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community midwifery

Reham Abou El Fadl, Mitch Blair, Sondus Hassounah
BACKGROUND: Globally, oral diseases contribute to major disease problems and oral health disparities persistently exist amongst vulnerable population groups. Two contributory factors to these challenges are the shortage of dental practitioners and the characteristic separation between the medical and dental professions. Nurses and midwives, in particular, are in a potentially excellent position to assist in basic oral health services such as dental health education and intraoral screening...
2016: PloS One
Owen Doody, Eamonn Slevin, Laurence Taggart
AIM AND OBJECTIVES: To explore the contribution of clinical nurse specialists (CNSs) in intellectual disability nursing in Ireland. BACKGROUND: While CNSs exist since the 1940's they have only been a reality in Ireland since 2001. While the role of CNS has developed over the years, it still however is often seen as a complex multifaceted role that causes confusion, frustration and controversy. DESIGN: A exploratory qualitative approach utilising focus groups with Irish intellectual disability CNSs (n=31)...
November 9, 2016: Journal of Clinical Nursing
Holliday Tyson, Karline Wilson-Mitchell
Midwifery educators and regulators in Canada have begun to address diversity, equity, and inclusion in admission processes and program curricula. Populations served by midwives value internationally educated midwives from their countries of origin. The International Midwifery Pre-Registration Program at Ryerson University in Toronto, Ontario, provides assessment, midwifery workplace orientation, and accelerated education for internationally educated midwives on behalf of the regulatory College of Midwives of Ontario...
November 8, 2016: Journal of Midwifery & Women's Health
M P O'Malley-Keighran, G Lohan
OBJECTIVE: the purpose of this study was to conduct a preliminary exploration of the language used by midwifery professional bodies to define the scope of practice of midwives in relation to woman-centred care. DESIGN: this is a qualitative study in which Critical Discourse Analysis and Transitivity Analysis from the Systemic Functional Linguistics tradition were used. Data were sampled from nine international midwifery professional bodies. FINDINGS: three general types of definitions of scope of practice were identified; a formal type which focused on midwifery practice in which the midwife and woman were largely absent as agents, a second, less formal type which focused on the midwife as agent, from which the woman was largely absent as an active participant and one exception to the pattern which featured the woman as agent...
October 28, 2016: Midwifery
Lou Atkinson, David P French, Diane Ménage, Ellinor K Olander
OBJECTIVE: a variety of services to support women to undertake weight management behaviours during pregnancy have recently been implemented as a means to reduce the risks to mother and infant. In the UK, midwives lead the care of the majority of pregnant women and are seen as the ideal source of referral into antenatal services. However, midwives have reported concerns regarding raising the topic of weight with obese women and negative referral experiences have been cited as a reason not to engage with a service...
October 22, 2016: Midwifery
Wendy M Gordon
Midwifery associations are increasing awareness and commitment to racial equity in the profession and in the communities we serve. Moving these commitments from words into action may be facilitated by a racial equity toolkit to help guide midwifery organizations to consider all policies, initiatives, and actions with a racial equity lens. Racial equity impact analyses have been used in recent years by various governmental agencies in the United States and abroad with positive results, and emerging literature indicates that nonprofit organizations are having similarly positive results...
October 25, 2016: Journal of Midwifery & Women's Health
Michelle Gray, Anne Malott, Beth Murray Davis, Christine Sandor
BACKGROUND: contemporary knowledge related to the experiences of new midwifery practitioners is limited to countries that run hospital-based transition to practice programmes within an employment contract arrangement, such as the United Kingdom, and Australia. Less is known of the experiences of New Midwifery Practitioners (NMPs) who transition into autonomous private practice in New Zealand, Canada and the Netherlands. PURPOSE: the purpose of this paper is to report on a scoping review of the way NMPs are transitioned to practice in the first year of registered practice across the selected countries...
November 2016: Midwifery
Suzanne M Thompson, Marianne J Nieuwenhuijze, Lisa Kane Low, Raymond de Vries
OBJECTIVE: to describe Dutch midwives' attitudes toward, and motivations for, the promotion of physiological childbirth and to identify factors associated with those attitudes and motivations. DESIGN: exploratory, qualitative design using focus groups. SETTING: The Netherlands. PARTICIPANTS: hospital- and community-based midwives. FINDINGS: four themes emerged: physiological birth as a continuum, navigating the settings, woman-centeredness and competence and confidence...
September 28, 2016: Midwifery
Patricia M Corcoran, Christine Catling, Caroline S E Homer
ISSUE: Indigenous women in many countries experience a lack of access to culturally appropriate midwifery services. A number of models of care have been established to provide services to women. Research has examined some services, but there has not been a synthesis of qualitative studies of the models of care to help guide practice development and innovations. AIM: To undertake a review of qualitative studies of midwifery models of care for Indigenous women and babies evaluating the different types of services available and the experiences of women and midwives...
September 6, 2016: Women and Birth: Journal of the Australian College of Midwives
J C Phillippi, S L Holley, M N Schorn, J Lauderdale, C L Roumie, K Bennett
OBJECTIVE: To plan and implement an interprofessional collaborative care clinic for women in midwifery care needing a consultation with a maternal-fetal medicine specialist. STUDY DESIGN: A community-engaged design was used to develop a new model of collaborative perinatal consultation, which was tested with 50 women. Participant perinatal outcomes and semistructured interviews with 15 women (analyzed using qualitative descriptive analysis) and clinic providers were used to evaluate the model...
November 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Debbie Barry, Trish Houghton, Tyler Warburton
This article, the ninth in a series of 11, provides guidance for new and established mentors and practice teachers on evidence-based practice, the seventh domain of the Nursing and Midwifery Council's Standards to Support Learning and Assessment in Practice (SSLAP). Evidence-based practice is an important aspect of contemporary healthcare and is central to student preparation programmes for nursing, midwifery and specialist community public health nursing (SCPHN). The article describes evidence-based practice, discussing the importance and implementation of an evidence-based approach in the context of role development for mentors and practice teachers in the preparation of nursing, midwifery and SCPHN students...
August 17, 2016: Nursing Standard
Katy Dawley, Linda V Walsh
INTRODUCTION: As nurse-midwifery practice expanded beyond areas surrounding early nurse-midwifery education programs, leaders in the profession wanted to establish a strong diverse, inclusive professional organization, a necessary step in creating a diverse workforce (defined here as open to nurse-midwives of all colors, ethnicities, and national origins) that would maintain standards, provide continuing education, and facilitate communication among nurse-midwives. This research presents historical context and organizational factors supporting and limiting development of a workforce reflective of communities served by nurse-midwives...
August 10, 2016: Journal of Midwifery & Women's Health
Simone M Caron
This article analyzes the national discourse over "the problem" of midwifery in medical literature and examines the impact of this dialogue on Rhode Island from 1890 to 1940. Doctors did not speak as a monolithic bloc on this "problem": some blamed midwives while others impugned poorly trained physicians. This debate led to curricula reform and to state laws to regulate midwifery. The attempt to eliminate midwives in the 1910s failed because of a shortage of trained obstetricians, and because of cultural barriers between immigrant and mainstream communities...
2017: Nursing History Review: Official Journal of the American Association for the History of Nursing
Sachiko Miyake, Elizabeth M Speakman, Sheena Currie, Natasha Howard
BACKGROUND: Birth assisted by skilled health workers is one of the most effective interventions for reducing maternal and neonatal mortality. Fragile and conflict-affected states and situations (FCAS), with one-third of global maternal deaths, face significant challenges in achieving skilled care at birth, particularly in health workforce development. The importance of community-level midwifery services to improve skilled care is internationally recognized, but the literature on FCAS is limited...
July 28, 2016: Health Policy and Planning
Tania McIntosh
OBJECTIVE: This paper explores the features of attrition from a Midwifery Training programme in mid-twentieth century England. DESIGN: The research uses an historical methodology to explore rates of attrition from a Midwifery Training School in the English Midlands between 1939 and 1973. It uses principally the record books of the Training School which gave details about pupils across the period. This evidence is contextualised through national written and oral archive material...
October 2016: Nurse Education Today
Marit Hitzert, Marieke A A Hermus, Marisja Scheerhagen, Inge C Boesveld, Therese A Wiegers, M Elske van den Akker-van Marle, Paula van Dommelen, Karin M van der Pal-de Bruin, Johanna P de Graaf
OBJECTIVE: to assess the experiences with maternity care of women who planned birth in a birth centre and to compare them to alternative planned places of birth, by using the responsiveness concept of the World Health Organization. DESIGN: this study is a cross-sectional study using the ReproQ questionnaire filled out eight to ten weeks after birth. The primary outcome was responsiveness of birth care. Secondary outcomes included overall grades for birth care and experiences with the birth centre services...
September 2016: Midwifery
Nerissa Crombie, Leesa Hooker, Sonia Reisenhofer
AIMS AND OBJECTIVES: This scoping review aims to identify the scope of current literature considering nurse/midwife educational practices in the areas of intimate partner violence to inform future nursing/midwifery educational policy and practice. BACKGROUND: Intimate partner violence is a global issue affecting a significant portion of the community. Healthcare professionals including nurses/midwives in hospital- and community-based environments are likely to encounter affected women and need educational strategies that support best practice and promote positive outcomes for abused women and their families...
July 14, 2016: Journal of Clinical Nursing
R West, J Gamble, J Kelly, T Milne, E Duffy, M Sidebotham
BACKGROUND: Evidence is emerging of the benefits to students of providing continuity of midwifery care as a learning strategy in midwifery education, however little is known about the value of this strategy for midwifery students. AIM: To explore Indigenous students' perceptions of providing continuity of midwifery care to Indigenous women whilst undertaking a Bachelor of Midwifery. METHODS: Indigenous Bachelor of Midwifery students' experiences of providing continuity of midwifery care to Indigenous childbearing women were explored within an Indigenous research approach using a narrative inquiry framework...
July 5, 2016: Women and Birth: Journal of the Australian College of Midwives
Lucia Guerra-Reyes, Lydia J Hamilton
BACKGROUND: Midwifery care has been linked to positive birth outcomes. Despite the broad racial disparities in maternal and infant outcomes in the United States (US), little is known about the role of minority women in either providing or receiving this type of care. A vibrant community of minority women, who self-identify as providing these services, exists online. In this exploratory study we ask how they describe their role; view their practice; and position themselves in the broader discussions of racial health disparities in the US...
June 27, 2016: Women and Birth: Journal of the Australian College of Midwives
Lina Duncan
Many of us are in the business of improving birth. Some of us are decades into our journeys of midwifery, whilst others are fresh students aspiring to give our best in this new profession. This article looks at ways to redeem birth from two aspects: for the mother; and for the midwife. I work in an international community in a developing country, in a privatised system. Although different from the UK, birth is birth. Women, their families and midwives will be able to relate to similar experiences. Ultimately my goals are likely to be the same as those in other parts of the world...
May 2016: Practising Midwife
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