The Experts below are selected from a list of 68667 Experts worldwide ranked by ideXlab platform
Della Forster - One of the best experts on this subject based on the ideXlab platform.
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comparing satisfaction and burnout between caseload and standard care Midwives findings from two cross sectional surveys conducted in victoria australia
BMC Pregnancy and Childbirth, 2014Co-Authors: Michelle Newton, Helen L Mclachlan, Karen Willis, Della ForsterAbstract:Caseload midwifery reduces childbirth interventions and increases women’s satisfaction with care. It is therefore important to understand the impact of caseload midwifery on Midwives working in and alongside the model. While some studies have reported higher satisfaction for caseload compared with standard care Midwives, others have suggested a need to explore Midwives’ work-life balance as well as potential for stress and burnout. This study explored Midwives’ attitudes to their professional role, and also measured burnout in caseload Midwives compared to standard care Midwives at two sites in Victoria, Australia with newly introduced caseload midwifery models. All Midwives providing maternity care at the study sites were sent questionnaires at the commencement of the caseload midwifery model and two years later. Data items included the Midwifery Process Questionnaire (MPQ) to examine Midwives’ attitude to their professional role, the Copenhagen Burnout Inventory (CBI) to measure burnout, and questions about Midwives’ views of caseload work. Data were pooled for the two sites and comparisons made between caseload and standard care Midwives. The MPQ and CBI data were summarised as individual and group means. Twenty caseload Midwives (88%) and 130 standard care Midwives (41%) responded at baseline and 22 caseload Midwives (95%) and 133 standard care Midwives (45%) at two years. Caseload and standard care Midwives were initially similar across all measures except client-related burnout, which was lower for caseload Midwives (12.3 vs 22.4, p = 0.02). After two years, compared to Midwives in standard care, caseload Midwives had higher mean scores in professional satisfaction (1.08 vs 0.76, p = 0.01), professional support (1.06 vs 0.11, p <0.01) and client interaction (1.4 vs 0.09, p <0.01) and lower scores for personal burnout (35.7 vs 47.7, p < 0.01), work-related burnout (27.3 vs 42.7, p <0.01), and client-related burnout (11.3 vs 21.4, p < 0.01). Caseload midwifery was associated with lower burnout scores and higher professional satisfaction. Further research should focus on understanding the key features of the caseload model that are related to these outcomes to help build a picture of what is required to ensure the long-term sustainability of the model.
Bente Dahl - One of the best experts on this subject based on the ideXlab platform.
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balancing life and death during the golden minute Midwives experiences of performing newborn resuscitation
Journal of multidisciplinary healthcare, 2020Co-Authors: Linda Wike Ljungblad, Kirsti Skovdahl, Brendan Mccormack, Bente DahlAbstract:Purpose To explore Midwives' experiences in performing newborn resuscitation on maternity wards. Patients and methods It was a qualitative study, using a phenomenological hermeneutic approach. Individual interviews with 16 clinical Midwives working in Norwegian maternity wards were conducted from August 2018 to January 2019. Results The complexity underlying how Midwives balance responsibility and vulnerability when performing newborn resuscitation during the Golden Minute was revealed. Midwives described the stress they experienced during resuscitation events and their need for support and confirmation after performing newborn resuscitation. Conclusion The vulnerability and responsibility that Midwives bear for mothers and newborns simultaneously affected Midwives in several ways. We saw that Midwives need support and confirmation to be prepared for newborn resuscitation. We also found that a lack of knowledge, skills and experience were barriers to Midwives feeling prepared. Simulation training, including tailored programs, are suggested to improve Midwives' skills and help them feel prepared for real-life resuscitations. The importance of Midwives' assessment during the Golden Minute and further investigation from other perspectives are needed to understand fully this clinical complexity.
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Easy to Believe in, But Difficult to Carry Out—Norwegian Midwives' Experiences of Promoting Normal Birth in an Obstetric-Led Maternity Unit
International journal of childbirth, 2018Co-Authors: Elisabeth Hemnes Aanensen, Karin Skjoldal, Eva Sommerseth, Bente DahlAbstract:PURPOSETo explore and describe Midwives' experiences of promoting normal birth in medicalized obstetric-led birth units in Norway.STUDY DESIGNA qualitative research design with an explorative/descriptive approach. A convenience sample of 10 Midwives was recruited from 2 obstetric-led birth units.MAJOR FINDINGSThree main themes were identified. First, personal attributes and attitudes were perceived to influence the birthing process. Second, lack of time and impatient staff negatively affected the woman's chances of giving birth normally. Third, increasing focus on procedures, selection criteria, and technology threatened the use of midwifery skills and prevented Midwives from promoting normal births.MAIN CONCLUSIONPromoting normal birth is influenced by Midwives' disposition and attitudes. It is therefore disturbing that Midwives experience a loss of their autonomy and responsibility for normal births in obstetric-led wards.
Brendan Mccormack - One of the best experts on this subject based on the ideXlab platform.
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balancing life and death during the golden minute Midwives experiences of performing newborn resuscitation
Journal of multidisciplinary healthcare, 2020Co-Authors: Linda Wike Ljungblad, Kirsti Skovdahl, Brendan Mccormack, Bente DahlAbstract:Purpose To explore Midwives' experiences in performing newborn resuscitation on maternity wards. Patients and methods It was a qualitative study, using a phenomenological hermeneutic approach. Individual interviews with 16 clinical Midwives working in Norwegian maternity wards were conducted from August 2018 to January 2019. Results The complexity underlying how Midwives balance responsibility and vulnerability when performing newborn resuscitation during the Golden Minute was revealed. Midwives described the stress they experienced during resuscitation events and their need for support and confirmation after performing newborn resuscitation. Conclusion The vulnerability and responsibility that Midwives bear for mothers and newborns simultaneously affected Midwives in several ways. We saw that Midwives need support and confirmation to be prepared for newborn resuscitation. We also found that a lack of knowledge, skills and experience were barriers to Midwives feeling prepared. Simulation training, including tailored programs, are suggested to improve Midwives' skills and help them feel prepared for real-life resuscitations. The importance of Midwives' assessment during the Golden Minute and further investigation from other perspectives are needed to understand fully this clinical complexity.
Pauline Slade - One of the best experts on this subject based on the ideXlab platform.
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exposure to traumatic perinatal experiences and posttraumatic stress symptoms in Midwives prevalence and association with burnout
International Journal of Nursing Studies, 2015Co-Authors: Kayleigh Sheen, Helen Spiby, Pauline SladeAbstract:Background: Midwives provide care in a context where life threatening or stressful events can occur. Little is known about their experiences of traumatic events or the implications for psychological health of this workforce. Objectives: To investigate Midwives’ experiences of traumatic perinatal events encountered whilst providing care to women, and to consider potential implications. Design: A national postal survey of UK Midwives was conducted. Participants: 421 Midwives with experience of a perinatal event involving a perceived risk to the mother or baby which elicited feelings of fear, helplessness or horror (in the midwife) completed scales assessing posttraumatic stress symptoms, worldview beliefs and burnout. Results: 33% of Midwives within this sample were experiencing symptoms commensurate with clinical posttraumatic stress disorder. Empathy and previous trauma exposure (personal and whilst providing care to women) were associated with more severe posttraumatic stress responses. However, predictive utility was limited, indicating a need to consider additional aspects increasing vulnerability. Symptoms of posttraumatic stress were associated with negative worldview beliefs and two domains of burnout. Conclusions: Midwives may experience aspects of their work as traumatic and, as a consequence, experience posttraumatic stress symptomatology at clinical levels. This holds important implications for both Midwives’ personal and professional wellbeing and the wellbeing of the workforce, in addition to other maternity professionals with similar roles and responsibilities. Organisational strategies are required to prepare Midwives for such exposure, support Midwives following traumatic perinatal events and provide effective intervention for those with significant symptoms.
Allison Shorten - One of the best experts on this subject based on the ideXlab platform.
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Impact of High Patient Volume on Midwifery Education in Kampala, Uganda
Journal of Midwifery & Women's Health, 2017Co-Authors: Jocelyn Rinne, Oliver Norah Nabacwa, Rose Chalo Nabirye, Allison ShortenAbstract:Purpose The purpose of this study was to understand the barriers to midwifery education within a high-volume hospital in Kampala, Uganda. Our aim was to determine students’ and Midwives’ perceptions of the educational process in the context of a setting with high patient volume. Research Question We hypothesized that when compared with students, practicing Midwives view high patient volume as a greater barrier to education. Significance Despite advances in maternal care, maternal and infant mortality in sub-Saharan Africa have continued to lag behind the rest of the world. With an ongoing rise in pregnancies in this region, urgent attention is needed to better train, educate, and retain student Midwives. Methods We conducted a cross-sectional survey-based study to identify challenges to midwifery education among students and Midwives based at Mulago National Referral Hospital in Kampala. We surveyed 60 Midwives and 51 midwifery students. Likert-scale responses were dichotomized and chi-square tests were used to examine differences in perceptions between students and Midwives. Results We identified notable and significant differences in perceptions between Midwives and midwifery students when examining the impact of patient volume on education and practice. These differences persisted across multiple questions relating to the educational process. When compared with students, a larger proportion of Midwives felt that high patient volume impaired education relating to midwifery knowledge (33% vs 12%, P < .01) and clinical skills (43% vs 4%, P < .01), and contributed to high stress levels (75% vs 35%, P < .01). Discussion While there is ample research on educating Midwives within a broader global context, limited research has explored how midwifery training is impacted by high patient volume. Student Midwives may view high patient volume as an educational opportunity, while practicing Midwives consider high patient volume a barrier to teaching. This difference may relate to a greater perceived responsibility for patient care by Midwives. Our findings suggest that excessive patient volume may be impairing Midwives’ ability to effectively teach their students the midwifery model of care while balancing their high patient workload. Additional research is urgently needed to identify how to support midwifery practice in health care environments with high patient demand.
