Renz SM, Carrington JM, Badger TAJQhr. * send the MGPform aboveto this address:ISLHD-TWHAntenatalServices@health.nsw.gov.au. Cat. The study was deemed by the hospitals and universitys Human Research Ethics Committees as a quality assurance or quality improvement activity and thus not requiring formal ethics approval (Exemption number: LNR/2019/QRBW/54,360). Provided by the Springer Nature SharedIt content-sharing initiative. Libby Lamb (Endorsed Midwife) is located in sunny South Golden Beach and is available for full midwifery care including pregnancy care, homebirth support and post baby nurturing. Processes that demonstrate evidence of planning and reflecting across all CFIR domains, especially regarding linkages between different health professional disciplines and costs, are also important. Potential enablers of implementation included perceptions that the model facilitates a relationship of trust with vulnerable women, that clinical benefit outweighs cost and universal stakeholder acceptance. Active labour, normal birth, breastfeeding and early discharge home from the Birthing Unit are important to us. Participants suggested that to overcome this barrier, caseloads should be reduced, and midwives should be well supervised and mentored as described also by others [46], especially when caring for vulnerable women [47]. Birth. Find out more about our policy and your choices, including how to opt-out. For many, the perception from the evidence that a midwifery group practice for vulnerable women is gold standard was the sole driver for supporting the proposed model and was seen as a strong enabler which would enhance a business case for the proposed model. As this study was carried out in a facility with established and supported midwifery group practices, caution should be applied in generalising the specific local results to other services for which midwifery group practice is a new concept. The midwife researchers reflected on and acknowledged both the potential bias of being midwives investigating a topic they may have a self-interest in, along with the benefits of improved engagement from participants as they were known colleagues. Maternal, fetal and neonatal consequences associated with the use of crack cocaine during the gestational period: a systematic review and meta-analysis. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Of the 40 people invited to an interview, 31 consented to participate (77.5%) with no response received from 9 others. Women should apply for MGP care if they are: Google Scholar. The interdisciplinary team expressed views that to continue safe and effective care, it was important the teams role be maintained. Call our 24/7 hotline on (07) 3810 1242 or (07) 3810 1564 to speak with a midwife about your questions or concerns. Postpartum care. Such antenatal care may facilitate equitable access, high quality health care and the best possible health outcomes during pregnancy, birth and the postpartum period [12]. Women and Birth. Midwifery Group Practice | Northern NSW Local Health District ResetShow/Hide X EMERGENCY In an emergency, always call triple zero (000). Implement Sci. BMC Pregnancy Childbirth. The integral way in which having a known midwife provides benefit and support for women was repeatedly discussed by participants. The midwife researchers (PS and DR) concluded in their reflections that the broad range of disciplines from which participants were drawn resulted in very positive engagement from the team and enhanced marketing of the proposed change in service delivery. There were a number of different terms used to define the model of care, and the level of continuity provided across the continuum of care varied with no single term used. Tweed Midwifery Group Practice provides assistance to new mums. New Z Coll Midwives J. Participants were mostly clinicians with more than 10 years experience and so were likely able to make accurate assumptions around the number of workforce hours required to build rapport with women, discuss the care being delivered with the women and amongst colleagues, and deliver the volume of care required to optimise health outcomes. View on Google maps. 2012;52(6):57681. Overall, the most common terms were caseload midwifery (n = 63, 36%), midwifery-led continuity (n = 60, 34%), or team/midwifery group practice (n = 40, 23%). EM: Methodology, Writing Original Draft, Supervision. For example, two participants advised the researchers that they were very grateful to have been invited to interview and were now more aware of the benefits of midwifery group practice for women including that this care was gold standard. 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. The State of Queensland (Queensland Health) 2023, www.goldcoast.health.qld.gov.au | | _v1_, Gold Coast Health is recognised for quality patient care, nursing and midwifery excellence and innovations in professional nursing and midwifery practice under the, Aboriginal & Torres Strait Islander service, Aboriginal and Torres Strait Islander Health, Services, Emergency Contacts and Resources, Lesson 1 - Using language strategies in everyday routines, Feeding babies for women isolated and quarantined, Partner with the National Centre for Neuroimmunology and Emerging Diseases. Twenty individual or small group interviews were conducted. Gao Y, Gold L, Josif C, Bar-Zeev S, Steenkamp M, Barclay L, et al. Independent analysis and consistency of results further enhances the credibility and trustworthiness of the study, along with research reflexivity throughout the study. How can I get emotional support? PubMed 2014;41(1):7987. Our staff can also ask for an interpreter. Participants were also invited to provide further information via email at their convenience, but transcripts would not be returned to comments for comment or correction. 2018;18(1):431. A modified survey was completed by the business representative officer with clinically based questions removed and others added to retain a business and cost focus. ISLHD-TWHAntenatalServices@health.nsw.gov.au. Corsi DJ, Walsh L, Weiss D, Hsu H, El-Chaar D, Hawken S, et al. Themes and sub-themes similar to those that emerged from manual analysis were around the womans experience, workforce, standards of care and opportunity. However, concerns were expressed regarding when having a known midwife might be a disincentive for women to engage. As part of this ethical review, we were required to provide brief background information on the proposed MGP model of care to participants. Midwifery group practice (MGP) has consistently demonstrated optimal health and wellbeing outcomes for childbearing women and their babies. Midwives are trained specialists in normal pregnancy, childbirth and postnatal care. Information received by email post-interview was collated for de-identification and included in the analysis. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. The aim of Midwifery Group Practice (MGP) is to provide you with a known midwife for your birth and postnatal care at home. Gynecological care. A midwifery group practice was perceived to meet the needs of vulnerable women because for example, some with abuse histories dont want to go over those histories over and over (Midwife, Interview 2). Midwives will actually see this as a positive move and its going to be development for them, and its going to be opportunistic for them (Nurse/Midwife Leader, Interview 4). Women using the Midwifery Group Practice (MGP) model of care will have a known midwife who works with one or more backup midwives to provide care from early in pregnancy, throughout labour and birth, and for up to six weeks after birth. Article 2016;40:15361. Factors influencing the utilisation of free-standing and alongside midwifery units in England: a qualitative research study. Your MGP midwife remains on-call 24 hours for women expecting to birth and emergencies. PS: Conceptualization, Methodology, Investigation, Formal analysis, Writing Original Draft, Review submission. Our research suggests that stakeholders naturally seek evidence for both costs and effectiveness, and in the absence of evidence, local costs should be examined. Quality evidence drawn from Australian studies [10, 13] builds confidence amongst stakeholders, which is a strong enabler. Depla AL, Crombag NM, Franx A, Bekker MN. Feedback on study results at completion of the study was provided to participants who requested follow-up. Patients and visitors Our services The Tweed Practice The Tweed Practice Details and latest news from The Tweed Practice can be found on the Hay Lodge Health Centre website. For the midwife dealing with only these women, it could over time be mentally challenging potentially exhausting and tiring (Midwife, Interview 6). Whilst some MGPs are already established there is no ability to be engaged concomitantly with the antenatal model of care available to vulnerable women [36]. These Australian models facilitate monitoring of antenatal clinical indicators but may miss an opportunity to establish trusting relationships through continuity of carers during pregnancy and the postpartum period [12]. Vulnerable women may also experience domestic and family violence isolation in addition to poor maternal health, further compromising the fetus and neonate [1]. An interdisciplinary group of stakeholders from a purposeful sample of 31 people participated in semi-structured interviews. A limitation of the study was that due to local facility arrangements for selection of consumer representatives only one consumer participated in the interviews. As the interviews were guided by the CFIR, questions were not pilot tested. Australian Preterm Birth Prevention Alliance. Group interviews included between two and five members based on availability of attendees. Mater Doc Num: PI-CLN-430006. Thirteen individual interviews and 7 group sessions were held over a months period in 2019 on-site at the facility. It not only makes the patient feel safe and more comfortable with their surroundings, in my opinion, it makes the patient a bit more accountable and builds rapport with that clinician and women would be more engaged to come back (Other role, Interview 1). In an emergency, please contact the Mater Mothers' Hospital Birthing Suites on telephone 07 3163 7000 (all hours). The group is expected to have about 250 women each year use the program to help with their birth plan and post-birth care. to field all those phone calls and constantly support that person would be really challenging (Nurse/Midwife Leader, Interview 3). BMC Public Health. There is strong international evidence that these womens pregnancies are more likely to result in placental abruption, preterm birth, neonates that are small for gestational age, and neonatal admission to an intensive care unit [3, 4]. See your GP for referral to. All times AEST (GMT +10). BMC Health Services Research This is supported by comments from participants: vulnerable or disadvantaged groups would benefit (Other role, Interview 1). Two strategies for qualitative content analysis: An intramethod approach to triangulation. its an addition to the multi-disciplinary teams, so it doesnt take anything away but theyve got some-one they can trust that follows them through all the way (Medical Officer, Interview 8). J Cross-Cult Psychol. Annals of Leisure Research. Peer checking was undertaken independently (by CK) through analysis of the de-identified research transcripts using Leximancer V4. if that relationship isnt working there could be space to swap (Other role, Interview 17). Asking women about mental health and social adversity in pregnancy: results of an Australian population-based survey. Roslyn Donnellan-Fernandez . The perception that midwifery group practice for vulnerable women is a high-risk model of care lacking in evidence may have in the past, thwarted implementation planning studies that seek to improve care for these women. Ongoing postnatal care is then personalised to you and the needs of your baby, and consists of regular home visits in the first few weeks after the birth of your baby. 1) Confirm your pregnancy. Notes were also made by the interviewers. Toohill J, Turkstra E, Gamble J, Scuffham PA. A non-randomised trial investigating the cost-effectiveness of Midwifery Group Practice compared with standard maternity care arrangements in one Australian hospital. Poser C, Guenther E, Orlitzky M. Shades of green: Using computer-aided qualitative data analysis to explore different aspects of corporate environmental performance. 2023 BioMed Central Ltd unless otherwise stated. Key phrases and meaning from interview data were used to allocate themes to constructs. 2014;14(1):170. 2012;28(2):16372. 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. In total, 40 internal and external stakeholders were invited to participate including: medical, nursing, midwifery, allied health, business, administration, and consumer representatives. It was another blockbuster weekend in the NRRRL, with a physical grand final rematch and one of the comebacks of the season so far among the highlights. The Midwifery Group Practice (MGP) is a free service offered by Gold Coast Health and is located within the Birth Centre at the Gold Coast University Hospital. Lancet. In Northern NSW, MGP models are available for healthy, well women at Tweed, Murwillumbah, Byron and Lismore Hospitals. Bayrampour H, McNeil DA, Benzies K, Salmon C, Gelb K, Tough S. A qualitative inquiry on pregnant womens preferences for mental health screening. 2020;56:2634. Participants identified that the proposed model is likely to provide health benefits for women due to the rapport built with a small group of care givers including a supportive interdisciplinary team providing continuity of care. 2021 Mater Misericordiae Ltd. ACN 096 708 922. Cookies policy. Aust N Z J Obstet Gynaecol. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. However, participants were conscious of the burden of such a maternity care model on the workforce, both in terms of the emotional challenge due to the womens complex care requirements and managing the financial cost of the service which would require further evaluation. For most women your group of midwives will be able to provide the majority of your care. Reid N, Gamble J, Creedy DK, Finlay-Jones A. PubMed Happy to go home within 4 to 6 hours of birth if mum and baby are well, Early Years Centre Coomera Springs State School, Old Coach Rd, Upper Coomera QLD 4209 These themes function as ways in which we have organised and expressed the barriers and enablers. Midwifery continuity of care statement 2019 [Available from: https://www.pretermalliance.com.au/Alliance-News/Latest-News/Midwifery-Continuity-of-Care. Why shouldnt they have an MGP, they shouldnt be excluded just because theyve had drug and alcohol or mental health issues in the past (Nurse, Interview 15). Implement Sci. Midwifery practice arrangements which sustain caseloading Lead Maternity Carer midwives in New Zealand. The consolidated framework for implementation research 2019 [Available from: https://cfirguide.org/. A summary of potential barriers and enablers from which these themes emerged is presented in Supplementary File 1. CK: Methodology (Leximancer), Formal analysis, Data curation, Writing Original Draft, Review and Editing. The diversity and large relative number of stakeholders involved in the study also ensured the qualitative data were reflective of a comprehensive sample from which data saturation was readily achieved. Continuity of care through midwifery group practice is mostly restricted to women with low-risk pregnancies and is not universally available to vulnerable women, despite evidence supporting benefits of this model of care for all women. MGP midwives work . The cost of the proposed model had not been established but was imagined by participants to be higher than both the current model of care and comparative midwifery group practices. 2017;17(1):339. Most participants were female (87%) and between 41 and 50 years of age (35.5%). RM MHN RN IBCLC BN MNg Grad Cert MIDW (Pharm) School of Nursing and Midwifery . Active pursuit of the voices of consumers and staff from a representative range of backgrounds in planning new models of maternity care across Australia is recommended by the researchers. The Midwifery Group Practice (MGP) is a program run by Armadale Health Service (AHS) for women who prefer to be cared for by the same midwife throughout their pregnancy and postnatal period. Perceptions around cost that are both potential enablers and barriers to gaining support and successful implementation would need to be clarified as fact in a business case before the proposed model is implemented. A train service is close by for women attending Wollongong Hospital and a public carparking service is available at both Wollongong and Shellharbour. Midwifery. Am J Perinatol. Developing and implementing an antenatal, birth and postnatal service that addresses the challenges experienced by vulnerable women requires consideration of potential barriers to and enablers of successful care at both the health care provider and broader health service levels. A coding tree was not created, as software was not used for this component of the analysis. NEW mothers can expect the best of care at the new Tweed Midwifery Group Practice. The Indigenous Birthing in an Urban Setting study: the IBUS study: A prospective birth cohort study comparing different models of care for women having Aboriginal and Torres Strait Islander babies at two major maternity hospitals in urban South East Queensland, Australia. Heres the latest. BMC Health Serv Res. California Privacy Statement, Themes were compared and mapped to the Framework. Employment Type: Permanent Part Time / Full Time \nPosition Classification: Registered Midwife \nRemuneration: $33.13 - $46.52 per hour \nHours Per Week: up to 38 \nRequisition ID: REQ303794\n\n \nThe Tweed Midwifery Group Practice is seeking a Registered Midwife to coordinate and deliver high quality women and newborn-centred midwifery care in accordance with the Nursing and Midwifery Board . volume22, Articlenumber:1265 (2022) Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, et al. de Groot N, Venekamp AA, Torij HW, Lambregtse-Van den Berg MP, Bonsel GJJM. Click here for more information about theIllawarra Health Care Interpreter Service. 2018;66:7987. We aimed to identify the potential barriers and enablers for implementing a midwifery group practice for vulnerable women. An interdisciplinary team supporting the midwives is also an essential component of the service design. Cretchley J, Rooney D, Gallois C. Mapping a 40-year history with Leximancer: Themes and concepts in the Journal of Cross-Cultural Psychology. If material is not included in the articles Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Overall, the most common terms were caseload midwifery (n = 63, 36%), midwifery-led continuity (n = 60, 34%), or team/midwifery group practice (n = 40, 23%). Please contact us to discuss fees, Medicare rebates, the Pharmaceutical Benefits Scheme, etc Illawarra and Shoalhaven Local Health District, https://www.islhd.health.nsw.gov.au/services-clinics/welcome-division-maternity-and-womens-health/mgp, Welcome to the Division of Maternity and Women's Health, Click here for more information about theIllawarra Health Care Interpreter Service, Antenatal (Pregnancy) Care - Milton Ulladulla Hospital, Antenatal (Pregnancy) Care - Shoalhaven Hospital, Antenatal (Pregnancy) Clinic - Wollongong Hospital, Antenatal (Pregnancy) Shared Care with your GP, Childbirth & Early Parenting Education - groups and videos, Early Pregnancy Assessment Service (EPAS), Maternity Ward (C2 West) - Wollongong Hospital, Midwifery Group Practice (MGP) - Wollongong, Neonatal (Baby) Unit - Shoalhaven Hospital, Neonatal (Baby) Unit - Wollongong Hospital, Coronavirus (Covid-19) - Pregnancy and Breastfeeding, Diabetes in pregnancy- Gestational (GDM), Type 1 or Type 2, Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (HG), Resources and brochures - pregnancy, baby, other languages. As patterns emerged in the reassembling of data and coding, recurrent themes were identified to enable thematic analysis [38]. Midwifery. In the computer-assisted analysis, five themes were identified from the data: women with complex care: specialty clinic; continuity of care; workforce; and opportunity (Fig. Risk management assessment indicates the need to identify likely barriers and enablers. To do this, we conducted a qualitative context assessment using the Consolidated Framework for Implementation Research (CFIR) [31,32,33].The CFIR was chosen to guide the context assessment because the process required engagement with individuals and groups across multiple .
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