Kyle Ernst , Georgia Griffin , Monique S. Rose , Andrew Szabo , Stuart Watson , Zoe Bradfield
{"title":"助产士和护士合作提供产后护理的经验：一项横断面研究。","authors":"Kyle Ernst , Georgia Griffin , Monique S. Rose , Andrew Szabo , Stuart Watson , Zoe Bradfield","doi":"10.1016/j.wombi.2024.101851","DOIUrl":null,"url":null,"abstract":"<div><h3>Problem</h3><div>It is unknown whether the deployment of registered nurses to assist midwives in the provision of postnatal care eases the burden of workforce shortages.</div></div><div><h3>Background</h3><div>The largest public maternity health service in Western Australia began employing registered nurses in 2022 to assist midwives with the provision of postnatal care on maternity wards in response to staffing shortages, exacerbated by COVID-19.</div></div><div><h3>Aim</h3><div>To explore midwives’ and registered nurses’ experiences of providing postnatal care on maternity wards together.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design was employed. Quantitative and qualitative data were collected using a paper-based survey tool. Data were analysed using descriptive and inferential statistics. Content analysis was conducted on qualitative data.</div></div><div><h3>Results</h3><div>70 staff participated (<em>n</em>= 58 midwives, <em>n</em>=12 nurses). Only 19.2 % of participants felt positively about their workload allocation. Most participants (62.7 %) reported a usual allocation of 6–7 mother-baby dyads to care for. Significantly more midwives preferred allocation by the shift coordinator than nurses; and significantly more nurses preferred ‘team nursing’ than midwives.</div></div><div><h3>Discussion</h3><div>Strategic approaches are needed to improve recruitment and retention of midwifery workforce capable of responding to periods of acute demands across the full scope of midwifery practice. Guidance concerning nurses’ scope of practice in the postnatal setting is necessary from a professional, medico-legal, governance and safety standpoint.</div></div><div><h3>Conclusion</h3><div>The deployment of registered nurses into postnatal wards may be of some benefit to midwives in the context of workforce shortages. Parameters must be set outlining what is within nurses’ scope of practice in the postnatal care setting.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 1","pages":"Article 101851"},"PeriodicalIF":4.4000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Midwives’ and nurses’ experiences of providing postnatal care in partnership: A cross-sectional study\",\"authors\":\"Kyle Ernst , Georgia Griffin , Monique S. Rose , Andrew Szabo , Stuart Watson , Zoe Bradfield\",\"doi\":\"10.1016/j.wombi.2024.101851\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Problem</h3><div>It is unknown whether the deployment of registered nurses to assist midwives in the provision of postnatal care eases the burden of workforce shortages.</div></div><div><h3>Background</h3><div>The largest public maternity health service in Western Australia began employing registered nurses in 2022 to assist midwives with the provision of postnatal care on maternity wards in response to staffing shortages, exacerbated by COVID-19.</div></div><div><h3>Aim</h3><div>To explore midwives’ and registered nurses’ experiences of providing postnatal care on maternity wards together.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design was employed. Quantitative and qualitative data were collected using a paper-based survey tool. Data were analysed using descriptive and inferential statistics. Content analysis was conducted on qualitative data.</div></div><div><h3>Results</h3><div>70 staff participated (<em>n</em>= 58 midwives, <em>n</em>=12 nurses). Only 19.2 % of participants felt positively about their workload allocation. Most participants (62.7 %) reported a usual allocation of 6–7 mother-baby dyads to care for. Significantly more midwives preferred allocation by the shift coordinator than nurses; and significantly more nurses preferred ‘team nursing’ than midwives.</div></div><div><h3>Discussion</h3><div>Strategic approaches are needed to improve recruitment and retention of midwifery workforce capable of responding to periods of acute demands across the full scope of midwifery practice. Guidance concerning nurses’ scope of practice in the postnatal setting is necessary from a professional, medico-legal, governance and safety standpoint.</div></div><div><h3>Conclusion</h3><div>The deployment of registered nurses into postnatal wards may be of some benefit to midwives in the context of workforce shortages. Parameters must be set outlining what is within nurses’ scope of practice in the postnatal care setting.</div></div>\",\"PeriodicalId\":48868,\"journal\":{\"name\":\"Women and Birth\",\"volume\":\"38 1\",\"pages\":\"Article 101851\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Women and Birth\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1871519224003111\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Women and Birth","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1871519224003111","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Midwives’ and nurses’ experiences of providing postnatal care in partnership: A cross-sectional study
Problem
It is unknown whether the deployment of registered nurses to assist midwives in the provision of postnatal care eases the burden of workforce shortages.
Background
The largest public maternity health service in Western Australia began employing registered nurses in 2022 to assist midwives with the provision of postnatal care on maternity wards in response to staffing shortages, exacerbated by COVID-19.
Aim
To explore midwives’ and registered nurses’ experiences of providing postnatal care on maternity wards together.
Methods
A descriptive cross-sectional design was employed. Quantitative and qualitative data were collected using a paper-based survey tool. Data were analysed using descriptive and inferential statistics. Content analysis was conducted on qualitative data.
Results
70 staff participated (n= 58 midwives, n=12 nurses). Only 19.2 % of participants felt positively about their workload allocation. Most participants (62.7 %) reported a usual allocation of 6–7 mother-baby dyads to care for. Significantly more midwives preferred allocation by the shift coordinator than nurses; and significantly more nurses preferred ‘team nursing’ than midwives.
Discussion
Strategic approaches are needed to improve recruitment and retention of midwifery workforce capable of responding to periods of acute demands across the full scope of midwifery practice. Guidance concerning nurses’ scope of practice in the postnatal setting is necessary from a professional, medico-legal, governance and safety standpoint.
Conclusion
The deployment of registered nurses into postnatal wards may be of some benefit to midwives in the context of workforce shortages. Parameters must be set outlining what is within nurses’ scope of practice in the postnatal care setting.
期刊介绍：
Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews.
Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.
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