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dc.contributor.authorBarker, Megan
dc.contributor.authorFenwick, Jennifer
dc.contributor.authorGamble, Jenny
dc.date.accessioned2020-06-01T04:45:20Z
dc.date.available2020-06-01T04:45:20Z
dc.date.issued2019
dc.identifier.issn2156-5287
dc.identifier.doi10.1891/ijcbirth-d-19-00031
dc.identifier.urihttp://hdl.handle.net/10072/394181
dc.description.abstractBACKGROUND A national review of maternity services in Australia in 2009 resulted in legislative changes which provided midwives with an unprecedented opportunity to offer continuity of care as a private practitioner with visiting access to a public maternity hospital. However, very few midwives have taken up this opportunity. AIM To explore the experiences of midwives who transitioned into private practice with visiting access to a public hospital. METHOD Using a qualitative descriptive approach, six midwives participated in digitally recorded in-depth interviews. Data was analyzed using thematic analysis. FINDINGS Transitioning to private practice enabled midwives to align their core midwifery values with their practice. Midwives reported taking “a leap of faith” by venturing into private practice. Although seeking visiting access and running a small business was initially daunting, midwives were rewarded by being able to practice autonomously and provide continuity of woman centered care within a caseload model. The legislative restrictions, especially around employing other midwives posed significant challenges. DISCUSSION AND CONCLUSIONS Private practice with visiting access provided midwives with a service model that aligned their core midwifery values with their clinical practice. The model facilitated their ability to work as lead care professionals, provide woman centered care, and access a collaborative network of healthcare professions. However, the midwives continued to experience structural barriers that threaten the scalability and sustainability of the model. Structural barriers to midwives working to their full scope of practice and in alignment with a midwifery philosophy are a global issue. Further reforms are needed.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer Publishing Company
dc.relation.ispartofpagefrom145
dc.relation.ispartofpageto157
dc.relation.ispartofissue3
dc.relation.ispartofjournalInternational Journal of Childbirth
dc.relation.ispartofvolume9
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchOther health sciences
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4299
dc.titleMidwives' Experiences of Transitioning Into Private Practice With Visiting Access in Australia: A Qualitative Descriptive Study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBarker, M; Fenwick, J; Gamble, J, Midwives' Experiences of Transitioning Into Private Practice With Visiting Access in Australia: A Qualitative Descriptive Study, International Journal of Childbirth, 2019, 9 (3), pp. 145-157
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-05-26T23:18:50Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2020 Springer Publishing Company. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorGamble, Jenny A.


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