Professional interpreters are available if you need help to communicate with staff. If complications arise during or after the birth, you and your baby will be admitted to our Maternity Inpatient Unit (MIPU). Breen C, Awbery E, Burns L. Supporting pregnant women who use alcohol or other drugs: a review of the evidence. Women and Birth. Adm Policy Ment Health. Article We therefore aimed to identify the barriers and enablers that might impact the implementation of a midwifery group practice for vulnerable women. 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. againsome come with diverse cultural situations and specific needs (Midwife, Interview 2). 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. Faculty of Medicine, Nursing and Health Sciences . Gao Y, Gold L, Josif C, Bar-Zeev S, Steenkamp M, Barclay L, et al. Asking women about mental health and social adversity in pregnancy: results of an Australian population-based survey. 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). A summary of potential barriers and enablers from which these themes emerged is presented in Supplementary File 1. Google Scholar. Postpartum care. These views become potential enablers when preparing detailed business cases that demonstrate strategic and strong stakeholder support as well as alignment with evidence and policy advocating woman-centred care. Using the CFIR in this study presents results that may guide other Australian maternity services on how to best plan and implement a midwifery group practice for vulnerable women. Participants even sought evidence in preparation for the interviews and ensured they were familiar with the proposal. 2018;66:7987. 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). Midwifery Group Practice is a continuity of care model for pregnant women who provide individualised care through her antenatal (pregnancy), intra partum (labour and birth) and early postnatal journey. The concern focussed around the potential impact on other teams which was seen as a barrier: I think there is resistancethey see this is going to be taking away from their skill mix and FTE (Full Time Equivalent) (Nurse/Midwife Leader, Interview 4). The identification of this enabler suggests that the initial enthusiasm for the intervention would sustain its implementation over time. This was particularly evident for participants who had undertaken reading prior to the interview with participants expressing: I have looked online to have a look at the research shows the best outcome for babies and mothers across the board in terms of continuity of care models (Other role, Interview 1). BMC Health Serv Res 22, 1265 (2022). to field all those phone calls and constantly support that person would be really challenging (Nurse/Midwife Leader, Interview 3). All data were de-identified in preparation for data analysis. Themes were then mapped to CFIR domains and constructs within each domain to finalise the analysis. J Subst Abuse Treat. Gilbert P, Herzig K, Thakar D, Viloria J, Bogetz A, Danley DW, et al. Background information included one sentence about the evidence for midwifery group practice being an appropriate solution for vulnerable pregnant women and the purpose of the study and risks and benefits of participating. Two strategies for qualitative content analysis: An intramethod approach to triangulation. This belief was a clear enabler of the proposed model: the cost would come with great reward (Nurse/Midwife Leader, Interview 3). 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. The perspectives of consumers, and staff who were less experienced and/or from culturally and socially diverse backgrounds were not given, nor was there discussion in the interviews about the impact of the proposed model on these women. Continuity of midwifery care (Midwifery Group Practice)your care is provided by a midwife during your pregnancy, when have your baby and for up to 6 weeks after the baby is born.
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