首页 | 本学科首页   官方微博 | 高级检索  
     检索      


Midwife experiences of providing continuity of carer: A qualitative systematic review
Institution:1. Department of Women and Children''s Health Faculty of Life Sciences & Medicine, King''s College London, 10th Floor, North Wing St. Thomas'' Hospital Westminster Bridge Road, London, SE1 7EH, UK;2. Centre for Nursing, Midwifery and Allied Health Professional Research, First Floor Maple House, 149 Tottenham Court Road, London W1T 7NF, UK;3. Institute for Health and Human Development, University of East London, UH250, Stratford Campus, London, E15 4LZ, UK
Abstract:ProblemContinuity of carer models present positives and challenges for midwives working in them, and are difficult to sustain.BackgroundResearch shows midwifery continuity of carer improves perinatal outcomes and experiences, and is considered the optimal model of care.AimTo synthesise existing research on midwives’ experiences of providing continuity of carer and generate further understanding of what sustains them in practice.MethodsProtocol for the review was developed using PRISMA guidelines and registered with PROSPERO. 22 studies were included with original themes and findings extracted using JBI tools and synthesised using meta-ethnographic techniques. GRADE CERQual assessment of review findings showed high confidence.FindingsMidwives identified working in continuity of carer models as both fulfilling and challenging. Professional autonomy and ability to develop meaningful relationships were the most commonly cited positives, while lack of work life balance and conflict with the wider maternity team were the main challenges. 15 studies identified strategies employed by midwives which sustained them in practice.DiscussionMidwife experiences of providing continuity are impacted by personal and professional factors. Of paramount importance to sustainability of the model is the support of the wider organisation, and their alignment with principles of person-centred, relational care.ConclusionRelational models of care are desired by midwives, service users and are recommended in policy. Relational models of care must be responsive to midwives needs as well as birthing people, and therefore need to be designed and managed by those working in them and supported by the whole organisation to be sustainable.
Keywords:Midwifery  Continuity of carer  Continuity of care  Sustainable development  Organisational models
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号