“The Midwifery Two‐Step”: A Study on Evidence‐Based Midwifery Practice

Kennedy, Holly Powell; Doig, Eleanor; Hackley, Barbara; Leslie, Mayri Sagady; Tillman, Stephanie

doi:10.1111/j.1542-2011.2012.00174.x

Cited by 7 publications

(5 citation statements)

References 32 publications

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“…Sometimes, evidence based practices in obstetrics and neonatal care significantly reduce morbidity and mortality ( 35 ). EBP is a target with many challenges in everyday implementation ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Iravani¹,

Janghorbani²,

Zarean³

et al. 2016

Iran Red Crescent Med J

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Background:Evidence based practice is an effective strategy to improve the quality of obstetric care. Identification of barriers to adaptation of evidence-based intrapartum care is necessary and crucial to deliver high quality care to parturient women.Objectives:The current study aimed to explore barriers to adaptation of evidence-based intrapartum care from the perspective of clinical groups that provide obstetric care in Iran.Materials and Methods:This descriptive exploratory qualitative research was conducted from 2013 to 2014 in fourteen state medical training centers in Iran. Participants were selected from midwives, specialists, and residents of obstetrics and gynecology, with a purposive sample and snowball method. Data were collected through face-to-face semi-structured in-depth interviews and analyzed according to conventional content analysis.Results:Data analysis identified twenty subcategories and four main categories. Main categories included barriers were related to laboring women, persons providing care, the organization environment and health system.Conclusions:The adoption of evidence based intrapartum care is a complex process. In this regard, identifying potential barriers is the first step to determine and apply effective strategies to encourage the compliance evidence based obstetric care and improves maternity care quality.

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Section: Discussionmentioning

confidence: 99%

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Iravani¹,

Janghorbani²,

Zarean³

et al. 2016

Iran Red Crescent Med J

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“…Factors preventing the uptake of EBP are well documented in the literature and often prevent the adoption of best practice by clinicians (Colquhoun, Squires, Kolehmainen, Fraser, & Grimshaw, 2017). In the past, midwives amongst other care providers have identified these factors as "barriers", such as workplace culture, time constraints, funding and resources and resistance to change (Barwick, 2011;Kennedy, Doig, Hackley, Leslie, & Tillman, 2012). These barriers impinge on clinicians' efforts to adopt new practice or process initiatives (Bayes et al, 2016;Darling, 2016;Geerligs, Rankin, Shepherd, & Butow, 2018;Weir, Newham, Dunlop, & Bennie, 2019).…”

Section: Is Instruments Is the Consolidated Framework For Implementationmentioning

confidence: 99%

Midwives' use of best available evidence in practice: An integrative review

Leo

Bayes

Geraghty

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To synthesise international research that relates to midwives' use of best available evidence in practice settings and identify key issues relating to the translation of latest evidence into everyday maternity care. Background Midwifery is a research‐informed profession. However, a gap persists in the translation of best available evidence into practice settings, compromising gold standard maternity care and delaying the translation of new knowledge into everyday practice. Design A five‐step integrative review approach, based on a series of articles published by the Joanna Briggs Institute (JBI) for conducting systematic reviews, was used to facilitate development of a search strategy, selection criteria and quality appraisal process, and the extraction and synthesis of data to inform an integrative review. Methods The databases CINAHL, MEDLINE, Web of Science, Implementation Science Journal and Scopus were searched for relevant articles. The screening and quality appraisal process complied with the PRISMA 2009 checklist. Narrative analysis was used to develop sub‐categories and dimensions from the data, which were then synthesised to form two major categories that together answer the review question. Results The six articles reviewed report on midwives' use of best available evidence in Australia, the UK and Asia. Two major categories emerged that confirm that although midwifery values evidence‐based practice (EBP), evidence‐informed maternity care is not always employed in clinical settings. Additionally, closure of the evidence‐to‐practice gap in maternity care requires a multidimensional approach. Conclusion Collaborative partnerships between midwives and researchers are necessary to initiate strategies that support midwives' efforts to facilitate the timely movement of best available evidence into practice. Relevance to clinical practice Understanding midwives' use of best available evidence in practice will direct future efforts towards the development of mechanisms that facilitate the timely uptake of latest evidence by all maternity care providers working in clinical settings.

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“…Working as members of an interdisciplinary, collaborative team to provide optimum care to women and their families is considered a hallmark of midwifery care . The skills acquired through many midwife‐years of navigating and negotiating sometimes hostile institutional systems in order to provide the safest, most satisfying, evidence‐based care in accordance with the needs and desires of childbearing families make midwives uniquely suited to the demands of palliative care delivery …”

Section: Characteristics Of Midwives and Palliative Care Cliniciansmentioning

confidence: 99%

Midwifing the End of Life: Expanding the Scope of Modern Midwifery Practice to Reclaim Palliative Care

Hoover¹,

Holt²

2016

J Midwife Womens Health

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Historically, midwives held an important role in society as cradle-to-grave practitioners who eased individuals, families, and communities through difficult transitions across the life span. In the United States, during the first half of the 20th century, physicians assumed care for people during birth and death, moving these elements of the human experience from homes into the hospital setting. These changes in practice resulted in a dehumanization of birth and death experiences and led to detachment from what it means to be human among members of society. There is a current movement across the United States to incorporate palliative care and hospice care into both the home setting and the inpatient setting. Through their education and training, certified nurse-midwives/certified midwives (CNMs/CMs) are well equipped to serve as hospice and palliative care clinicians. Current midwives, skilled in assisting women and families through the transition of pregnancy to motherhood, can use their education and skills to help individuals and their families through the transition from life to death. The similarities between these states of the human experience (pregnancy to birth and terminal illness to death) allow for a fluidity between these experiences from the midwife perspective. The many parallels between these 2 elements of the human condition include stress, anxiety, and pain. Training in holistic approaches to symptom management and supporting individuals through difficult experiences (eg, birth) gives midwives a unique perspective that is readily translatable to assist individuals and families through the passage between life and death.

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“The Midwifery Two‐Step”: A Study on Evidence‐Based Midwifery Practice

Cited by 7 publications

References 32 publications

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Midwives' use of best available evidence in practice: An integrative review

Midwifing the End of Life: Expanding the Scope of Modern Midwifery Practice to Reclaim Palliative Care

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