Pub Date : 2020-04-27DOI: 10.21203/rs.3.rs-22386/v1
M. Davies-Tuck, Mikayla Ruzic, Mary-Ann Davey, R. Hodges, B. Nowotny, V. Flenady, C. Andrews, E. Wallace
BACKGROUND In July 2017, Victoria's largest maternity service implemented a new clinical practice guideline to reduce the rates of term stillbirth in women of South Asian background. AIM To capture the views and experiences of clinical staff following the implementation of the new clinical guideline. METHODS Cross sectional survey of clinical staff providing maternity care in August 2018, 12 months post implementation. Staff were asked to provide their agreement with ten statements assessing: perceived need for the guideline, implementation processes, guideline clarity, and clinical application. Open-ended questions provided opportunities to express concerns and offer suggestions for improvement. The frequency of responses to each question were tabulated. Open ended responses were grouped together to identify themes. FINDINGS A total of 120 staff completed the survey, most (n=89, 74%) of whom were midwives. Most staff thought the rationale (n=95, 79%), the criteria for whom they applied (83%, n=99), and the procedures and instructions within the guideline were clear (74%, n=89). Staff reported an increase in workload (72%, n=86) and expressed concerns related to rationale and evaluation of the guidelines, lack of education for both staff and pregnant South Asian women, increased workload and insufficient resources, patient safety and access to care. Challenges relating to shared decision making and communicating with women whose first language is not English were also identified. DISCUSSION This study has identified key barriers to and opportunities for improving implementation and highlighted additional challenges relating to new clinical guidelines which focus on culturally and linguistically diverse women.
{"title":"Understanding staff views and experiences of a clinical practice change to reduce stillbirth in South Asian women: A cross-sectional survey.","authors":"M. Davies-Tuck, Mikayla Ruzic, Mary-Ann Davey, R. Hodges, B. Nowotny, V. Flenady, C. Andrews, E. Wallace","doi":"10.21203/rs.3.rs-22386/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-22386/v1","url":null,"abstract":"BACKGROUND\u0000In July 2017, Victoria's largest maternity service implemented a new clinical practice guideline to reduce the rates of term stillbirth in women of South Asian background.\u0000\u0000\u0000AIM\u0000To capture the views and experiences of clinical staff following the implementation of the new clinical guideline.\u0000\u0000\u0000METHODS\u0000Cross sectional survey of clinical staff providing maternity care in August 2018, 12 months post implementation. Staff were asked to provide their agreement with ten statements assessing: perceived need for the guideline, implementation processes, guideline clarity, and clinical application. Open-ended questions provided opportunities to express concerns and offer suggestions for improvement. The frequency of responses to each question were tabulated. Open ended responses were grouped together to identify themes.\u0000\u0000\u0000FINDINGS\u0000A total of 120 staff completed the survey, most (n=89, 74%) of whom were midwives. Most staff thought the rationale (n=95, 79%), the criteria for whom they applied (83%, n=99), and the procedures and instructions within the guideline were clear (74%, n=89). Staff reported an increase in workload (72%, n=86) and expressed concerns related to rationale and evaluation of the guidelines, lack of education for both staff and pregnant South Asian women, increased workload and insufficient resources, patient safety and access to care. Challenges relating to shared decision making and communicating with women whose first language is not English were also identified.\u0000\u0000\u0000DISCUSSION\u0000This study has identified key barriers to and opportunities for improving implementation and highlighted additional challenges relating to new clinical guidelines which focus on culturally and linguistically diverse women.","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80212509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-01DOI: 10.1016/j.wombi.2016.09.003
I. Jepsen, Edith Mark, M. Foureur, E. Nøhr, E. E. Sørensen
{"title":"A qualitative study of how caseload midwifery is experienced by couples in Denmark.","authors":"I. Jepsen, Edith Mark, M. Foureur, E. Nøhr, E. E. Sørensen","doi":"10.1016/j.wombi.2016.09.003","DOIUrl":"https://doi.org/10.1016/j.wombi.2016.09.003","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89752666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-01DOI: 10.1016/j.wombi.2016.08.002
Mandie Scamell, Roa Altaweli, C. McCourt
{"title":"Sarah's birth. How the medicalisation of childbirth may be shaped in different settings: Vignette from a study of routine intervention in Jeddah, Saudi Arabia.","authors":"Mandie Scamell, Roa Altaweli, C. McCourt","doi":"10.1016/j.wombi.2016.08.002","DOIUrl":"https://doi.org/10.1016/j.wombi.2016.08.002","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74170893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.wombi.2015.10.005
Wenjie Sun, Yumei Zheng, Yiqiong Xie
{"title":"The future of baby hatches in China.","authors":"Wenjie Sun, Yumei Zheng, Yiqiong Xie","doi":"10.1016/j.wombi.2015.10.005","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.10.005","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81363737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.wombi.2015.11.009
Elin Ternström, I. Hildingsson, H. Haines, Christine Rubertsson
{"title":"Pregnant women's thoughts when assessing fear of birth on the Fear of Birth Scale.","authors":"Elin Ternström, I. Hildingsson, H. Haines, Christine Rubertsson","doi":"10.1016/j.wombi.2015.11.009","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.11.009","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84407869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.wombi.2015.12.001
Robyn M. Maude, J. Skinner, M. Foureur
{"title":"Putting intelligent structured intermittent auscultation (ISIA) into practice.","authors":"Robyn M. Maude, J. Skinner, M. Foureur","doi":"10.1016/j.wombi.2015.12.001","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.12.001","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74741490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.wombi.2015.11.007
A. Saxton, K. Fahy, C. Hastie
{"title":"Pronurturance Plus at birth: A risk reduction strategy for preventing postpartum haemorrhage.","authors":"A. Saxton, K. Fahy, C. Hastie","doi":"10.1016/j.wombi.2015.11.007","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.11.007","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90825581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.wombi.2015.12.005
M. Le Donne, A. Alibrandi, R. Vita, Delia Zanghì, O. Triolo, S. Benvenga
{"title":"Does eating oily fish improve gestational and neonatal outcomes? Findings from a Sicilian study.","authors":"M. Le Donne, A. Alibrandi, R. Vita, Delia Zanghì, O. Triolo, S. Benvenga","doi":"10.1016/j.wombi.2015.12.005","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.12.005","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73944998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.1016/j.wombi.2015.10.006
S. Pezaro, W. Clyne, Andrew Turner, E. Fulton, C. Gerada
{"title":"'Midwives Overboard!' Inside their hearts are breaking, their makeup may be flaking but their smile still stays on.","authors":"S. Pezaro, W. Clyne, Andrew Turner, E. Fulton, C. Gerada","doi":"10.1016/j.wombi.2015.10.006","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.10.006","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86767510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-02-01DOI: 10.1016/j.wombi.2015.11.006
K. Fahy
{"title":"What happens after you submit a paper to Women and Birth: An insider's view of editorial and review processes.","authors":"K. Fahy","doi":"10.1016/j.wombi.2015.11.006","DOIUrl":"https://doi.org/10.1016/j.wombi.2015.11.006","url":null,"abstract":"","PeriodicalId":94269,"journal":{"name":"Women and birth : journal of the Australian College of Midwives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78036143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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