dc.contributor.author | Barker, Megan | |
dc.contributor.author | Fenwick, Jennifer | |
dc.contributor.author | Gamble, Jenny | |
dc.date.accessioned | 2020-06-01T04:45:20Z | |
dc.date.available | 2020-06-01T04:45:20Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 2156-5287 | |
dc.identifier.doi | 10.1891/ijcbirth-d-19-00031 | |
dc.identifier.uri | http://hdl.handle.net/10072/394181 | |
dc.description.abstract | BACKGROUND
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.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Springer Publishing Company | |
dc.relation.ispartofpagefrom | 145 | |
dc.relation.ispartofpageto | 157 | |
dc.relation.ispartofissue | 3 | |
dc.relation.ispartofjournal | International Journal of Childbirth | |
dc.relation.ispartofvolume | 9 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Other health sciences | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 4299 | |
dc.title | Midwives' Experiences of Transitioning Into Private Practice With Visiting Access in Australia: A Qualitative Descriptive Study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Barker, 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.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.date.updated | 2020-05-26T23:18:50Z | |
dc.description.version | Accepted 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.hasfulltext | Full Text | |
gro.griffith.author | Gamble, Jenny A. | |