tweed midwifery group practice

Support for the inclusion of an interdisciplinary team in the proposed model of care was identified as an enabler and was particularly supported by non-midwife participants: I would love it, because we felt [from observation of previous staffing arrangements] that when the midwives were staying in the role longer it felt very organised and that we knew the patients very well (Allied Health Practitioner, Interview 9). Midwives are able to acquire and maintain the skills . The results also demonstrated a moderate level of self-efficacy there were mixed beliefs amongst individuals in their own capabilities to deliver the model of care, while also identifying that the proposed model of care would provide an opportunity for midwives to build their self-efficacy through gaining new skills and expanding their scope of practice. Whilst participants were sent relevant information containing brief background to the proposed study in advance of the interview, some attendees advised they wanted to come well prepared. JAMA. Themes were then mapped to CFIR domains and constructs within each domain to finalise the analysis. All times AEST (GMT +10). We aimed to identify the potential barriers and enablers for implementing a midwifery group practice for vulnerable women. Referrals to the service can be made through a general practitioner or by self-referring by calling the Tweed Hospital Women's Care Unit on (07) 5506 7490. If complications arise during or after the birth, you and your baby will be admitted to our Maternity Inpatient Unit (MIPU). The Midwifery Group provides: Prenatal care. This belief was a clear enabler of the proposed model: the cost would come with great reward (Nurse/Midwife Leader, Interview 3). 1). Our staff can also ask for an interpreter. In an emergency, please contact the Mater Mothers' Hospital Birthing Suites on telephone 07 3163 7000 (all hours). Midwifery Group Practice $75,200 jobs now available in New South Wales. Walsh D, Spiby H, McCourt C, Grigg C, Coleby D, Bishop S, et al. The group is expected to have about 250 women each year use the program to help with their birth plan and post-birth care. Midwifery continuity of care statement 2019 [Available from: https://www.pretermalliance.com.au/Alliance-News/Latest-News/Midwifery-Continuity-of-Care. Theres also the opportunity to develop an interdisciplinary trust (Nurse, Interview 14). Provided by the Springer Nature SharedIt content-sharing initiative. The overall sentiment across disciplines was that: Everyones ready for a change in the space and a growth in the space and how we can improve for the women and I think it would be highly supported, valued and everyone would be on board (Nurse/Midwife Leader, Interview 3). Perceptions around cost that are both potential enablers and barriers to gaining support and successful implementation would need to be clarified as fact in a business case before the proposed model is implemented. You will be contacted by them if you are able to be fitted into the program. Consequently, there may have been fewer inner setting barriers to establishing the proposed model of care compared to Australian maternity services in which midwifery group practice is new or not yet established. Midwifery Group Practice (MGP) continuity of care is where the woman and her family know the midwives who provide her care through pregnancy, labour, birth and at home after the baby is born. Opening Times: Monday to Friday 09:00 - 18:00 Share this page Twitter Facebook Contact NHS Borders In this study we have identified, with an interdisciplinary stakeholder perspective, both the potential barriers and enablers that will need to be considered in the next phases of planning and implementing a midwifery group practice for vulnerable women. Barriers and facilitators of accessing perinatal mental health services: the perspectives of women receiving continuity of care midwifery. Midwifery group practice (MGP) has consistently demonstrated optimal health and wellbeing outcomes for childbearing women and their babies. Referrals to the service can be made through a general practitioner or by self-referring by calling the Tweed Hospital Women's Care Unit on (07) 5506 7490. Midwifery Group Practice (MGP): Midwifery-led care for low- to medium-risk women from a designated . The CFIR was chosen to guide the context assessment because the process required engagement with individuals and groups across multiple levels of the health service and external stakeholders. However, other participants believed that these perceptions and challenges could be overcome and that the proposed model of care should be a priority for the hospital: yes there are financial implications and barriers, there doesnt seem to be good evidence to show why not (Other role, Interview 1). For most women your group of midwives will be able to provide the majority of your care. Tracy SK, Hartz DL, Tracy MB, Allen J, Forti A, Hall B, et al. The researchers conferred to agree on a joint understanding of the themes which emerged. Wollongong Hospital Carpark: Access to the North and South Carpark entrances via New Dapto Road or Dudley Street. Article Article As a specialty service the number of staff involved with the model of care for vulnerable women is small. These midwifery group practices cater for only a small proportion of vulnerable pregnant women and so many other women continue to have antenatal care that does not meet their needs. To promote rigor and dependability in the study findings, a second round of analysis was conducted [39,40,41]. PS: Conceptualization, Methodology, Investigation, Formal analysis, Writing Original Draft, Review submission. still having that multi-disciplinary approach is fantastic (Midwife, Interview 11). Midwifery. Gynecological care. Raatikainen K, Heiskanen N, Heinonen S. Under-attending free antenatal care is associated with adverse pregnancy outcomes. Toohill J, Turkstra E, Gamble J, Scuffham PA. A non-randomised trial investigating the cost-effectiveness of Midwifery Group Practice compared with standard maternity care arrangements in one Australian hospital. Google Scholar. In addition, the homogenous sample, high level of experience and mature age of participants may indicate unintended sampling bias. I see it as high priority to look at how we can increase activity and treat this vulnerable group (Nurse/Midwife Leader, Interview 4). Kupek E, Petrou S, Vause S, Maresh M. Clinical, provider and sociodemographic predictors of late initiation of antenatal care in England and Wales. Allen J, Gibbons K, Beckmann M, Tracy M, Stapleton H, Kildea S. Does model of maternity care make a difference to birth outcomes for young women? Such solutions would inform risk mitigation. yes, it is very important that we generate the activity to get something for the work that were doing, but at the end of the day we are looking at patient centred care, so if its easier and the best outcome for mother and baby then thats what we have to do (Other role, Interview 1). Poser C, Guenther E, Orlitzky M. Shades of green: Using computer-aided qualitative data analysis to explore different aspects of corporate environmental performance. 2021;21(1):113. no. The authors declare no conflicts of interest are held in relation to this study. Part Time Midwifery Group Practice jobs now available. What will happen when I arrive at the hospital? Existing maternity services may not meet the needs of vulnerable women during pregnancy, resulting in non-attendance of scheduled antenatal care and raising the risk of poor maternal and neonatal outcomes [5]. Overall, the most common terms were caseload midwifery (n = 63, 36%), midwifery-led continuity (n = 60, 34%), or team/midwifery group practice (n = 40, 23%). Mater acknowledges consumer consultation in the development of this patient information. Cookies policy. Gregory I, Kinge S. Maternity focus: caring for vulnerable pregnant women. For example, two participants advised the researchers that they were very grateful to have been invited to interview and were now more aware of the benefits of midwifery group practice for women including that this care was gold standard. (07) 5523 2888 6a Tweed Office Park, 24-28 Corporation Circuit, Tweed Heads South Get ready for the Murwillumbah Art Trail See Pages: 15, 26 Liftout Map: 24-25 IT'S ALWAYS BETTER TO TALK. Dos Santos JF, de Melo Bastos Cavalcante C, Barbosa FT, Gita DLG, Duzzioni M, Tilelli CQ, et al. Family planning and wellness education. Themes identified were the womans experience, midwifery workforce capabilities, identifying gold standard care, the interdisciplinary team and costs. If we can offer you a place on the program a midwife will contact you by phone. Implementation of a standard outcome set in perinatal care: a qualitative analysis of barriers and facilitators from all stakeholder perspectives. However, concerns were expressed regarding when having a known midwife might be a disincentive for women to engage. Castleberry A, Nolen, AJCiPT, Learning. Vanden Broeck J, Feijen-de Jong E, Klomp T, Putman K, Beeckman K. Antenatal care use in urban areas in two European countries: Predisposing, enabling and pregnancy-related determinants in Belgium and the Netherlands. Participant characteristics generally aligned with that of the Australian health workforce, with most participants being nurses and midwives (Australian Institute of Health and Welfare, 2020). Key phrases and meaning from interview data were used to allocate themes to constructs. Manage cookies/Do not sell my data we use in the preference centre. An interdisciplinary team was therefore an important and well supported component of the model, and no barriers to including an inter-disciplinary team in the model were identified. Cost reduction appears to be achieved through reorganising the way care is delivered in the public hospital system with the introduction of Midwifery Group Practice or caseload care. BMC Health Serv Res 22, 1265 (2022). Effective processes and strategies used to implement a midwifery group practice for vulnerable women depend on full engagement of stakeholders and a clear picture of the health service context [30, 31]. to field all those phone calls and constantly support that person would be really challenging (Nurse/Midwife Leader, Interview 3). The study also highlights the unexplained clinical variation that exists between the three models of care in Australi Mater Doc Num: PI-CLN-430006. In Finland, women who smoked and consumed alcohol were significantly more likely to receive insufficient antenatal care defined as between zero and five visits (Odds Ratios 1.87 and 1.48 respectively) [7]. Independent analysis and consistency of results further enhances the credibility and trustworthiness of the study, along with research reflexivity throughout the study. Australian Institute of Health and Welfare. CK: Methodology (Leximancer), Formal analysis, Data curation, Writing Original Draft, Review and Editing. Stakeholders had a positive attitude towards the intervention; they placed a high value on the proposed model of care. Maternity care in Australia: first national report on models of care, 2021. Our intent is to identify and share the results of the context assessment which can be applied to other maternity services across Australia and demonstrate implementation science methods as an appropriate approach. Active pursuit of the voices of consumers and staff from a representative range of backgrounds in planning new models of maternity care across Australia is recommended by the researchers. Australian Preterm Birth Prevention Alliance. Vulnerable women may also experience domestic and family violence isolation in addition to poor maternal health, further compromising the fetus and neonate [1]. MGP is located at the Wollongong Hospital and has an antenatal service at Shellharbour Hospital. Implement Sci. Royal Brisbane and Womens Hospital. 2011;5(6):2801. Forster DA, McLachlan HL, Davey MA, Biro MA, Farrell T, Gold L, et al. Midwifery Group Practice (MGP) Overview Our MGP program offers you one midwife (who works in a team) who will care for you through your pregnancy, through your birth and at home for 2 weeks after your baby is born. IT'S ALWAYS BETTER TO TALK FACE-TO-FACE Make the most of our expert insurance knowledge. Two strategies for qualitative content analysis: An intramethod approach to triangulation. Midwifery Group Practice. This is known as continuity of care. 2016;16:337. [email protected]. Computer-assisted analysis was undertaken to mitigate the recognised and acknowledged potential inherent bias in qualitative analysis [41]. If you cannot be seen by the MGP program, we have other pregnancy clinics that may suit you. Lancet. The service is free and confidential. The aim of Midwifery Group Practice (MGP) is to provide you with a known midwife for your birth and postnatal care at home. Cite this article. See your GP for referral to. As patterns emerged in the reassembling of data and coding, recurrent themes were identified to enable thematic analysis [38]. A qualitative context analysis using the Consolidated Framework for Implementation Research was conducted at a single-site tertiary health facility in Queensland, Australia. The identification of this enabler suggests that the initial enthusiasm for the intervention would sustain its implementation over time. Quality evidence drawn from Australian studies [10, 13] builds confidence amongst stakeholders, which is a strong enabler. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Gilkison A, McAra-Couper J, Gunn J, Crowther S, Hunter M, Macgregor D, et al. Clinics are available on specific weekdays and appointments can be negotiated for aconvenient time: Shellharbour Hospital It is also unknown how accepted midwifery group practice is amongst key stakeholders in Australia. Doi L, Cheyne H, Jepson R. Alcohol brief interventions in Scottish antenatal care: a qualitative study of midwives attitudes and practices. No additional people contacted the study team to offer their involvement. There are criteria around this involving your general health, obstetric history and your current address. View 48 Registered Midwife jobs in Ewingsdale NSW at Jora, create free email alerts and never miss another career opportunity again. Undertaking an extended placement within a midwifery group practice provides students with a rich and holistic learning experience and helps them develop a sense of professional identity. Peer checking was undertaken independently (by CK) through analysis of the de-identified research transcripts using Leximancer V4. Heres the latest. 2014;30(4):44755. The cost of the proposed model had not been established but was imagined by participants to be higher than both the current model of care and comparative midwifery group practices. Easy access for disabled persons at both Hospitals. Two female researchers (PS and DR) conducted the interviews with PS facilitating all, and DR co-leading all but three sessions due to her clinical availability. Each researcher independently analysed the data, highlighted key terms and assigned their own codes. Breen C, Awbery E, Burns L. Supporting pregnant women who use alcohol or other drugs: a review of the evidence.

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