ORCID Profile
0000-0002-3359-0989
Current Organisation
Edith Cowan University
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Publisher: Elsevier BV
Date: 07-2023
Publisher: Elsevier BV
Date: 02-2023
DOI: 10.1016/J.WOMBI.2022.04.009
Abstract: Complex physiological processes are often difficult for midwifery students to comprehend when using traditional teaching and learning approaches. Online resources for midwifery education are limited. Face to face instructional workshops using simulation have had some impact on improving understanding. However, in the 21st century new technologies offer the opportunity to provide alternative learning approaches. Virtual and artificial realities have been shown to increase confidence in decision making during clinical practice. Explore the impact of using three-dimensional (3D) visualisation in midwifery education, on student's application, when educating women about the birth of the placenta, and membranes. Face to face in idual interviews were performed, to collect deep, meaningful experiences of students, learning about the third stage of labour. Prior clinical experiences impacted on student's ability to articulate how they would discuss birth of the placenta and membranes, and the process of haemostasis with women. The narrative findings of this pilot study identified ways that students traditionally learn midwifery, through theory, and clinical practice. Interview narratives illustrated how midwifery students who had previous experiences of witnessing birth, had superior ability to discuss the third stage of labour with women. While students with limited birth experiences, found the 3DMVR assisted them in their understanding of the physiology of the third stage of labour. In an environment of increasing technological advances, clinical placements remain an essential component of midwifery education.
Publisher: Elsevier BV
Date: 02-2016
DOI: 10.1016/J.WOMBI.2015.08.005
Abstract: In June 2010 the Australian Health Practitioner Agency unified the national registration of health professionals in Australia and introduced a separate register for midwives. Standard registration renewal requirements aimed to provide safe, competent practitioners. These new conditions created the impetus for practitioners to consider how they meet the re-registration standards for either their nurse or midwifery register/s. How are midwives responding to the changed re-registration conditions for registration renewal? Longitudinal case study design. A purposive s le of 24 midwives from five states was recruited. 20 took part in in idual interviews over two re-registration periods. 4 midwives were interviewed in a focus group to verify the findings. Three themes captured issues and tensions about registration and midwifery practice. They are Rotation, Restriction and Extension. This paper has shown how the re-registration conditions and standards post 2010 have generated discourse around registration renewal. The simultaneous introduction of regulatory and legislative changes has resulted in the construction of categories within contemporary midwifery practice that do not necessarily align with the Nursing and Midwifery Board of Australia (NMBA) requirements for re-registration. Further research is recommended to examine the continuing influence and impact of the changes on the Australian midwifery workforce.
Publisher: Elsevier BV
Date: 2022
DOI: 10.1016/J.NEDT.2021.105184
Abstract: Complex physiological processes are often difficult for midwifery students to comprehend when using traditional teaching and learning approaches. Face to face instructional workshops using simulation have had some impact on improving understanding. However, in the 21st century new technologies offer the opportunity to provide alternative learning approaches. To investigate the impact of using three-dimensional (3D) visualisation in midwifery education on student's experience of learning, and retention of knowledge at three points in time. A pilot study involving a two-armed parallel Randomised Controlled Trial (RCT) comparing the retention of knowledge scores between the control and intervention groups. An Australian University in the Northern Territory. The s le included second year Bachelor of Midwifery students (n = 38). All received traditional midwifery education before being randomly allocated to either the intervention (n = 20) or control (n = 18) group. A new immersive virtual environment was introduced to complement existing traditional midwifery education on the third stage of labour. This intervention was evaluated using a demographic survey and multiple-choice questionnaire to collect baseline information via Qualtrics. To measure change in knowledge and comprehension, participants completed the same multiple-choice knowledge questionnaire at three time points pre, immediately post and at 1 month post intervention. In addition, the intervention group completed a 3D student satisfaction survey. Baseline knowledge scores were similar between the groups. A statistically significant increase in knowledge score was evident immediately post intervention for the intervention group, however there was no significant difference in knowledge score at one month. The results support the creation of further three-dimensional visualisation teaching resources for midwifery education. However, a larger randomised controlled study is needed to seek generalisation of these findings to confirm enhanced student learning and retention of knowledge post 3DMVR, beyond the immediate exposure time.
Publisher: Elsevier BV
Date: 05-2014
DOI: 10.1016/J.NEDT.2013.10.013
Abstract: In 2010 new legislation in Australia led to the establishment of the Australian Health Practitioner Regulatory Authority standards, now used to manage nursing and midwifery registration and the annual re-registration requirements for midwives and nurses. These clearly articulate the continuing professional development (CPD) requirements together with a guiding framework. In iduals need to engage in adult pedagogy which makes explicit the need for self-examination to identify and prioritise their learning needs. This study aimed to investigate how existing registered midwives approach and are challenged by these changed statutory requirements in Australia, particularly completion of CPD activity. This paper reports the findings from phase one of a two phase, longitudinal, case study in which midwives describe their experience during in-depth qualitative interviews. Australia A s le of 20 female participants was recruited nationally from four states using a purposive s ling approach to provide maximum variation to explore the issue. Each participant took part in an in-depth interview. In order to facilitate reflection on experiences each participant was asked to discuss an object that held professional value or meaning to them. A key theme in the findings is the relationship between motivation which influences the decisions that midwives are making about CPD, their ongoing registration and practice context. The findings reveal implicit values and beliefs about practice relationships and how these function as motivational factors that influence midwives' decisions about CPD and practice options. The findings provide insight into the need for system wide dialogue to devise ways to support midwives to maintain as well as to continue to develop their practice, through CPD and to acknowledge the challenges faced by those midwives who currently hold dual registration as a registered nurse in the context of the changed requirements.
Publisher: CSIRO Publishing
Date: 2015
DOI: 10.1071/AH14070
Abstract: Objective The aim of the present study was to investigate how midwives are responding to the changed re-registration requirements specifically the Recency of Practice (RoP) Standard. Methods A qualitative longitudinal case study used conversational interviews conducted annually at two time phases after the introduction of national registration. Results Findings reveal that confusion has created challenges in demonstration of the RoP standard. This confusion was evident at in idual and organisational levels. Conclusions Professional bodies need to support staff in this transition by providing clearer guidance that exemplifies the Nursing and Midwifery Board of Australia expectations. What is known about the topic? Impact subsequent to Australian legislative and regulatory changes affecting midwifery and nursing registration has not been examined. What does this paper add? The findings of this study provide an insight into midwives’ responses to the changed re-registration standard in Australia. What are the implications for practitioners? There appears to be a problem in the way tensions and challenges are being met misinterpretation of the requirements has generated questions about the relationship between skills and work areas and demonstration of RoP. This may influence in idual career planning and have broader workforce planning implications.
Publisher: Informa UK Limited
Date: 30-11-2023
Publisher: Elsevier BV
Date: 06-2018
Publisher: Elsevier BV
Date: 06-2018
Publisher: Elsevier BV
Date: 02-2020
Publisher: Elsevier BV
Date: 11-2022
DOI: 10.1016/J.WOMBI.2022.01.006
Abstract: Preecl sia is a global issue that causes significant morbidity and mortality in low- and middle-income countries (LMICs). The care women with preecl sia receive in LMICs is below the standard experienced by women in westernised countries due to multiple interacting factors. A review of policy factors influencing the management of preecl sia in Ghana is needed. This study focuses on the midwife's role and scope of practice concerning preecl sia management. The study aimed to explore the congruence between Ghanaian preecl sia guidelines and international best practice recommendations for midwifery practice. The study also aimed to describe how recommendations are incorporated into Ghanaian guidelines. This study was a qualitative document analysis of national and tertiary hospital policies related to midwives' scope of practice in Ghana. Altheide's five-step process (s ling, data collection, data coding and organisation, data analysis and report) was used to systematically source and analyse the content of written documents. The findings illustrated several recommendation shortcomings in Ghanaian documents at the national and tertiary hospital levels. The content of Ghanaian preecl sia management guidelines was not comprehensive, contained conflicting information, and was not backed by research evidence. The standards of practice for midwives were consistent at both the national and tertiary hospital levels. Midwives had limited roles in detection, management, stabilisation, and referral of women with preecl sia. Uniform guidelines incorporating international recommendations are urgently needed to improve multi-professional collaboration, solidify midwives' roles, and optimise maternal and fetal outcomes.
Publisher: Elsevier BV
Date: 02-2020
Publisher: Elsevier BV
Date: 02-2019
DOI: 10.1016/J.WOMBI.2018.05.006
Abstract: A theoretical discussion using categorisation theory to discuss the final analysis of findings from research which investigated midwives' responses to the changed registration-renewal requirements in Australia after the introduction of national registration. In 2010 the Health Practitioner Regulation National Law Act introduced national registration to standardise the regulation of health professionals in Australia. Annual registration-renewal standards required all health professionals to meet the same standards of clear police check, insurance for scope of practice, Continuing Professional Development (CPD) and Recency of Practice (ROP). How did dual registered midwives respond to the changed registration-renewal requirements when national registration was introduced? A longitudinal single case study was conducted in two phases between 2011-2013 with a purposive s le of 24 midwives from five states of Australia to perform in idual or group interviews. Participants used inclusion and exclusion criteria to create boundaries around practice to illustrate how they met the registration-renewal standards. Accentuation (exaggeration) of practice helped them define their separate professional registrations. Boundaries included the type of person being cared for, practice activities. and place of practice. The theory of categorisation helped explain the dual registrants' behaviour and rationalise their midwifery responses.
Publisher: Elsevier BV
Date: 08-2019
DOI: 10.1016/J.NEPR.2019.07.003
Abstract: Portfolios are used in midwifery education to provide students with a central place to store their accumulative evidence of clinical experience for initial registration in Australia. Portfolio formats can be paper-based or electronic. Anecdotal discussion between midwifery students in Queensland debated the best format to document the requirements for the Australian Nursing and Midwifery Accreditation Council (ANMAC) standard 8.11. Midwifery students using paper-based portfolios envisioned that an ePortfolio would be streamline, simple, safe to use, and able to be used anywhere with WIFI, while some students using an ePortfolio expressed a desire to have a paper-based portfolio as a hard copy. This situation called for evidence of a comparison to resolve the debate. The aim of this study was to investigate midwifery students' experiences of the benefits and challenges between paper-based and ePortfolios when compiling evidence to meet the requirements for initial registration as a midwife in Australia (ANMAC, 2014).
Publisher: DE GRUYTER OPEN
Publisher: Elsevier BV
Date: 11-2016
DOI: 10.1016/J.MIDW.2016.09.018
Abstract: 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. 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. this review accessed literature and government and professional sites to make comparisons between the transition to practice processes within five countries, and discusses the benefits and issues, associated with public hospital employment programs versus community based government funded midwifery group practices. comparison of the way in which NMPs are transitioned to practice in the first year of registered practice between the selected countries shows important differences based on occupational organisation. Funding of maternity services influences how NMPs in each country are orientated and supported in their transition to registered practice. Direct comparisons between countries were difficult. More research is recommended to investigate NMPs' experiences of transition to practice in private practice.
Publisher: CSIRO Publishing
Date: 2023
DOI: 10.1071/PY23002
Publisher: Elsevier BV
Date: 10-2018
Publisher: Elsevier BV
Date: 08-2022
DOI: 10.1016/J.MIDW.2022.103337
Abstract: To map and synthesise the literature underpinning the transition to practice for new graduate midwives internationally, with a focus on continuity of care and traditional transition to practice models. Scoping review of the literature METHODS: Relevant databases were searched to identify primary research studies. Key words, Boolean terms, and an inclusion/exclusion criterion were used to extrapolate key pieces of research. All study types and methods published in English between 2008 - May 2021 that met the inclusion criteria were considered. 20 studies met inclusion criteria. These were conducted in Australia, the United Kingdom, and New Zealand. New graduate midwives' value structured rotations and feel very supported in continuity models, where strong mentorship and support are offered. Within this context confidence was promoted as a new practitioner. Upholding woman-centred care in busy hospital environments was a key challenge. Emerging literature indicates new graduate midwives' transition optimally within a continuity model, however more research is needed. Transitioning midwives into practice within continuity of care midwifery models may address workforce attrition and enhance early career midwife confidence.
Publisher: Elsevier BV
Date: 02-2021
Publisher: Springer Science and Business Media LLC
Date: 27-12-2022
DOI: 10.1186/S12884-022-05303-9
Abstract: Well-developed critical thinking skills are required to provide midwifery care that is safe, evidence-based, and woman-centred. A valid, reliable tool to measure is required the application of critical thinking in midwifery practice. The Carter Assessment of Critical Thinking in Midwifery (CACTiM) has previously been psychometrically assessed using classical methods at a single site. This study aims to further evaluate the properties of CACTiM tools using Rasch analysis in a erse group of midwifery students and preceptors. The CACTiM tools were completed by undergraduate midwifery students studying at three Australian universities and their preceptors. Midwifery students’ critical thinking was evaluated separately through student self-assessment and preceptor assessment and then matched. Rasch analysis was used to evaluate the validity of the tools. Rasch analysis confirmed both the preceptor and student CACTiM tools demonstrated good reliability and unidimensionality. The items can differentiate between students’ ability to apply critical thinking in midwifery practice. Person reliability and item reliability were above .92 for both scales indicating excellent reliability and internal consistency. Several improvements were identified to the tools, including enhanced wording to some items, and reduction to a 5-point Likert scale. Through analysis of lower-scoring items, midwifery programs can identify curricula enhancements. The CACTiM student and preceptor tools are valid and reliable measures of critical thinking in midwifery practice. The tools can assess students’ critical thinking abilities and identify areas for development for in iduals and across student cohorts through curricula enhancements.
Publisher: Elsevier BV
Date: 08-2021
Publisher: Springer Science and Business Media LLC
Date: 05-07-2018
DOI: 10.1038/S41598-018-28160-Z
Abstract: Previous studies have shown an increased risk for mental health problems in children born to both younger and older parents compared to children of average-aged parents. We previously used a novel design to reveal a latent mechanism of genetic association between schizophrenia and age at first birth in women (AFB). Here, we use independent data from the UK Biobank (N = 38,892) to replicate the finding of an association between predicted genetic risk of schizophrenia and AFB in women, and to estimate the genetic correlation between schizophrenia and AFB in women stratified into younger and older groups. We find evidence for an association between predicted genetic risk of schizophrenia and AFB in women (P-value = 1.12E-05), and we show genetic heterogeneity between younger and older AFB groups (P-value = 3.45E-03). The genetic correlation between schizophrenia and AFB in the younger AFB group is −0.16 (SE = 0.04) while that between schizophrenia and AFB in the older AFB group is 0.14 (SE = 0.08). Our results suggest that early, and perhaps also late, age at first birth in women is associated with increased genetic risk for schizophrenia in the UK Biobank s le. These findings contribute new insights into factors contributing to the complex bio-social risk architecture underpinning the association between parental age and offspring mental health.
Publisher: Elsevier BV
Date: 07-2009
DOI: 10.1016/J.NEPR.2009.02.009
Abstract: Drawing on the power of ritual, storytelling and lessons from history and our professional elders, nursing academics at the University of the Sunshine Coast organised a three-hour event on International Nurses Day. The aims were to model to students the importance of producing their own nursing stories and to celebrate and stimulate conversation about the erse, rich, local and national history of nursing. The event included: an oration from an influential guest speaker video footage of nurses telling their stories an historical display of nursing artefacts opportunities for participants to record their stories and opportunities for students, staff and the local nursing fraternity to engage with each other. The event received very positive evaluative feedback from participants, and we formulated recommendations for future events and student education: (1) ensure an adequate planning period to book a suitable venue and elicit sufficient financial and marketing support (2) establish a local retired nurses association that could provide mentoring support for student nurses and (3) integrate the annual event and the mentoring program into the curriculum of a course within our Nursing Program. We conclude that such professional development events can provide many benefits for all sectors of our nursing community.
Publisher: Elsevier BV
Date: 02-2021
Publisher: Elsevier BV
Date: 02-2023
Publisher: Springer International Publishing
Date: 2019
Publisher: Wiley
Date: 11-09-2023
DOI: 10.1111/AJR.13038
Publisher: Elsevier BV
Date: 04-2011
Publisher: Springer International Publishing
Date: 2019
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Michelle Gray.