Working in caseload midwifery care: The experience of midwives working in a birth centre in North Queensland |
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| Authors: | Marissa C Edmondson Sandra B Walker |
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| Institution: | 1. The Townsville Hospital, 100 Angus Smith Drive, Douglas, QLD 4814, Australia;2. Central Queensland University Rockhampton, Bruce Highway, North Rockhampton, QLD 4702, Australia;1. Florence Nightingale School of Nursing and Midwifery, King''s College London, 57 Waterloo Road, London SE1 8WA, UK;2. University of West London, Paragon House, Boston Manor Road, Brentford TW8 9GA, UK;3. Imperial College Healthcare NHS Trust, St. Mary''s Hospital, Praed Street, London W2 1NY, UK;4. City University London, Alexandra Building, Philpot Street, London E1 2EA, UK;1. Faculty of Medicine, University of Sydney, City Rd Darlington, NSW 2006, Australia;2. School of Public Health, University Centre for Rural Health — North Coast, University of Sydney, 61 Uralba Street, Lismore, NSW 2480, Australia;3. Centre for Rural Health Research, University of British Columbia, 530–1501 West Broadway, Vancouver, BC V6J 4Z6, Canada;1. University of South Australia, City East Campus, North Tce, Adelaide, SA 5000, Australia;2. Flinders University, GPO Box 2100, Adelaide 5001, SA, Australia;1. School of Nursing and Midwifery La Trobe University, Bundoora 3086, Australia;2. Judith Lumley Centre, La Trobe University, 215 Franklin St, Melbourne 3000, Australia;3. The Royal Women?s Hospital, 20 Flemington Road, Parkville 3052, Australia |
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| Abstract: | BackgroundPregnancy, birth and child rearing are significant life events for women and their families. The demand for services that are family friendly, women focused, safe and accessible is increasing. These demands and rights of women have led to increased government and consumer interest in continuity of care and the establishment in Australia of birth centres, and the introduction of caseload midwifery models of care.AimThe aim of this research project was to uncover how birth centre midwives working within a caseload model care constructed their midwifery role in order to maintain a positive work–life balance.MethodsA Grounded Theory study using semi-structured individual interviews was undertaken with seven midwives who work at a regional hospital birth centre to ascertain their views as to how they construct their midwifery role while working in a caseload model of care.FindingsThe results showed that caseload midwifery care enabled the midwives to practice autonomously within hospital policies and guidelines for birth centre midwifery practice and that they did not feel too restricted in regards to the eligibility of women who could give birth at the centre. Work relationships were found to be a key component in being able to construct their birth centre midwifery role. The midwives valued the flexibility that came with working in supportive partnerships with many feeling this enabled them to achieve a good work–life balance.ConclusionThe research contributes to the current body of knowledge surrounding working in a caseload model of care as it shows how the birth centre midwives construct their midwifery role. It provides information for development and improvement of these models of care to ensure that sustainability and quality of care is provided to women and their families. |
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| Keywords: | Midwives Midwifery role Birth centre Experiences Caseload |
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