need for a platform dedicated to the postpartum period because continuity of care is missed and parents hear different advice from different professionals. Problems with handover of information and care among professionals in maternity care has gained more awareness, but was not discussed in our focus groups [26]. The feeling of a lack of continuity of care and receiving conflicting advice among parents is also supported by Baas et al [33].…”

Section: Comparison With Prior Workmentioning

confidence: 76%

“…eHealth, in its broadest sense, can be a useful additional technique to provide tools for support in this period for parents [13,[23][24][25]. Additionally, health care professionals recognize problems with handover of information in this period, leading to suboptimal care [26].…”

Section: Introductionmentioning

confidence: 99%

Identifying the Needs for a Web-Based Postpartum Platform Among Parents of Newborns and Health Care Professionals: Qualitative Focus Group Study

Laureij¹,

Breunis²,

Steegers‐Theunissen³

et al. 2020

JMIR Form Res

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Background During the turbulent postpartum period, there is an urgent need by parents for support and information regarding the care for their infant. In the Netherlands, professional support is provided during the first 8 days postpartum and for a maximum of 8 hours a day. This care is delivered by maternity care assistants (MCAs). Despite the availability of this extensive care, a majority of women prefer to make use of a lesser amount of postpartum care. After this period, access to care is less obvious. Where parents are automatically offered care in the first 8 days after birth, they must request care in the period thereafter. To compensate for a possible gap in information transfer, electronic health (eHealth) can be a valuable, easily accessible addition to regular care. Objective We explored the needs and preferred content by new parents and health care professionals of a web-based platform dedicated to the postpartum period and identified barriers and facilitators for using such a platform. Methods We conducted 3 semistructured focus groups among (1) parents of newborns, (2) MCAs, and (3) clinicians and administrators in maternity care. A topic list based on a framework designed for innovation processes was used. Thematic content analysis was applied. Results In the focus group for parents, 5 mothers and 1 male partner participated. A total of 6 MCAs participated in the second focus group. A total of 5 clinicians and 2 administrators—a member of a stakeholder party and a manager of a maternity care organization—participated in the third focus group. All user groups underlined that a platform focusing on the postpartum period was missing in current care, especially by parents experiencing a gap following the intensive care ending after the first week of childbirth. Parents indicated that they would perceive a postpartum platform as a proper source of reliable information on topics regarding breastfeeding, growth, and developmental milestones, but also as a tool to support them in seeking care with appropriate professionals. They also emphasized the need to receive personalized information and the opportunity to ask questions via the platform. MCAs acknowledged added value of providing additional information on topics that they address during the early postpartum period. MCAs as well as clinicians and administrators would guide parents to such a platform for additional support. All user groups experienced disadvantages of using an authentication procedure and filling out extra questionnaires to receive tailored information. Conclusions Our research shows that parents of newborns, MCAs, and clinicians and administrators foresee the additional value of a web-based postpartum platform for at least the whole postpartum period. The platform should be easily accessible and personalized. Content on the platform should contain information regarding breastfeeding, growth, and developmental milestones. A chat function with professionals could be considered as an option.

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“…Maternity care professionals needed to be aware of each other's competences and respect them, which was crucial to interprofessional collaboration. Therefore, a transparent care path and collaboration between maternity care professionals is desired [48], and within this collaboration, the autonomy of all maternity care professionals need to be respected [44]. Finding the balance between a high level of professional autonomy amongst maternity care professionals and good collaboration is, however, a challenge [49].…”

Section: Collaborationmentioning

confidence: 99%

Key Maternity Care Stakeholders’ Views on Midwives’ Professional Autonomy

et al. 2023

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Advancement towards the professionalism of midwifery is closely linked to midwives’ professional autonomy. Although the perspectives of Belgian midwives on their professional autonomy have been studied, the views of other maternity care stakeholders are a blind spot. The aim of this study, therefore, was to explore maternity care stakeholders’ views on Belgian midwives’ professional autonomy. A qualitative exploratory study was performed using focus group interviews. A heterogenous group of 27 maternity care stakeholders participated. The variation between midwives, with different levels of autonomy, was reported. The analysis of the data resulted in five themes: (1) The autonomous midwife is adequately educated and committed to continuous professional further education, (2) The autonomous midwife is competent, (3) The autonomous midwife is experienced, (4) The autonomous midwife assures safe and qualitative care, and (5) The autonomous midwife collaborates with all stakeholders in maternity care. A maternity collaborative framework, where all maternity care professionals respect each other’s competences and autonomy, is crucial for providing safe and quality care. To achieve this, it is recommended to implement interprofessional education to establish strong foundations for interprofessional collaboration. Additionally, a regulatory body with supervisory powers can help ensure safe and quality care, while also supporting midwives’ professional autonomy and professionalisation.

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Handover of care and of information by community midwives, maternity care assistants and Preventive Child Healthcare professionals, a qualitative study

Cited by 6 publications

References 8 publications

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

Identifying the Needs for a Web-Based Postpartum Platform Among Parents of Newborns and Health Care Professionals: Qualitative Focus Group Study

Key Maternity Care Stakeholders’ Views on Midwives’ Professional Autonomy

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