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dc.contributor.authorGamble, Jenny
dc.contributor.authorToohill, Jocelyn
dc.contributor.authorSlavin, Valerie
dc.contributor.authorCreedy, Debra K
dc.contributor.authorFenwick, Jennifer
dc.date.accessioned2018-09-21T01:00:42Z
dc.date.available2018-09-21T01:00:42Z
dc.date.issued2017
dc.identifier.issn2156-5287
dc.identifier.doi10.1891/2156-5287.7.3.152
dc.identifier.urihttp://hdl.handle.net/10072/373643
dc.description.abstractBACKGROUND: Around 20% of women report high levels of childbirth fear. An evidence-based psychoeducation intervention delivered by midwives reduced maternal childbirth fear and increased confidence for birth. Implementation of the intervention into practice is now required. Translating evidence into practice, however, remains challenging. AIM: This study aimed to explore organizational factors, including barriers and possible solutions that may impact on the successful application of the midwife psychoeducation intervention in practice. METHODS: Mixed methods data collection included a self-administered survey (n = 62), clinician-led focus groups (n = 28), and interviews with key stakeholders (n = 5). Simple descriptive statistics were used to analyze the quantitative data. Latent content analysis was used to analyze the qualitative data. RESULTS: Midwives were perceived to be best placed to deliver psychoeducation to women fearful of birth. Support for normal birth was high. There was, however, disparity between positive attitudes toward evidence-based practice in theory and its clinical application. Similarly, although the workplace learning culture was generally assessed as positive, many participants believed changing practice was difficult and reported a low sense of agency for challenging or facilitating change. Participants reported that barriers to implementing the evidence included time constraints and heavy workloads. There was a lack of awareness and confidence to implement evidence-based practice (EBP) with participants identifying that resistance to change was often the result of clinician fear and self-interest. The way services were routinely structured was considered problematic as fragmentation actively worked against midwives forming meaningful relationships with women. Enablers included organizational support, education, local champions, and continuity of midwifery care. CONCLUSION: The study identified the clinicians' readiness, barriers, and possible solutions to the widespread implementation of an evidence-based psychoeducation intervention delivered by midwives for women fearful of birth at one maternity facility in South East Queensland, Australia. Many of the identified barriers were commensurate with the international literature on translating evidence into practice.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer Publishing Company
dc.relation.ispartofpagefrom152
dc.relation.ispartofpageto168
dc.relation.ispartofissue3
dc.relation.ispartofjournalInternational Journal of Childbirth
dc.relation.ispartofvolume7
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchOther health sciences
dc.subject.fieldofresearchReproductive medicine
dc.subject.fieldofresearchMidwifery
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420599
dc.subject.fieldofresearchcode4299
dc.subject.fieldofresearchcode3215
dc.subject.fieldofresearchcode4204
dc.titleIdentifying barriers and enablers as a first step in the implementation of a midwife-led psychoeducation counselling framework for women fearful of birth
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionVersion of Record (VoR)
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2017 Springer Publishing Company. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorGamble, Jenny A.
gro.griffith.authorCreedy, Debra K.


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