A qualitative study of innovations implemented to improve transition of care from maternity to child and family health (CFH) services in Australia |
| |
| Authors: | Kim Psaila Cathrine Fowler Sue Kruske Virginia Schmied |
| |
| Institution: | 1. School of Nursing and Midwifery, Building EB Parramatta Campus, University of Western Sydney, Australia;2. Tresillian Chair for Child & Family Health Centre for Midwifery, Child & Family Health Faculty of Nursing, Midwifery & Health University of Technology Sydney, Australia;3. Queensland Centre for Mothers & Babies, The University of Queensland, Brisbane, Qld 4072, Australia;4. School of Nursing and Midwifery, The Family and Community Health Research Group, Building EB Parramatta Campus, University of Western Sydney, Australia;1. Etlik Zubeyde Hanim Women''s Health Training and Research Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey;2. Recep Tayyip Erdogan University School of Medicine, Department of Obstetrics and Gynecology, Rize, Turkey;3. Gulhane Military Medical Academy, Department of Epidemiology, Ankara, Turkey;4. St. Luke''s Roosevelt Hospitals, Department of Obstetrics and Gynecology, New York, NY, United States;1. Population Research Centre, Department of Demography, Faculty of Spatial Sciences, University of Groningen, Landleven 1, 9747 AD Groningen, Netherlands;2. Research and Innovation Group in Health Care and Nursing, School of Health, Hanze University of Applied Sciences, Eyssoniusplein 18, 9714 CE Groningen, Netherlands;1. Department of Women''s and Children''s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden;2. Breastfeeding Promotion Network of India (BPNI), New Delhi, India;3. Department of Paediatrics, University College of Medical Sciences & Guru Tegh Bahadur (GTB) Hospital, New Delhi, India;1. School of Nursing and Midwifery, University of South Australia, Australia;2. Learning and Teaching Unit, University of South Australia, Australia |
| |
| Abstract: | BackgroundThe transition of care (ToC) from maternity services, particularly from midwifery care to child and family health (CFH) nursing services, is a critical time in the support of women as they transition into early parenting. However significant issues in service provision exist, particularly meeting the needs of women with social and emotional health risk factors. These include insufficient resources, poor communication and information transfer, limited interface between private and public health systems and tension around role boundaries. In response some services are implementing strategies to improve the transition of care from maternity to CFH services.AimThis paper describes a range of innovations developed to improve transition of care between maternity and child and family health services and identifies the characteristics common to all innovations.MethodsData reported were collected in phase three of a mixed methods study investigating the feasibility of implementing a national approach to child and family health services in Australia (CHoRUS study). Data were collected from 33 professionals including midwives, child and family health nurses, allied health staff and managers, at seven sites across four Australian states. Data were analysed thematically, guided by Braun and Clarke's six-step process of thematic analysis.FindingsThe range of innovations implemented included those which addressed; information sharing, the efficient use of funding and resources, development of new roles to improve co-ordination of care, the co-location of services and working together. Four of the seven sites implemented innovations that specifically targeted families with additional needs. Successful implementation was dependent on the preliminary work undertaken which required professionals and/or organisations to work collaboratively.ConclusionImproving the transition of care requires co-ordination and collaboration to ensure families are adequately supported. Collaboration between professionals and services facilitated innovative practice and was core to successful change. |
| |
| Keywords: | Midwives Child and family health nurses Transition of care Maternity services Child and family health services |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
