Management and sustainability of midwifery group practice: Thematic and lexical analyses of midwife interviews.

Hewitt, L; Dadich, A; Hartz, DL; Dahlen, HG

Management and sustainability of midwifery group practice: Thematic and lexical analyses of midwife interviews.

Hewitt, L Dadich, A Hartz, DL Dahlen, HG

Permalink

Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Women and birth : journal of the Australian College of Midwives, 2021
Issue Date:: 2021-05-26

Closed Access

	Filename	Description	Size
	1-s2.0-S1871519221000810-main.pdf		846.65 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Hewitt, L
dc.contributor.author	Dadich, A
dc.contributor.author	Hartz, DL
dc.contributor.author	Dahlen, HG
dc.date.accessioned	2021-11-11T04:33:56Z
dc.date.available	2021-05-17
dc.date.available	2021-11-11T04:33:56Z
dc.date.issued	2021-05-26
dc.identifier.citation	Women and birth : journal of the Australian College of Midwives, 2021
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/151508
dc.description.abstract	<h4>Background</h4>Although there is high-level evidence supporting positive perinatal outcomes for midwifery group practice (MGP) care, not all women can access this model due to a failure to implement or sustain it. The way that MGPs are managed could be an important factor in whether they are successful in the long-term.<h4>Aim</h4>To explore what determines optimal management of MGP in Australia, and the influence it has on sustainability of MGP.<h4>Methods</h4>Interviews were conducted with MGP midwives (n=8). Transcriptions of the audio recordings were analysed thematically and lexically for triangulation.<h4>Findings</h4>Following a thematic analysis of the data, an over-arching theme emerged - namely - being valued and supported, with three sub-themes: a nice little sweet spot, someone to stand up for you, and building relationships and support beyond the model. This revealed that value and support by all stakeholders, including the midwives themselves, was necessary to sustain an MGP. The lexical analysis revealed the themes: support, the system, and the caseload. This analysis highlighted the importance of the system - specifically, the impact of the institution on how MGP is operationalised.<h4>Conclusion</h4>For MGP to be sustained in Australia, it needs to be prioritised, nurtured, and embraced by the whole maternity care system. Management plays an important role in ensuring the right people are employed to pivotal positions and that midwifery-led models of care are valued and supported throughout the system.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Women and birth : journal of the Australian College of Midwives
dc.relation.isbasedon	10.1016/j.wombi.2021.05.002
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.title	Management and sustainability of midwifery group practice: Thematic and lexical analyses of midwife interviews.
dc.type	Journal Article
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-11-11T04:33:54Z
pubs.publication-status	Published

Abstract:

Background

Although there is high-level evidence supporting positive perinatal outcomes for midwifery group practice (MGP) care, not all women can access this model due to a failure to implement or sustain it. The way that MGPs are managed could be an important factor in whether they are successful in the long-term.

Aim

To explore what determines optimal management of MGP in Australia, and the influence it has on sustainability of MGP.

Methods

Interviews were conducted with MGP midwives (n=8). Transcriptions of the audio recordings were analysed thematically and lexically for triangulation.

Findings

Following a thematic analysis of the data, an over-arching theme emerged - namely - being valued and supported, with three sub-themes: a nice little sweet spot, someone to stand up for you, and building relationships and support beyond the model. This revealed that value and support by all stakeholders, including the midwives themselves, was necessary to sustain an MGP. The lexical analysis revealed the themes: support, the system, and the caseload. This analysis highlighted the importance of the system - specifically, the impact of the institution on how MGP is operationalised.

Conclusion

For MGP to be sustained in Australia, it needs to be prioritised, nurtured, and embraced by the whole maternity care system. Management plays an important role in ensuring the right people are employed to pivotal positions and that midwifery-led models of care are valued and supported throughout the system.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151508