Peer group supervision is an efficient method to assist
midwives to solve complicated cases: A case-study in the
Women’s Clinic, East-Tallinn Central Hospital, Estonia

Merits, Marika; Bartels, Irena; Kärema, Annely

doi:10.18332/ejm/112255

Cited by 3 publications

(6 citation statements)

References 25 publications

(28 reference statements)

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“…As supported by the literature, strengthened supervision will be a way forward to prevent the occurrence of D&A and improve the quality of care [36,37]. Some promising results have been achieved in other settings by establishing peer support and supervision groups to reduce stress and increase professional skills [31,32,38]. The election of head midwives within the team was found to be a positive element of supervision in our study and could be a promising strategy for establishing non-punitive supervision in other health institutions.…”

Section: Discussionsupporting

confidence: 64%

“…They don't show respect anymore." (Midwife FGD 1, age group [31][32][33][34][35][36][37][38][39][40] Underappreciated within the hospital Midwives felt their work and efforts were not always appreciated within the hospital, especially compared to the appreciation and privileges that doctors received.…”

Section: Resultsmentioning

confidence: 99%

“…While we lack evidence to apply this theory to the Mozambican setting, we can say that midwives in our study clearly struggled with their position in the institution and wider society. A clear non-discriminatory institutional policy and (peer) support system for health care providers could help increase job satisfaction for midwives and allow sustainable quality improvement of maternity care [31,32]. Strengthening the national midwifery association could be a way forward to advocate for midwives' rights.…”

Section: Discussionmentioning

confidence: 99%

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A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

Galle

Manaharlal

Griffin

et al. 2020

Preprint

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BACKGROUND Midwifery care plays a vital role in the reduction of preventable maternal and newborn mortality and morbidity. There is a growing concern about the quality of care during facility based childbirth and the occurrence of disrespect and abuse (D&A) worldwide. While several studies have reported a high prevalence of D&A, evidence about the drivers of D&A is scarce. AIM This study aims to explore midwives’ professional identity and perspectives on the occurrence of D&A in urban Mozambique. METHODS A qualitative study took place in the central hospital of Maputo, Mozambique. Nine focus group discussions with midwives were conducted, interviewing 56 midwives. RQDA software was used for analyzing the data by open coding and thematic analysis. RESULTS Midwives felt proud of their profession but felt they were disrespected by the institution and wider society because of their inferior status compared to doctors. Furthermore, they felt being blamed for poor health outcomes. The occurrence of D&A seemed more likely in emergency situations but midwives tended to blame this on women being “uncooperative”. The involvement of birth companions was a protective factor against D&A together with supervision. Conclusion In order to improve quality of care and reduce the occurrence of D&A midwives will need to be treated with more respect within the health system. Furthermore, they should be trained in handling obstetric emergency situations with respect and dignity for the patient. Systematic and constructive supervision might be another promising strategy for preventing D&A.

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Section: Discussionsupporting

confidence: 64%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

Galle

Manaharlal

Griffin

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…While we lack evidence to apply this theory to the Mozambican setting, we can say that midwives in our study clearly struggled with their position in the institution and wider society. A clear non-discriminatory institutional policy and (peer) support system for health care providers could help increase job satisfaction for midwives and allow sustainable quality improvement of maternity care [42,43]. Strengthening the national midwifery association could be a way forward to advocate for midwives' rights.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

Galle

Manaharlal

Griffin

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Midwifery care plays a vital role in the reduction of preventable maternal and newborn mortality and morbidity. There is a growing concern about the quality of care during facility based childbirth and the occurrence of disrespect and abuse (D&A) worldwide. While several studies have reported a high prevalence of D&A, evidence about the drivers of D&A is scarce. This study aims to explore midwives’ professional identity and perspectives on the occurrence of D&A in urban Mozambique. Methods A qualitative study took place in the central hospital of Maputo, Mozambique. Nine focus group discussions with midwives were conducted, interviewing 54 midwives. RQDA software was used for analysing the data by open coding and thematic analysis from a grounded theory perspective. Results Midwives felt proud of their profession but felt they were disrespected by the institution and wider society because of their inferior status compared to doctors. Furthermore, they felt blamed for poor health outcomes. The occurrence of D&A seemed more likely in emergency situations but midwives tended to blame this on women being “uncooperative”. The involvement of birth companions was a protective factor against D&A together with supervision. Conclusion In order to improve quality of care and reduce the occurrence of D&A midwives will need to be treated with more respect within the health system. Furthermore, they should be trained in handling obstetric emergency situations with respect and dignity for the patient. Systematic and constructive supervision might be another promising strategy for preventing D&A.

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“…And we have to do it with our heart, that is most important." (Midwife, FGD 5, age group [41][42][43][44][45][46][47][48][49][50] Most women are also satis ed and happy after the delivery, and especially at the maternity ward the contact with women was told to be positive.…”

Section: Resultsmentioning

confidence: 99%

Midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city: a qualitative study

Galle¹,

Manaharlal²,

Griffin³

et al. 2020

Preprint

View full text Add to dashboard Cite

BACKGROUND: Midwifery care plays a vital role in the reduction of preventable maternal and newborn mortality and morbidity. There is a growing concern about the quality of care during facility based childbirth and the occurrence of disrespect and abuse (D&A) worldwide. While several studies have reported a high prevalence of D&A, evidence about the drivers of D&A is scarce. AIM: This study aims to explore midwives’ professional identity and perspectives on the occurrence of D&A in urban Mozambique. METHODS: A qualitative study took place in the central hospital of Maputo, Mozambique. Nine focus group discussions with midwives were conducted, interviewing 54 midwives. RQDA software was used for analysing the data by open coding and thematic analysis from a grounded theory perspective. RESULTS: Midwives felt proud of their profession but felt they were disrespected by the institution and wider society because of their inferior status compared to doctors. Furthermore, they felt blamed for poor health outcomes. The occurrence of D&A seemed more likely in emergency situations but midwives tended to blame this on women being “uncooperative”. The involvement of birth companions was a protective factor against D&A together with supervision. CONCLUSION: In order to improve quality of care and reduce the occurrence of D&A midwives will need to be treated with more respect within the health system. Furthermore, they should be trained in handling obstetric emergency situations with respect and dignity for the patient. Systematic and constructive supervision might be another promising strategy for preventing D&A.

show abstract

Peer group supervision is an efficient method to assist midwives to solve complicated cases: A case-study in the Women’s Clinic, East-Tallinn Central Hospital, Estonia

Cited by 3 publications

References 25 publications

A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

Midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city: a qualitative study

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