Reflections on an educational intervention to encourage midwives to work in a continuity of care model - exploration and potential solutions.

Harris, JM; Watts, K; Page, L; Sandall, J

Reflections on an educational intervention to encourage midwives to work in a continuity of care model - exploration and potential solutions.

Harris, JM Watts, K Page, L Sandall, J

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Publisher:: ELSEVIER SCI LTD
Publication Type:: Journal Article
Citation:: Midwifery, 2020, 88
Issue Date:: 2020-09

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Field	Value	Language
dc.contributor.author	Harris, JM
dc.contributor.author	Watts, K
dc.contributor.author	Page, L
dc.contributor.author	Sandall, J https://orcid.org/0000-0003-2000-743X
dc.date.accessioned	2020-09-14T06:48:29Z
dc.date.available	2020-04-18
dc.date.available	2020-09-14T06:48:29Z
dc.date.issued	2020-09
dc.identifier.citation	Midwifery, 2020, 88
dc.identifier.issn	0266-6138
dc.identifier.issn	1532-3099
dc.identifier.uri	http://hdl.handle.net/10453/142670
dc.description.abstract	OBJECTIVE:To explore barriers and facilitators for midwives working in a midwifery continuity of carer model, and to assess if an educational intervention could help address some of these barriers, designed to help achieve NHS England's target of majority of women receiving midwifery continuity of carer by March 2021. DESIGN:Two-day workshops were co-designed by experienced continuity midwives, service managers and midwifery educators using implementation theory delivered to maternity staff, with barriers assessed prior to training and re-assessed at the end. SETTING AND PARTICIPANTS:1407 maternity healthcare professionals from 62 different National Health Service trusts across England attended 56 different workshops. FINDINGS:Perceived barriers to working in this model were reported more frequently than facilitators. Reported facilitators prior to training included perceived benefits to the midwife and to women. Reported barriers included personal and professional concerns, fear, issues with the national agenda and institutional and/or organisational issues. The educational intervention was able to address the majority of barriers raised. The training was well evaluated, with an average rating of 4.2 on a five-point Likert scale. KEY CONCLUSIONS:While this specific educational intervention appears to have been useful in addressing concerns with working in a continuity model, further work is needed to identify barriers to change. This will aid more local designed interventions. IMPLICATIONS FOR PRACTICE:If policy targets related to continuity of carer are to be achieved then working in this way needs to be sustainable and appeal to the current midwifery workforce.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCI LTD
dc.relation.ispartof	Midwifery
dc.relation.isbasedon	10.1016/j.midw.2020.102733
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Nursing
dc.title	Reflections on an educational intervention to encourage midwives to work in a continuity of care model - exploration and potential solutions.
dc.type	Journal Article
utslib.citation.volume	88
utslib.location.activity	Scotland
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-09-14T06:48:11Z
pubs.publication-status	Published
pubs.volume	88

Abstract:

OBJECTIVE:To explore barriers and facilitators for midwives working in a midwifery continuity of carer model, and to assess if an educational intervention could help address some of these barriers, designed to help achieve NHS England's target of majority of women receiving midwifery continuity of carer by March 2021. DESIGN:Two-day workshops were co-designed by experienced continuity midwives, service managers and midwifery educators using implementation theory delivered to maternity staff, with barriers assessed prior to training and re-assessed at the end. SETTING AND PARTICIPANTS:1407 maternity healthcare professionals from 62 different National Health Service trusts across England attended 56 different workshops. FINDINGS:Perceived barriers to working in this model were reported more frequently than facilitators. Reported facilitators prior to training included perceived benefits to the midwife and to women. Reported barriers included personal and professional concerns, fear, issues with the national agenda and institutional and/or organisational issues. The educational intervention was able to address the majority of barriers raised. The training was well evaluated, with an average rating of 4.2 on a five-point Likert scale. KEY CONCLUSIONS:While this specific educational intervention appears to have been useful in addressing concerns with working in a continuity model, further work is needed to identify barriers to change. This will aid more local designed interventions. IMPLICATIONS FOR PRACTICE:If policy targets related to continuity of carer are to be achieved then working in this way needs to be sustainable and appeal to the current midwifery workforce.

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http://hdl.handle.net/10453/142670