Midwives’ views of changing to a Continuity of Midwifery Care (CMC) model in Scotland: A baseline survey |
| |
| Institution: | 1. Maternal Health & Consultant Midwife for NHS Lothian, School of Health and Social Care, Edinburgh Napier University (ENU), Sighthill Campus, Edinburgh, Scotland, UK, EH11 4BN;2. School of Health and Social Care, Edinburgh Napier University (ENU), Sighthill Campus, Edinburgh EH11 4BN, Scotland, UK;3. NHS Lothian, Waverley Gate2-4 Waterloo Place Edinburgh EH1 3EG, Scotland, UK;1. Department of Women and Children''s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King''s College London, United Kingdom;2. Midwifery Research Unit, Mater Medical Research Institute, University of Queensland, Australia;3. Midwifery Group Practice, Alice Springs Hospital, Central Australian Health Service, Australia;4. The Royal Women''s Hospital, Melbourne, Australia;5. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Australia;6. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Australia;7. Burnet Institute, Melbourne, Australia;1. Centre for Nursing Midwifery and Allied Health Professional Research, University College London Hospitals;2. Faculty of Health Sciences, De Montford University;3. Honorary Research Fellow Oxford Brookes University, Adjunct Professor University of Technology Sydney and Griffith University Queensland Australia.;4. Department of Women and Children''s Health, School of Life Course Science l Faculty of Life Sciences & Medicine | King''s College London |
| |
| Abstract: | BackgroundThere is good evidence that Continuity of Midwifery Care (CMC) is associated with improved clinical outcomes, greater maternal satisfaction, and improved work experiences for midwives. Changes made to the organisation require careful implementation, with on-going evaluation to monitor progress.AimTo develop a survey tool that incorporates several validated scales, which was used to collect baseline data prior to implementing a high-quality Continuity of Midwifery Care (CMC) model in Scotland (Hewitt et al., 2019). This tool gathered data about midwives’ personal and professional wellbeing prior to service reorganisation, with a longitudinal study intended to measure change in midwives’ reportage across time. This paper reports the baseline data-collection.MethodsAn on-line survey was shared with practising midwives (n = 321) in Scotland via the NHS intranet, verbally, email, and paper. The survey elicited midwives views about Continuity of Midwifery Care (CMC); values and philosophies of care; attitudes towards their professional role; personal and professional demographics; quality of life and wellbeing. Psychometric attitudinal scales were scored and free text comments themed according to positive/negative opinions of the new Continuity of Midwifery Care (CMC) model to highlight key concerns to be addressed and identify change barriers or facilitators.FindingsThe majority of midwives indicated support for philosophies underpinning Continuity of Midwifery Care (CMC), which includes physiological birth and providing autonomous midwifery care. Participants also indicated positive attitudes towards their current role and organisation, with some worrying about how the organisation was going to implement the changes required. Worries included, receiving an overburdening workload, being deskilled in certain areas of midwifery practice, and lack of support were litigation to arise.ConclusionMidwives support the values and philosophies that underpin Continuity of Midwifery Care (CMC), yet worry about organisational change involved in evolving systems of care. Hence, management require to implement strategies to reduce fears. For example, delivering accurate and honest information, enabling midwives to plan, design and implement changes themselves, and providing emotional and material help. |
| |
| Keywords: | Childbirth Continuity of Midwifery Care Midwife Midwifery Model Organisational change Survey |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
