ORCID Profile
0000-0001-6920-6013
Current Organisation
University of Notre Dame Australia
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Publisher: Mark Allen Group
Date: 02-12-2016
DOI: 10.12968/BJOM.2016.24.12.830
Abstract: After headache, epilepsy is the second most common neurological disorder encountered in pregnancy. Epilepsy is one of the most common chronic neurological conditions in the world, with an estimated 50 million people affected worldwide. The majority of pregnant women with epilepsy have an uneventful pregnancy, labour and birth. Many pregnant women with epilepsy have well-controlled seizure activity owing to antiepileptic drugs. The use of antiepileptic drugs during pregnancy is challenging because of the need to maintain the balance between the benefits for the woman in seizure control and the risks to the fetus from the teratogenic effects of antiepileptic drugs. Sodium valproate and lamotrigine are currently prescribed for seizure control in pregnancy midwives should be aware of the effects of these antiepileptic medications on the pregnant woman and her fetus.
Publisher: Elsevier BV
Date: 03-2020
DOI: 10.1016/J.WOMBI.2019.03.003
Abstract: The aim of this study was to investigate whether an International two-week clinical maternity placement enhances, and is beneficial, to midwifery students' future practice and employment decisions during the final year of an undergraduate degree. International placements are common in undergraduate pre-registration nursing midwifery university curricula, with the emphasis on preparing students to work with erse women in multicultural environments whilst incorporating cultural competence. However, little is known as to whether an International placement influences future graduate's work place choice. Using a qualitative approach, focus groups were undertaken with 16 final year midwifery students from a University in Western Australia who had experienced a two-week International clinical midwifery placement in Tanzania (Africa) or Manilla (Philippines). Data was analysed using thematic analysis. The results of the study revealed eight over-arching themes that revealed an increase in midwifery student's confidence an awareness of the need to consolidate knowledge and skills, reinforcement of their own career aspirations, midwifery beliefs and trust in women and physiological birth. This study confirms the benefits of overseas clinical placements, which provide opportunities beyond developing cultural sensitivity. Midwifery students are challenged to develop not only practical competence, but confidence to trust in themselves and the process of physiological birth. These experiences validate theoretical learning and provide opportunity to reflect on the possibilities of future employment and decision making as a midwife.
Publisher: Mark Allen Group
Date: 02-10-2022
DOI: 10.12968/BJOM.2022.30.10.546
Abstract: The COVID-19 pandemic significantly affected teaching for nursing and midwifery academics, as it shifted from face-to-face to online teaching from home. However, their experiences and how this impacted their ability to fulfil their academic roles has not been reported. This study investigated midwifery and nursing academics' working from home experiences during the COVID-19 pandemic and how this has impacted their ability to fulfil their academic roles. A qualitative approach was used for this study, analysing demographics and the answers to open-ended questions from 91 midwifery and nursing academics. Six themes were derived: isolation, loneliness, work rituals, productivity, blurred boundaries and health and wellbeing. Generally, participants reported that they were more organised, focused and efficient, which gave them more time to spend with their families and pets. Most thought that they were more productive at home. However, the working environments for some participants were not ideal, as they were working in their kitchen or dining area, or in ‘make-do’ offices. The COVID-19 pandemic posed new working challenges for academics, many of whom had worked from home for a few days, but then needed to work from home for extended periods because of lockdowns. Academics reported an overall positive outlook for working from home, as it enabled more family time and more productivity.
Publisher: Wiley
Date: 23-03-2021
DOI: 10.1111/JAN.14832
Abstract: To explore women's experiences of breech pregnancy and birth to identify areas in practice for improvement. A descriptive exploratory study was conducted involving 20 women who had experienced a breech birth between 2013 and 2018. Semi‐structured interviews were audio recorded and transcribed. Transcripts were examined using a free‐form ‘circling and parking’ style of analysis. Foucault's concepts of power/knowledge were utilized to describe existing power relations. Women experienced varying degrees of disciplinary power throughout their experiences. Knowledge was used as a means of enforcing disciplinary power by some clinicians and by women to ‘arm’ themselves and ‘fight’ to regain what they perceived as a loss of power and autonomy. Midwives were seen as navigators of a restrictive, medicalized healthcare system. By better understanding the power dynamics which exist as well as the stages women go through when experiencing a breech presentation, there remains the potential to identify areas in practice which need improving, and aid clinicians in better supporting women through what can be a very difficult time.
Publisher: Wiley
Date: 15-04-2022
DOI: 10.1111/JAN.15249
Abstract: To investigate Group B Streptococcus (GBS) colonization in pregnancy adherence to antenatal GBS screening and adherence to the intrapartum antibiotics protocol within two models of care (midwifery and non‐midwifery led). This retrospective quantitative study has employed a descriptive design using administrative health data. Data from five maternity hospitals in metropolitan and regional Western Australia that included 22,417 pregnant women who gave birth between 2015 and 2019 were examined, applying descriptive statistics using secondary data analysis. The study revealed an overall GBS colonization rate of 21.7% with similar rates in the different cohorts. A lower adherence to screening was found in the midwifery led model of care (MMC, 68.76%, n = 7232) when compared with the non‐midwifery led model of care (NMMC, 90.49%, n = 10,767). Over the 5 years, screening rates trended down in the MMC with stable numbers in the counterpart. Adherence in relation to intrapartum antibiotic prophylaxis revealed discrepant findings between the study groups. Adherence to screening and management guidelines of maternal GBS colonization in pregnancy is lower within the MMC when compared with the NMMC. This is the first cohort study to describe the adherence to the recommended Western Australian GBS screening guidelines in the two different models of care. Findings may assist in the guidance and improvement of clinical protocols as well as the planning of clinical care in relation to GBS screening to reduce the risk of neonatal GBS infection.
Publisher: E.U. European Publishing
Date: 25-01-2022
DOI: 10.18332/EJM/143875
Publisher: Mark Allen Group
Date: 02-11-2018
DOI: 10.12968/BJOM.2018.26.11.731
Abstract: Not all midwives embrace the word feminism however, it could be argued that providing midwifery care is an expression of feminism's core values. To describe and explain the views and knowledge of midwifery students on feminism and midwifery. A qualitative descriptive approach, employing an anonymous online questionnaire was implemented and analysed using thematic and content analysis. Eight themes were identified in this study that revealed midwifery student's views and knowledge on feminism and the impact it may have on midwifery clinical practice. This study suggests midwifery students should receive adequate education regarding feminism. The advantages of midwifery students understanding feminism within the midwifery professional are undeniable and it is important that feminism is integrated into midwifery programmes.
Publisher: Elsevier BV
Date: 11-2020
DOI: 10.1016/J.WOMBI.2019.11.006
Abstract: The aim of this study was to explore the experiences of shared learning between Australian and Balinese midwifery students during a two-week clinical placement in Bali Indonesia. Cultural safety in midwifery is a key concept that is underpinned by the provision of holistic quality midwifery care to all women. Therefore, culturally safe midwifery care identifies, protects and promotes women's in idual cultures and is a key concept that is fostered in midwifery education. To educate culturally safe midwives, international placements to resource limited countries have become more common within midwifery education programs. This study used a qualitative research design with a convenience s ling design. The participants were enrolled in midwifery courses in a University in the Northern Territory of Australia (n=9), a Balinese private midwifery school (n=4) and a Balinese public midwifery school (n=4). Thematic analysis was used to analyse the data. The findings were categorised into major themes under the headings of "Learning together despite differences" "Cultural differences", "Communication, Resources", and "Recommendations for future placements". This study provides a valuable insight into how shared learning increases students' midwifery knowledge and is fundamental in understanding cultural differences that could be applied to students' clinical midwifery practice.
Publisher: Elsevier BV
Date: 12-2018
Publisher: Wiley
Date: 14-10-2019
DOI: 10.1111/JOCN.15027
Publisher: Mark Allen Group
Date: 02-05-2019
DOI: 10.12968/BJOM.2019.27.5.284
Abstract: The history and values of the chiropractic profession are part of the complementary and alternate medicine model. Chiropractic care in pregnancy is used for relief of back pain, turning breech presenting fetuses, and treatment of colic, breastfeeding and constipation issues in the neonate.
Publisher: SLACK, Inc.
Date: 2009
DOI: 10.3928/00220124-20090101-06
Abstract: This article focuses on two nursing and midwifery tutors' subjective experiences of working with students. It considers the feelings and friendships that are built during the learning process, and the impact the experience has on the tutor. The emotional stresses, ethical dilemmas, and personal reflections that a tutor encounters while facilitating students' learning are also explored. Parse's Human Becoming Theory is proposed as an ex le of a theoretical framework on which to base the facilitation of nursing and midwifery students' learning experience, and is contrasted with the traditional model of nursing and midwifery education. J Contin Educ Nurs 2009 (1):33–37.
Publisher: SAGE Publications
Date: 2022
DOI: 10.1177/17455057221127813
Abstract: Quality of life, mental wellbeing, and physical function deteriorate among women with breast cancer. Tai Chi is a moderate form of exercise that may be effective in improving the mental and physical wellbeing, therefore, the quality of life of women with breast cancer. This protocol paper outlines a trial to determine the therapeutic effects of a Tai Chi programme on breast cancer management. The study will be an interventional, single-blind, double-armed, randomized, and controlled trial involving a 12-week Tai Chi programme for women with breast cancer. Forty participants aged 18 years and above who are diagnosed with breast cancer from the general community will be recruited. All participants will be randomized to either a Tai Chi programme or a waiting list control group. The Tai Chi programme will involve 12 weeks of group Tai Chi sessions, with 45 min per session, twice a week. The primary outcome will be potential improvements to the quality of life, and secondary outcomes will be potential improvements in mental wellbeing (anxiety and depression), and physical function (pain, flexibility, obesity, and vital signs). These outcomes will be assessed via self-administered online assessments and physical examinations pre-and post-intervention. Linear mixed modelling will be used to assess changes in outcomes. Tai Chi is a safe, easy to learn, inexpensive, and low-intensity exercise with increasing popularity worldwide. If the intervention improves the quality of life in women with breast cancer, this study will build research capacity and increase awareness of the potential for Tai Chi to empower patients and engage them in self-management of breast cancer symptoms. Research findings will be disseminated to the public, health professionals, researchers, and healthcare providers through conference presentations, lay summaries, and peer-reviewed publications.
Publisher: Elsevier BV
Date: 06-2019
DOI: 10.1016/J.WOMBI.2018.07.012
Abstract: The aim of this study was to examine the nature of midwives' work-related stress and the implications, if any, for midwives overall emotional well-being and career decisions. A classic Glaserian grounded theory methodology was used, which included 21 in-depth in idual face-to-face interviews with registered midwives. The core category that emerged from the data labelled 'Fighting a Losing Battle' consisted of the causal, contextual and conditional factors that together form the core problem faced by the midwives. Participants depicted contemporary midwifery practice environments as 'war like' and described levels of work-related stress that, for many, were unbearable and led them to conclude that the job was not worth it. This study reveals that as the number and extent of stressors increase, the negative implications and effects for midwives rise as the opportunities to 'do' midwifery in the way they value decrease, and that commitment to and engagement with the work diminishes. Although the midwives said that midwifery itself could be stressful, their responses clearly identify that it is not the actual job but other related, contextual and other environmental factors that make it so.
Publisher: JMIR Publications Inc.
Date: 14-08-2020
Abstract: he development of an integrated care pathway with multidisciplinary input to standardize and streamline care for pregnant women experiencing breech presentation at 36 or more weeks of gestation poses several challenges because of the isive and contentious nature of the phenomenon. Although many clinicians are interested in obtaining the skills required to safely support women desiring a vaginal breech birth, the primary trend in most health care facilities is to recommend a cesarean section. his paper aims to discuss the mixed methods approach used in a doctoral study conducted to generate new knowledge regarding women’s experiences of breech birth in Western Australia and professional recommendations regarding the care of women experiencing breech presentation close to or at term. This study was designed to inform the development of an integrated care pathway for women experiencing a breech presentation. This mixed methods approach situated within the pragmatic paradigm was determined to be the optimal way for incorporating multidisciplinary recommendations with current clinical practice guidelines and consumer feedback. mixed methods study utilizing semistructured interviews, an electronic Delphi (e-Delphi) study, and clinical practice guideline appraisal was conducted to generate new data. The interviews were designed to provide insights and understanding of the experiences of women in Western Australia who are diagnosed with a breech presentation. The e-Delphi study explored childbirth professionals’ knowledge, opinions, and recommendations for the care of women experiencing breech presentation close to or at term. The clinical practice guideline appraisal will examine the current national and professional breech management and care guidelines. This study has the potential to highlight areas in practice that may need improvement and enable clinicians to better support women through what can be a difficult time. ata collection for this study began in November 2018 and concluded in March 2020. Data analysis is currently taking place, and the results will be disseminated through publication when the analysis is complete. he results of this study will guide the development of an integrated care pathway for women experiencing a breech presentation close to or at term, with the hope of moving toward standardized breech care for women in Western Australia. This study protocol has the potential to be used as a research framework for future studies of a similar nature. ERR1-10.2196/23514
Publisher: Elsevier BV
Date: 08-2019
DOI: 10.1016/J.NEPR.2019.07.008
Abstract: The aim of this study was to explore graduate midwives' experiences of completing a Bachelor of Midwifery online theory course and how that experience led to preparation for practice and future employment as a midwife. This study used a questionnaire, with the core research design having a quantitative component using open-ended questions, via the use of an electronic platform. The main themes emerging from the data that the graduates considered important issues were flexibility, isolation and lack of support. Course completion, experience of online learning reparation for practice, and recommendations for improvement were identified as areas of importance for graduates of the online midwifery theory course.
Publisher: Elsevier BV
Date: 10-2018
Publisher: Springer Publishing Company
Date: 09-2021
DOI: 10.1891/IJCBIRTH-D-20-00037
Abstract: Skilled attendance at birth by well-educated and regulated midwives has been identified to reduce maternal and neonatal deaths, however, it has been established that midwives experience barriers that can affect their ability to provide quality care to women and neonates. This systematic review and meta-synthesis of qualitative data was conducted to investigate the barriers to midwives' ability to provide quality care focusing on African and developed countries. The Joanna Briggs Institute process for conducting systematic reviews was followed for this review. Qualitative studies that reported on barriers to midwives' ability to provide quality care were identified by searching the following databases: CINAHL, PubMed, Web of Science, and PsychINFO. Studies reported in English in the last 10 years, within which most participants were midwives and the data reported on barriers to quality care provision by midwives were included in this review. 813 published research studies were screened, and 11 research papers were included in this review. The meta-synthesis of the findings resulted in six categories: the lack of equipment inadequate skills and training, lack of space and infrastructure, staff shortages and high workloads, emotional barriers, and workplace culture. Using the Donabedian model of quality care, the barriers were grouped into structure, process, and outcome factors. Currently efforts to improve quality care in African countries focus on structural factors. Efforts to improve quality care in developed countries focus on process factors. In order to improve quality care for women and neonates, efforts need to be focused on all the factors that promotequality care.
Publisher: Springer Science and Business Media LLC
Date: 28-04-2015
Publisher: Elsevier BV
Date: 09-2017
DOI: 10.1016/J.NEPR.2017.07.005
Abstract: The faculty clinical practice model provides dedicated time for nursing lecturers and educators in a university school of nursing to work with supervision in the clinical environments for an agreed amount of time each year. Allowing academics to partake in faculty clinical practice this way has been shown to update skills and retain clinical competency. Some nursing and midwifery academics believe it is essential to remain clinically current and up-to-date with professional issues in the clinical environments, whereas other academics believe reading current research maintains clinical competency. This discussion paper will explore the authors' own experiences of faculty clinical practice as an opportunity to enhance their learning. Narrative accounts of time spent in the clinical areas being expressed as invaluable as it allowed the authors to become part of the health professional team, refine clinical skills, gain clinical confidence, and share knowledge. This, in turn, impacted upon the academic's teaching style as well as redefined it by introducing incidents and stories from their experience. It has been concluded by the authors that faculty clinical practice allows academics to increase confidence, encourage leadership skills, and improve their teaching abilities in their clinical area of expertise.
Publisher: Elsevier BV
Date: 10-2017
Publisher: Mark Allen Group
Date: 02-10-2017
DOI: 10.12968/BJOM.2017.25.10.631
Abstract: There has been a significant cultural shift in attitudes towards male partners' involvement in maternity care, resulting in a cultural acceptance that male partners should be involved throughout pregnancy and birth. Anecdotal evidence, however, shows that male partners may still experience negative attitudes from obstetric and midwifery professionals. To explore midwifery students' experiences of negative attitudes or behaviour directed toward male partners by women, midwives, and/or doctors during antenatal and intrapartum care. An open online anonymous survey was used to collect data from 21 midwifery students. Two main themes were revealed: observed negative behaviours, and behaviour reasoning. Each theme contained sveral sub-themes, namely aggression, exclusion, and condescension (observed negative behaviours), and excusable by pain, preoccupied, misplaced support and respectful inclusion (behaviour reasoning). The accommodation of male partners into maternity settings does not always meet their needs, and is at time disempowering through negative attitudes and behaviours.
Publisher: JMIR Publications Inc.
Date: 23-02-2021
DOI: 10.2196/23514
Abstract: The development of an integrated care pathway with multidisciplinary input to standardize and streamline care for pregnant women experiencing breech presentation at 36 or more weeks of gestation poses several challenges because of the isive and contentious nature of the phenomenon. Although many clinicians are interested in obtaining the skills required to safely support women desiring a vaginal breech birth, the primary trend in most health care facilities is to recommend a cesarean section. This paper aims to discuss the mixed methods approach used in a doctoral study conducted to generate new knowledge regarding women’s experiences of breech birth in Western Australia and professional recommendations regarding the care of women experiencing breech presentation close to or at term. This study was designed to inform the development of an integrated care pathway for women experiencing a breech presentation. This mixed methods approach situated within the pragmatic paradigm was determined to be the optimal way for incorporating multidisciplinary recommendations with current clinical practice guidelines and consumer feedback. A mixed methods study utilizing semistructured interviews, an electronic Delphi (e-Delphi) study, and clinical practice guideline appraisal was conducted to generate new data. The interviews were designed to provide insights and understanding of the experiences of women in Western Australia who are diagnosed with a breech presentation. The e-Delphi study explored childbirth professionals’ knowledge, opinions, and recommendations for the care of women experiencing breech presentation close to or at term. The clinical practice guideline appraisal will examine the current national and professional breech management and care guidelines. This study has the potential to highlight areas in practice that may need improvement and enable clinicians to better support women through what can be a difficult time. Data collection for this study began in November 2018 and concluded in March 2020. Data analysis is currently taking place, and the results will be disseminated through publication when the analysis is complete. The results of this study will guide the development of an integrated care pathway for women experiencing a breech presentation close to or at term, with the hope of moving toward standardized breech care for women in Western Australia. This study protocol has the potential to be used as a research framework for future studies of a similar nature. DERR1-10.2196/23514
Publisher: Wiley
Date: 28-07-2021
DOI: 10.1111/JAN.14985
Abstract: To test whether infrared non‐touch forehead thermometry (FNTT) obtains comparable temperature readings in adults compared with common, non‐invasive thermometry methods such as axillary (DAT), oral (DOT) and infrared tympanic (ITT). A prospective, repeated‐measures comparative diagnostic test study design was used for this study. Data were collected from a convenience s le of 169 nursing students over 3 months (March 2019 to May 2019). Participants had their temperature measured once with each of the four thermometers. Agreement between thermometers was assessed using repeated‐measures analysis of variance with Bonferroni post hoc testing. One hundred and sixty‐one participants were included in the final analysis. A repeated‐measures ANOVA showed statistically significant differences between the four thermometer temperature readings. Post hoc pairwise comparisons with Bonferroni adjustment revealed infrared non‐touch forehead thermometry demonstrated statistically significant higher mean temperatures compared with digital oral thermometry MD = 0.466℃ (95% CI, 0.357–0.576, p .001) and digital axillary thermometry MD = 0.897℃ (95% CI, 0.752–1.043, p .001), but not with infrared tympanic MD = 0.069℃ (95% CI, −0.025–0.162, p = .307). This study found that infrared non‐touch forehead thermometry consistently produced higher temperature readings in adults compared with other common forms of peripheral thermometry. Caution should be taken when using forehead non‐touch thermometer readings interchangeably with digital oral and digital axillary readings unless corrections for bias are made. More research is needed into whether infrared non‐touch forehead thermometry and infrared tympanic could be used interchangeably. This study aimed to address whether non‐touch forehead could be used interchangeably with other common forms of non‐invasive thermometry. Our result revealed inconsistencies in temperature readings between the different thermometers. Consequently, healthcare professionals should exercise caution when monitoring temperature trends where readings have been taken by different types of peripheral thermometers. This study could impact healthcare clinicians responsible for the monitoring and recording of peripheral temperatures.
Publisher: Mark Allen Group
Date: 02-06-2017
DOI: 10.12968/NPRE.2017.15.6.282
Abstract: A common concern expressed by women to health professionals providing care during pregnancy and in the postnatal period is whether they will be able to produce enough breast milk to meet the nutritional requirements of their baby. This article will review the use of domperidone as a galactagogue to increase laction. Galactagogues are defined as substances, including drugs and foods, which promote lactation. This term encompasses therapies that have been clinically proven, alongside remedies which have limited current evidence to support the claims associated with them. Domperidone is an antiemetic drug that is gaining in popularity and use as a galactagogue.
Publisher: American Chemical Society (ACS)
Date: 21-12-2020
Publisher: Mark Allen Group
Date: 12-2013
DOI: 10.12968/BJOM.2013.21.12.868
Abstract: Papanicoloau (Pap) smear screening has helped to reduce cervical cancer rates significantly through the detection of premalignant cells ( Bray et al, 2005 ). Uptake among women who use alcohol and other drugs (AOD) is known to be low ( Chau et al, 2002 ) so they are at increased risk of being under-represented in the adequately screened population. AOD-using women experience disproportionately increased morbidity and mortality from cervical dysplasia and cancer ( Nogara et al, 2013 ). Pregnancy may provide the midwife an opportunity to offer this vital screening test. The audit investigated Pap smear uptake and results among AOD-using pregnant women. Pregnant women cared for by an obstetric AOD service based in a tertiary hospital in Perth, Western Australia, were eligible for inclusion in the study. Across a period of 12 months, 333 childbearing-aged AOD-addicted women were audited: 142 had a Pap smear in the previous 3 years 80 had not had a Pap smear in the previous 3 years 80 declined a Pap smear and 31 were either illegible or no record was available. This audit emphasises the importance of Pap smears being offered and followed up among the population of AOD-using pregnant mothers. Encouraging early booking and access to early antenatal care with midwives who are proficient in Pap smear collection is essential in order to provide optimal care.
Publisher: E.U. European Publishing
Date: 30-01-2023
DOI: 10.18332/EJM/157459
Publisher: Istanbul Medipol Universitesi
Date: 25-09-2017
Publisher: Elsevier BV
Date: 02-2021
Publisher: E.U. European Publishing
Date: 19-04-2022
DOI: 10.18332/EJM/146087
Publisher: Elsevier BV
Date: 06-2013
DOI: 10.1016/J.WOMBI.2012.11.002
Abstract: Pregnant women who misuse alcohol or substances often develop obstetric conditions that further complicate their pregnancy. This case study reflects on the maternity care provided for a woman who continued to use hetamines during her pregnancy and who was diagnosed with placenta praevia and subsequently suffered a placental abruption. Alcohol and substance misuse in pregnancy is currently escalating, increasing the risk in maternal and neonatal morbidity and mortality. Midwives must be confident in the advice and care they provide in order to reduce the risks caused by substance misuse, and be able to support this with evidence-based care. The purpose of this case study is to discuss the obstetric condition involved with placenta praevia with the occurrence of a placental abruption in a woman who uses hetamines during pregnancy and the midwifery and obstetric care involved. INTEREST/RELEVANCE/CONGRUENCY: It will highlight the importance of evidence-based care in high risk obstetrics. (1) Case summary (2) discussion (3) risk factors screening, diagnosis and management foetal and neonatal monitoring postnatal management, and trauma informed care. It was shown with planning, understanding, communication, and vigilance, the care of an hetamine using pregnant woman with a diagnosis of placenta praevia and abruption can be successfully accomplished. The management of the woman discussed in this case study was within the recommendations currently available in the literature.
Publisher: Mark Allen Group
Date: 02-11-2018
DOI: 10.12968/BJOM.2018.26.11.704
Abstract: Worldwide, a large proportion of childbearing women are overweight or obese, and it is becoming increasingly common for pregnant women to have undergone bariatric surgery before conceiving. Women with a history of sleeve gastrectomy may not be able to undertake the oral glucose tolerance test, due to the risk of dumping syndrome. There is limited research on the effects of weight loss surgery on the pregnancy oral glucose tolerance test and conducting this test on a woman who has had bariatric surgery may be an inadequate form of diagnosing gestational diabetes mellitus. A cost-effective alternative to an oral glucose tolerance test is to monitor pre-and post-meal blood glucose levels.
Publisher: IEEE
Date: 11-2015
Publisher: Mark Allen Group
Date: 02-06-2017
DOI: 10.12968/BJOM.2017.25.6.354
Abstract: There is currently a global increase in women being diagnosed with melanoma during their childbearing years. Many women are delaying motherhood and pregnancy, and starting their families later in life, after completing education and establishing careers. As melanoma incidences increase with age, more women could be faced with developing melanoma before or during pregnancy. Therefore, midwives play an intrinsic role in proving information and education regarding sun safety for themselves, their newborns and families.
Publisher: Elsevier BV
Date: 10-2013
Publisher: SAGE Publications
Date: 08-04-2022
DOI: 10.1177/09697330221073996
Abstract: Background: As a normative theory, care ethics has become widely theorized and accepted. However, there remains a lack of clarity in relation to its use in practice, and a care ethics framework for practice. Maternity care is fraught with ethical issues and care ethics may provide an avenue to enhance ethical sensitivity. Aim: The purpose of this scoping review is to determine how care ethics is used amongst health professions, and to collate the information in data charts to create a care ethics framework and definition for midwifery practice. Method: The scoping review was conducted according to the Preferred Reporting Items for Scoping reviews (PRISMA-ScR) and Joanna Briggs Institute (JBI) recommendations. The search was applied to the databases CINAHL, MEDLINE, PschInfo and Pubmed which were searched in September 2019 and again in July 2021. The inclusion criteria were guided by the mnemonic for search terms: Participants, Concept, and Context (PCC) and included variations of health care professionals, care ethics and utilization. The search was limited to qualitative studies published in English between 2010 and 2021. A data extraction tool was used to extract and synthesize data into categories. The articles were screened for eligibility by title, abstract and full text review, by two independent reviewers. Ethical Considerations: The scoping review was guided by ethical conduct respecting authorship and referencing sources. Results: Twelve of the initially identified 129 studies were included in the scoping review. Data synthesis yielded four categories of care ethics use by health professionals: relationship, context, attention to power and caring practices. In combination, the evidence forms a framework for care ethics use in midwifery practice. Conclusion: Care ethics use by health professionals enhances ethical sensitivity. A framework and definition for care ethics for midwifery practice is proposed. This review will be of interest to midwives and other health practitioners seeking to enhance ethical sensitivity.
Publisher: Elsevier BV
Date: 03-2018
DOI: 10.1016/J.MIDW.2017.12.015
Abstract: To generate new knowledge that describes and explains the views and understanding, regarding midwifery and normal birth, that newly enrolled midwifery students hold at the commencement of their midwifery education. A qualitative descriptive approach was used in conjunction with an anonymous questionnaire. A tertiary University in Western Australia FINDINGS: Eighteen postgraduate midwifery students (PG), and twenty undergraduate midwifery students (UG), completed the questionnaire.Postgraduate midwifery students with a nursing background had a pronounced medical terminology and philosophy, as opposed to undergraduate midwifery students. Midwifery educators will need to ensure the teaching of midwifery philosophy and normal birth at the commencement of midwifery courses, before historical perspectives and anatomy and physiology. Students need to be aware that birth is not reliant on risk management or student's personal values, otherwise it will be difficult for new midwifery students to understand birth as a normal, physiological process.
Publisher: Elsevier BV
Date: 10-2017
Publisher: Mark Allen Group
Date: 02-01-2018
DOI: 10.12968/BJOM.2018.26.1.8
Abstract: Pre-ecl sia occurs in approximately 2-8% of pregnancies worldwide, and is characterised by hypertension and multi-organ system involvement. Globally, approximately ten million women develop pre-ecl sia each year, and an estimated 76 000 women die as a result of pre-ecl sia or other hypertensive disorders. Despite ongoing research, the pathogenesis of pre-ecl sia remains unclear. This article will focus on the diagnosis, risk factors and aetiology of pre-ecl sia, while attempting to outline the collaborative management, including treatment and prevention.
Publisher: Mark Allen Group
Date: 02-01-2017
DOI: 10.12968/AJMW.2017.11.1.13
Abstract: Sepsis is a complex, multi-organ disorder that may have catastrophic effects on the woman and fetus, resulting in the rapid deterioration of the woman's health and subsequent serious morbidity and mortality. Guidelines specifically for pregnant women are derived from research on the non-pregnant population, and a lack of hospital guidelines for the management of sepsis in pregnancy has been identified. Considerations of physiological changes that occur in pregnant women make diagnostic thresholds difficult, thus identifying the need for a standard definition of sepsis in the obstetric population. This article will discuss the diagnosis and the midwife's role in the management of sepsis in pregnancy.
Publisher: Mark Allen Group
Date: 02-08-2016
DOI: 10.12968/BJOM.2016.24.8.567
Abstract: Globally, thalassaemia is one of the most common genetic blood disorders affecting women's ability to conceive and progress through a normal pregnancy and birth. Thalassaemia is associated with late-onset puberty, infertility due to endocrine dysfunction, growth retardation, jaundice, deformities in skeletal development and enlargement of the abdomen secondary to spleen and liver anomalies. Despite medical innovations, the management of thalassaemia remains associated with significant risk factors for women during pregnancy, birth and the postnatal period. The management of women with thalassaemia is complex, requiring a multidisciplinary approach to care as the potential for maternal and fetal complications presents risks during pregnancy and birth. Women can remain silent carriers of the disease until pregnancy induces symptomatic haematological and coagulation changes, leading to diagnosis of thalassaemia.
Publisher: Mark Allen Group
Date: 02-06-2017
DOI: 10.12968/BJOM.2017.25.6.380
Abstract: It has become increasingly acknowledged that a woman's experience of childbirth can adversely affect her transition to parenthood. Routine discussion of the childbirth experience is not always offered to women in the postnatal period. A postpartum talk, encourages a woman to express her emotional experience, and is an informal discussion of the birth experience with a midwife. This study explores the experiences of hospital-based midwifery students' knowledge and experience of routine discussions of the childbirth experience with women in the postnatal period. Midwifery students stated that they felt they had not received adequate training and education in leading a routine birth discussion with a woman, and they felt they required further knowledge and education to increase levels of confidence in this area.
Publisher: Elsevier BV
Date: 05-2022
DOI: 10.1016/J.WOMBI.2021.06.011
Abstract: Clinical practice guidelines are designed to guide clinicians and consumers of maternity services in clinical decision making, but recommendations are often consensus based and differ greatly between leading organisations. Breech birth is a isive clinical issue, however vaginal breech births continue to occur despite a globally high caesarean section rate for breech presenting fetuses. Inconsistencies are known to exist between clinical practice guidelines relating to the management of breech presentation. The aim of this review was to critically evaluate and compare leading obstetric clinical practice guidelines related to the management of breech presenting fetuses. Leading obstetric guidelines were purposively obtained for review. Analysis was conducted using the International Centre for Allied Health Evidence (iCAHE) Guideline Quality Checklist and reviewing the content of each guideline. Antenatal care recommendations and indications for Caesarean Section were relatively consistent between clinical guidelines. However, several inconsistencies were found among the other recommendations in terms of birth mode counselling, intrapartum management and the basis for recommendations. Inconsistencies noted in the clinical practice guidelines have the potential to cause issues related to valid consent and create confusion among clinicians and maternity consumers. Clinical practice guidelines, which focus on the risks of a Vaginal Breech Birth without also discussing the risks of a Caesarean Section when a breech presentation is diagnosed, has the potential to sway clinician attitudes and impact birth mode decision-making in maternity consumers. To respect pregnant women's autonomy and fulfil the legal requirements of consent, clinicians should provide balanced counselling.
Publisher: Mark Allen Group
Date: 02-09-2023
DOI: 10.12968/BJOM.2023.31.9.502
Abstract: Midwives are vital healthcare professionals that are autonomous and passionate specialists on women, pregnancy, birthing and families. Staying up to date with contemporary issues enhances their ability to provide high-quality evidence-based care. One aspect of maternal care that is changing is the use of gender-neutral language. The aim of this review was to examine the use of gender-neutral language in maternity settings and collate the literature to expose any knowledge gaps. A narrative literature review was conducted, using primary research and literature reviews from the Cochrane Library, CINAHL and MEDLINE databases. A total of 106 articles were included. Data analysis yielded four themes: etymology and the origins of language in maternity, the effects of language in maternity, attitudes, and social media and language. The literature identified the perspective of the lesbian, gay, bisexual, transgender, intersex, queer or questioning, asexual and other sexually or gender erse population who have accessed maternity and childcare services. Not all literature was maternity specific, but provided insight into how to improve maternity services. It is recommended that education be provided for healthcare professionals when working with the LGBTIQA+ community. Updating paperwork and policies at a structural level will have a vast impact holistically on LGBTIQA+ maternity consumers.
Publisher: Elsevier BV
Date: 08-2019
DOI: 10.1016/J.MIDW.2019.04.005
Abstract: The purpose of this article is to establish a body of literature exploring the emergent topic of Indigenous doulas, in relation to Indigenous communities in remote locations, where women are routinely evacuated and no longer supported to give birth. In doing so the article will synthesise and critique key concepts in the literature and identify gaps for prioritisation in future research. The methodology is influenced by Indigenous, decolonising and feminist theoretical standpoints. A combined methodological approach of an integrative and scoping literature review was undertaken. Only published research, grey literature and grey data written in English and created between the years 2000 and 2018 was included. The search engines used were CINAHL plus, MEDLINE full text, Informat, Cochrane, Google Scholar and Google Search. Resources originating from only Canada and America identified and despite regional similarities, no literature from Australia or Greenland was sourced. Of the entirety of identified resources two author's Indigenous identity was readily identifiable and in the research articles there was a total of 191 research participants identified as Indigenous. Much of the grey literature and grey data included quotations from Indigenous women. N/A. Key concepts about the role and practice of Indigenous doulas were identified: reclaiming and supporting cultural practices sovereignty over lands and bodies strengthening families, training, work models and defiance of evacuation policies on the pathway to returning birth. Critique of these concepts suggests that Indigenous doulas have a unique role and practice scope in Western maternity care, which is readily distinguished from standard doula practice. Research gaps worthy of future research prioritisation include: Indigenous women's perspectives as recipients of Indigenous doula care, Indigenous doulas as a pathway into midwifery, escort policy and impacts on Indigenous doula provision evaluation and alternative research settings. The role and practice of Indigenous doulas offers a promising approach to redressing the colonisation of Indigenous childbirth while contributing to improving Indigenous maternal and infant outcomes. Indigenous doula practice shares many best-practice characteristics with Indigenous Healing Programs and as such is also likely to also promote inter-generational healing. Most of the resources located were descriptive, but this emergent topic is worthy of further applied research.
Publisher: Elsevier BV
Date: 07-2021
Publisher: Elsevier BV
Date: 10-2018
Publisher: Mark Allen Group
Date: 02-01-2016
DOI: 10.12968/BJOM.2016.24.1.60
Abstract: This paper describes an evaluation of postgraduate midwifery students' experiences of a model of blended learning, following completion of a newly accredited Master of Midwifery Practice (MMP) course in a Western Australian university. Successful completion of the course leads to registration as a midwife with a Master's degree. This is the first midwifery degree at Master's level offered in Western Australia, which offers another route into the midwifery profession alongside existing options for postgraduate and undergraduate students. Midwifery students enrolled on the 2-year MMP course are registered nurses, who are offered flexible learning options involving on-c us and online learning, as opposed to traditional on-c us lectures and tutorials. The evaluation consisted of a 10-part questionnaire given to 25 midwifery students, of which 17 were completed and returned. Responses were analysed by the authors and a consensus on the final interpretation was reached. Four main themes were identified from the evaluation: variety of teaching methods, feeling overwhelmed, contextualising midwifery, and support.
Publisher: Mark Allen Group
Date: 02-09-2017
DOI: 10.12968/BJOM.2017.25.9.552
Abstract: As the rates of hetamine use continue to rise, so do the significant social and health implications associated with substance abuse in communities. This presents unique challenges for women, newborns and providers of perinatal care. This article aims to explore hetamine use among women of childbearing age, and the subsequent effects on the woman and fetus/newborn. The complexity of these cases require a collaborative, woman-centred and multidisciplinary approach, in addition to specialised interventions and adjustments regarding routine antenatal, intrapartum and postnatal plans of care
Publisher: Elsevier BV
Date: 10-2020
Publisher: Mark Allen Group
Date: 07-2012
DOI: 10.12968/BJOM.2012.20.7.503
Abstract: There is an absence of sufficient evidence regarding naltrexone use in pregnancy due to the limited range of human studies. Naltrexone implants are being used in Western Australia as a treatment for opioid dependency, and although contraindicated for insertion during pregnancy, there are a number of women who conceive while undergoing treatment. A review of the available data revealed that naltrexone is associated with improved maternal and fetal outcomes. Extensive research into this area in the form of large, multicentre trials is required to confirm the results of the current research.
Publisher: Mark Allen Group
Date: 02-08-2017
DOI: 10.12968/NPRE.2017.15.8.391
Abstract: The herpes simplex virus (HSV) is associated with possible risks for both the mother and fetus, and potential complications may arise throughout pregnancy, including transmission in utero, intrapartum and postpartum. This article discusses the prevalence and risk factors for acquiring the virus, and the pharmacological, surgical, complementary and alternative treatment options. HSV-2 and its significance in pregnancy is also explored, including the management during and after pregnancy.
Publisher: Springer Publishing Company
Date: 12-2019
DOI: 10.1891/IJCBIRTH-D-19-00028
Abstract: This study identified barriers that affected Ghanaian midwives' ability to provide quality care to prevent maternal and neonatal mortality. Glaserian Grounded Theory was the framework of this study. Interviews were conducted with 33 participants from 10 facilities in seven districts in one region in southern Ghana. Midwives are committed to do their best to provide quality care to women and newborns. Barriers to their care included a lack of resources of care, unsupportive facility management, and client related barriers. Measures to reduce barriers for midwives to provide quality care must improve health financing at a national and facility level the encouragement of supportive supervision and management at a facility level and actions to enhance midwife engagement with clients and communities.
Publisher: Springer Publishing Company
Date: 2015
DOI: 10.1891/2156-5287.5.4.224
Abstract: Throughout pregnancy, women are offered various screenings and diagnostic procedures. Group B Streptococcus (GBS) screening is currently a routine screening process in Australia, but not in the United Kingdom, which is offered to women at 35–37 weeks gestation. The results of GBS screening alter a woman’s course of care for labor and the postnatal period. This article is a review of evidence, policy, and clinical practice and aims to determine whether GBS screening is necessary and whether the screening has a positive or negative impact on women and their babies.
Publisher: Mark Allen Group
Date: 02-06-2015
DOI: 10.12968/BJOM.2015.23.6.412
Abstract: Intimate partner violence (IPV) during pregnancy is a challenging professional issue for midwives, and is associated with serious health consequences for the woman and her baby including significant long-term physical, psychological and social ramifications. One in four women will experience IPV in their lifetime and midwives have an important role in the screening, care and management of pregnant women who may be experiencing IPV. Antenatal screening for IPV is recommended for all women, regardless of presence of risk factors or indicators of abuse.
Publisher: Mark Allen Group
Date: 02-10-2019
Publisher: Elsevier BV
Date: 06-2018
DOI: 10.1016/J.NEDT.2018.02.017
Abstract: The aims of this study were to gain an understanding of the experiences of nurses and midwives enrolled in a PhD, explore any barriers that PhD students encounter whilst completing the degree, and develop recommendations for consideration in formulating support strategies to encourage completion for nurses and midwives enrolled on a PhD degree. It is important to understand what is happening at doctoral level education for nurses and midwives, and how those enrolled on PhD courses can successfully complete their studies, transition learning, and acquire the ability to undertake research into the clinical environments. The criteria for inclusion into the study was that participants were either a Registered Nurse or Registered Midwife enrolled in a PhD degree. A mixed methodology, non-experimental design approach was used with purposive s ling in an anonymous survey, that included both qualitative and quantitative questions to collect data in 2017. Supervisors and supervision were the focus of the participant's responses, and issues were identified in negotiating the right supervisors for nurse/midwife PhD students. PhD students would benefit from specific teaching and the opportunity to discuss issues that occur as part of the PhD process. Academia needs to consider new approaches to more effectively integrate teaching time into supervision, thereby optimising PhD completion for nursing and midwifery PhD students.
Publisher: Elsevier BV
Date: 08-2019
DOI: 10.1016/J.WOMBI.2018.09.007
Abstract: The purpose of this study was to identify midwives' attitudes towards women using substances during pregnancy, which informed the development of an integrated care pathway for the provision of optimal care. A mixed methods research design was used, that included an online survey via the online survey tool Qualtrics™ which collected quantitative data, and interviews and focus groups were used to collect qualitative data. Participants held a positive or neutral view towards women who used substances during pregnancy, and the participants had an empathetic perception of the issue of substance use within pregnancy, believing that women were using substances due to the environment and circumstances that they lived in, and that they had been raised and socialised in. Caring for women during pregnancy with substance misuse issues is complex and requires coordination and multidisciplinary care. Midwives have the capacity to provide sensitive midwifery care but require the framework to ensure women needing additional resources during pregnancy receive the services available and specific to their needs. The midwives in this study were supportive of developing an integrated care pathway to allow for collaborative care, and to enable a specialised midwifery approach.
Publisher: Mark Allen Group
Date: 02-02-2015
DOI: 10.12968/BJOM.2015.23.2.110
Abstract: Depression is a condition that affects millions of people worldwide and is the highest cause of disease burden for women. Postnatal depression affects up to 25% of all childbearing women however, its prevalence is often under-detected and under-diagnosed. Early screening and early intervention are integral in the prevention of postnatal depression. Preventive interventions focus on the efficacy of omega-3 supplements, physical activity and placentophagy practices. However, there is promising evidence regarding the efficacy of antidepressant therapy, increased social support, and technological-based psychological interventions in the prevention of postnatal depression.
Publisher: Public Library of Science (PLoS)
Date: 24-06-2022
DOI: 10.1371/JOURNAL.PONE.0270212
Abstract: Quality of life (QoL), mental wellbeing, and physical function are often diminished among people with chronic disease. Tai Chi is a moderate form of exercise that may be effective in improving chronic disease management. This protocol paper outlines a trial to determine the therapeutic effects of a Tai Chi program on chronic disease management. This study will be a pilot, interventional, single-blind, two-armed, randomised, parallel, and controlled trial involving a 12-week Tai Chi program for Australian adults. Forty people aged 18 years and older, diagnosed with one or more chronic disease from general community will be recruited. All participants will be randomised to either a 12-week Tai Chi program or a waiting list control group. The Tai Chi program will involve 12 weeks of group Tai Chi sessions, with 45 minutes per session, twice a week. The primary outcome will be QoL as measured by mean scores on the 12-item Short Form Health Survey (SF-12v2) and the EuroQoL (EQ-5D). The secondary outcomes will include anxiety as measured by mean score on the generalised anxiety disorder 7 (GAD-7) survey depression as measured by mean score on the patient health questionnaire (PHQ-9) work productivity and activity assessment (WPAI:SHP) pain (if any) as measured by mean scores on the visual analogue scale (VAS) and the McGill pain questionnaire (MPQ). These primary and secondary outcomes will be self-administered via two online assessments prior to (T0) and post-intervention (T1). Objective measures as additional secondary outcomes, will also be carried out by the research team including flexibility as measured by the finger to floor distance (FFD) obesity as measured by mean scores on body mass index (BMI) vital signs (blood pressure, heart rate, respiratory rate, temperate, and oxygen saturation) as measured by a blood pressure monitor, tympanic, and pulse oximetry device, and these outcomes will be measured at T0 and T1 in the ECU Holistic Health Research Clinic. People diagnosed with pre-diabetes or diabetes, their glycosylated haemoglobin (HbA1C) and fasting (before breakfast) blood glucose level (BGL) will also be measured via test kits at T0 and T1 in the clinic. Linear mixed modelling will be conducted to assess changes in outcomes. Statistical significance will be set at an alpha level of 0.05 with a medium effect size. All analyses will be conducted using R version 4.1. Qualitative data will be analysed using template thematic analysis. Ethical approval has been obtained from the Edith Cowan University (ECU) Human Research Ethics Committee (2021-03042-WANG). Research findings will be disseminated to the public, health professionals, researchers, and healthcare providers through conference presentations, lay summaries, and peer-reviewed publications. This study will provide an updated evidence on a safe, sustainable, and inexpensive non-pharmacological approach in the management of chronic disease, the number one burden of disease in Australia. Trial registration number: ACTRN12622000042741p .
Publisher: SAGE Publications
Date: 23-08-2019
Abstract: Introduction: There are at least 22 Arab league states and sections in Northern Africa, southwestern Asia, and Europe that incorporate the vast Middle Eastern culture. The purpose of this study was to identify the cultural variations in newborn care practices, self-management of common illnesses, and their potential impact on infant welfare. Method: A qualitative design using a focus group approach with 37 Arab mothers in Jordan was used. Results: Findings revealed strong similarities in terms of beliefs, care practices, and the experience of intergenerational conflict in establishing and maintaining traditional practices among mothers. Potentially harmful practices included restrictive swaddling, rubbing a newborn’s body with salt, and encouraging the ingestion of herbs in newborns. Discussion: It is important for nurses and midwives to be aware of traditional practices, cultural beliefs, and the implications for infant welfare if they are to effectively engage with families to promote the well-being of the newborn.
Publisher: Elsevier BV
Date: 02-2023
Publisher: Elsevier BV
Date: 05-2019
DOI: 10.1016/J.NEDT.2019.01.027
Abstract: To identify undergraduate and postgraduate student midwives' attitudes towards women using licit and illicit substances during pregnancy. Literature shows that globally, substance misuse during pregnancy is growing rapidly. Women who use substances during their pregnancy have specific healthcare needs and require midwives to demonstrate positive attitudes to improve appointment compliance and treatment completion. A cross-sectional quantitative survey design was used. A total of 42 surveys were retained for full data analysis. Of the 42 participants, 22 were undergraduate midwifery students and 20 were postgraduate midwifery students. The results revealed that both undergraduate and postgraduate students had positive attitudes towards women who used substances during pregnancy. Specifically, postgraduate students, with 1-2 years' experience looking after pregnant women, had the most positive attitudes towards substance use in pregnancy. This study revealed that undergraduate and postgraduate midwifery students have positive attitudes towards women who misuse illicit and licit substances, which is important for providing quality care upon qualification as a registered midwife. It is essential that midwifery students, who will go on to qualify as registered midwives, are non-judgmental and positive to ensure adequate antenatal care and regular antenatal attendance so maternal and fetal wellbeing can be better managed.
Publisher: Mark Allen Group
Date: 02-03-2018
DOI: 10.12968/BJOM.2018.26.3.145
Abstract: While the value of the clinical skills and expertise required to enable safe vaginal breech birth remains high, midwives who possess these skills are becoming scarce. Additionally, for many midwifery students, vaginal breech birth is becoming somewhat of an elusive event, rarely experienced in clinical practice when completing their training. Not so long ago, this was a standard competency taught to and held by obstetricians and midwives alike, but for those in developed nations working within robust healthcare systems, the frequency of planned vaginal breech birth is on a downward trend, and this is reflected in midwifery educational curriculums.
Publisher: Informa UK Limited
Date: 18-12-2018
DOI: 10.1080/10376178.2017.1416305
Abstract: The increasing use of smartphone technology in health care provides midwifery students with unprecedented access to online resources that facilitates the optimal care of women and supports ongoing learning. A small pilot study was conducted in Western Australia, with 29 undergraduate and postgraduate midwifery students to explore the use of smartphone technology whilst in clinical practice. This study aimed to define the impact of smartphones in clinical decision-making and learning whilst in clinical areas, by midwifery students at the point of care. An online survey was used to collect data. Five consistent themes were identified from the results. Smartphone technology encourages self-directed learning, consolidation of theory, engagement through blended learning, complements online education in clinical practice and is a trend in the future of midwifery curriculum. Smartphones enhance the learning and mobility of supportive resources that consolidate midwifery students' clinical experience in workplace environments.
Publisher: Elsevier BV
Date: 02-2023
DOI: 10.1016/J.WOMBI.2022.06.004
Abstract: A core aspect of midwifery philosophy is the optimisation of normal physiology however, this has been challenged as a radical idea in the medicalisation of birth. Research has demonstrated the benefits of midwifery in improving outcomes for both mothers and babies. The understanding of midwifery benefits fails to reach wider sociocultural contexts as births becomes more medicalised. Midwifery research requires an action arm, to help translate theory to practice and mobilise midwives in solidarity with women towards action and change. The aim of this article is to describe a Feminist Participatory Action Research (FPAR) by establishing the philosophical underpinnings, theory and methodology with an exemplar. FPAR has two distinct yet intertwined parts, a research arm and an action arm. The study was conducted using FPAR, and collaboration with nine women, who led transformative action within their community. The exemplar details the use of the FPAR framework. A FPAR framework was developed through this research to guide researchers aiming to use the FPAR design. The framework details four steps: 1. Create, 2. Collaborate, 3. Consider, and 4. Change. The iterative FPAR cycles were shown in this study to centre women in the research and guide the community research group towards transformative action. FPAR is shown in this project to assist midwifery researchers to realise solidarity and provides support for other midwifery researchers in applying feminist theory and participatory methodologies to bring about transformation within their research.
Publisher: Springer Science and Business Media LLC
Date: 03-11-2021
DOI: 10.1186/S12913-021-07049-0
Abstract: Midwives face direct and indirect barriers in their workplaces that have negative consequences on their ability to provide quality care to women and neonates, however, they still carry on with their duties. This study aimed at investigating the coping strategies that Ghanaian midwives adopt to be able to complete their work. Glaserian Grounded theory was used in this study. Data were collected through non-participant observations and semi-structured interviews. The study participants included 29 midwives who worked in labour/birthing environments and a pharmacist, a social worker, a national Health Insurance Scheme manager and a health services manager. The midwives’ motivation due to their strong desire to save the lives of women and neonates and their strong affection for the midwifery profession was identified to help them cope with the barriers that they faced in their workplaces. The midwives’ motivation was found to spur actions such as improvising, taking control of the birthing process and the birthing environment and the maintenance of social and professional networks to help them to complete their duties. Ghanaian midwives face myriad barriers in their workplaces however, they are able to adopt coping strategies that enable them to complete their duties. The provision of care resources for maternity services in the country will reduce the barriers that the midwives face and improve the quality of maternal and neonatal care. In the short term however, pre and post midwifery educational programmes should focus on developing resilience in the midwifery workforce to help midwives cope more effectively with the challenges that they face in their workplaces.
Publisher: Research Square Platform LLC
Date: 07-07-2020
DOI: 10.21203/RS.3.RS-37978/V1
Abstract: Background Despite the ongoing production of new scientific evidence in the field of maternity care, midwives continue to face challenges when translating latest evidence into evidence-informed care, and report uncertainty in both knowledge and confidence to implement sustained evidence-based change in clinical areas. This study aimed toexplore midwifery leaders’ views on what factors help or hinder midwives’ efforts to implement evidence-based practices, and test the usability of the Capability, Opportunity, Motivation and Behaviour model and Transtheoretical Domains Framework to analyse the barriers and facilitators of evidence-based change. Methods This qualitative study formed part of a larger Participatory Action Research (PAR) project designed to improve the processes by which midwives implement evidence-based practice change in clinical areas. Data were obtained by a nominal group workshop and in idual face-to-face interviews between July – September 2019. Thematic analysis was used to interpret the transcribed data, which were then coded and categorised into meaningful themes. Results One overarching core finding emerged from four major categories to fulfil the aim of this study: Fear can stop change and midwives lack the confidence and time to implement new evidence-based practices, however having high level midwives in leadership roles is a huge advantage. Conclusion This study confirms what is known about the hinderances and helpers of translating latest evidence into everyday practice, and provides valuable insight into the usability of behavioural theories and context assessment tools to both diagnose and develop intervention strategies applicable to midwives initiating evidence-based practice change in clinical areas.
Publisher: Mark Allen Group
Date: 02-06-2015
DOI: 10.12968/JOHV.2015.3.6.314
Abstract: Sunlight is fundamental in synthesising vitamin D in humans. However, the sun is also responsible for negative short- and long-term health effects on the population. Babies and young children who are subjected to unprotected sun exposure are at an increased risk of skin cancer later in life, and therefore they should be considered as a particular target population. Prevention is an important aspect of parental education in the protection of babies' and children's skin, in order to avoid and reduce the consequences of exposure to the sun. Increased awareness of skin cancer has led to in iduals using chemical protection and physical barriers to protect their skin from the harmful rays of the sun. However, this protection can lead to a reduced level of absorption and uptake by the body of the natural vitamin D. Health visitors are in a position to advise and support parents in protecting their babies from sun damage, and should actively encourage uptake of vitamin D.
Publisher: Australian Nursing and Midwifery Federation
Date: 31-05-2023
Publisher: Springer Science and Business Media LLC
Date: 04-01-2021
Publisher: Unpublished
Date: 2018
Publisher: Mark Allen Group
Date: 14-10-2021
DOI: 10.12968/BJON.2021.30.18.1078
Abstract: Social media has become incorporated into the practice of contemporary nursing. It must be acknowledged by the nurse and the nursing profession that social media has the power to enable the nurse to network with colleagues and share research findings through both private and open forums. However, it also has the potential to negatively influence patient care. This article discusses the use of social media and the dilemmas both ethical and legal. It highlights the need for the nurse and the nursing profession to remain vigilant regarding its use within both their personal and professional lives, to ensure that no boundaries are inadvertently crossed.
Publisher: Mark Allen Group
Date: 02-01-2017
DOI: 10.12968/NPRE.2017.15.1.23
Abstract: The active management of the third stage of labour has been defined as the interval between the birth of the neonate and expulsion of the placenta, with the use of an oxytocic drug administered immediately after birth, early cord cl ing and cutting, and controlled cord traction ( Deneux-Tharaux et al, 2013 ). Synthetic uterotonics are designed to stimulate contraction of the uterus, in order to prevent post-partum haemorrhage (PPH), as uterine atony accounts for 90% of primary PPH in woman globally ( Say et al, 2014 ). Oxytocin, Syntometrine, ergometrine, and misoprostol, remain the front line drug therapies used to prevent and manage this complication.
Publisher: Elsevier BV
Date: 02-2021
Publisher: Mark Allen Group
Date: 02-12-2017
DOI: 10.12968/BJOM.2017.25.12.755
Abstract: Gastroschisis is an abdominal wall defect in the fetus, affecting as many as 1 in 2000 pregnancies. This is a complex medical condition that is growing in prevalence worldwide, and one to which midwives will inevitably be exposed. There is a lack of consensus in the literature as to the cause of gastroschisis and for clear evidence-based treatment regarding indication and timing of birth. While it is agreed that specialist multidisciplinary collaboration is needed from pre-conception, through antenatal surveillance, and into labour, birth and postnatal care, the research is medically led, with no description of a midwifery role. In acknowledging that gastroschisis is a complex medical issue, specific medical and surgical interventions are not examined, but instead a midwifery plan of care within the multidisciplinary approach is derived from the available literature.
Publisher: Elsevier BV
Date: 09-2019
Publisher: Mark Allen Group
Date: 02-06-2020
DOI: 10.12968/BJOM.2020.28.6.353
Abstract: Vitamin D deficiency is widely recognised as a major public health issue around the world and is essential for optimal development and strengthening of the musculoskeletal system including the prevention of conditions such as osteoporosis, osteopenia and rickets. The association between vitamin D and childhood rickets has led to the fortification of food sources and consequently the eradication of the rickets disease. Vitamin D levels are of particular importance for pregnant women, especially for the development of the bone and muscle development of the fetus. In the last decade there has been a substantial increase in the incidence of vitamin D deficiency and the re-emergence of the childhood rickets disease. It is vital that vitamin D levels are at optimal levels during pregnancy as maternal calcium demands increase significantly to meet the demands of the developing fetus, especially in the third trimester.
Publisher: Mark Allen Group
Date: 02-07-2018
DOI: 10.12968/BJOM.2018.26.7.440
Abstract: In many countries, including the UK, Australia, China, and the USA, more than 80% of breech-presenting fetuses are born by caesarean section. However, it is important for midwives to note the options that are available to women desiring a vaginal birth. This article will investigate cephalic version methods available to women with a breech-presenting baby, including external cephalic version, moxibustion and acupuncture. The literature emphasises the need for further research into alternative methods of cephalic version, for clinicians to up-skill on vaginal breech birth techniques and, if not recommend, then advise women of alternative methods available if mainstream interventions are unacceptable or contraindicated.
Publisher: Elsevier BV
Date: 10-2018
Publisher: Mark Allen Group
Date: 11-08-2016
DOI: 10.12968/BJON.2016.25.15.836
Abstract: Currently, within the nursing and midwifery curriculum of Australia, the concepts of caring and compassion are not routinely taught. While these are thought of as integral components for nursing and midwifery students to develop during their theoretical and practical training, it is questionable whether they can actually be taught, or whether they are innate to the in idual's own disposition. This article suggests that compassion is under threat, and examines whether it is possible to teach these concepts within the nursing and midwifery curriculum to address this possible deficit within the professions.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
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 Sadie Geraghty.