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Journal articles on the topic 'Midwives Australia'

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Author: Grafiati

Published: 10 December 2022

Last updated: 20 February 2023

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1

Tannous, Kathy W., Ajesh George, Moin Uddin Ahmed, Anthony Blinkhorn, Hannah G. Dahlen, John Skinner, Shilpi Ajwani, et al. "Economic evaluation of the Midwifery Initiated Oral Health-Dental Service programme in Australia." BMJ Open 11, no. 8 (August 2021): e047072. http://dx.doi.org/10.1136/bmjopen-2020-047072.

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ObjectivesTo critically evaluate the cost-effectiveness of the Midwifery Initiated Oral Health-Dental Service (MIOH-DS) designed to improve oral health of pregnant Australian women. Previous efficacy and process evaluations of MIOH-DS showed positive outcomes and improvements across various measures.Design and settingThe evaluation used a cost-utility model based on the initial study design of the MIOH-DS trial in Sydney, Australia from the perspective of public healthcare provider for a duration of 3 months to 4 years.ParticipantsData were sourced from pregnant women (n=638), midwives (n=17) and dentists (n=3) involved in the MIOH trial and long-term follow-up.Cost measuresData included in analysis were the cost of the time required by midwives and dentists to deliver the intervention and the cost of dental treatment provided. Costs were measured using data on utilisation and unit price of intervention components and obtained from a micro-costing approach.Outcome measuresUtility was measured as the number of Disability Adjusted Life Years (DALYs) from health-benefit components of the intervention. Three cost-effectiveness analyses were undertaken using different comparators, thresholds and time scenarios.ResultsCompared with current practice, midwives only intervention meets the Australian threshold (A$50 000) of being cost-effective. The midwives and accessible/affordable dentists joint intervention was only ‘cost-effective’ in 6 months or beyond scenarios. When the midwife only intervention is the comparator, the midwife/dentist programme was ‘cost-effective’ in all scenarios except at 3 months scenario.ConclusionsThe midwives’ only intervention providing oral health education, assessment and referral to existing dental services was cost-effective, and represents a low cost intervention. Midwives’ and dentists’ combined interventions were cost-effective when the benefits were considered over longer periods. The findings highlight short and long term economic benefits of the programme and support the need for policymakers to consider adding an oral health component into antenatal care Australia wide.Trial registration numberACTRN12612001271897; Post-results.

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Clements, Vanessa, Deborah Davis, and Jennifer Fenwick. "Continuity of Care: Supporting New Graduates to Grow Into Confident Practitioners." International Journal of Childbirth 3, no. 1 (2013): 3–12. http://dx.doi.org/10.1891/2156-5287.3.1.3.

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AIM:This article describes how newly qualified midwives experienced their rotation into birth suite and a continuity of midwifery care model. The findings are part of a larger study that aimed to describe graduate midwives’ expectations and experiences of their transition to practice.BACKGROUND:Knowledge and understanding of how midwives make the transition from student to registered midwife remain limited. However, the literature suggests that this time is a critical period for a new graduate. Although transition support programs for midwives exist in New South Wales, Australia, there appears to be an ad hoc approach to their design, implementation, and effectiveness.METHOD:A descriptive qualitative approach to elicit the experiences of 38 newly qualified Australian midwives. Telephone interviews and focus groups were used to collect the data. Content analysis was used to analyze the data set.FINDINGS:The birthing environment was identified as the clinical area, which elicited the greatest level of apprehension for the midwives, whereas those with the opportunity to rotate into a midwifery continuity of care model rated the experience positively.CONCLUSION:The findings of the study suggest that the newly graduated midwives felt a sense of social and professional belonging to the midwifery continuity of care models in which they worked.KEYWORDS:newly graduated midwife; transition support programs; birth suite; models of care; continuity of care; hierarchy

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Tracy, Sally, Lesley Barclay, and Pat Brodie. "Contemporary issues in the workforce and education of Australian midwives." Australian Health Review 23, no. 4 (2000): 78. http://dx.doi.org/10.1071/ah000078a.

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This paper, which is based on the preliminary findings of the Australian Midwifery Action Project (AMAP), outlinesthe issues around the midwifery labour force and education in Australia. One of the most alarming features is thelack of comprehensive data on midwives. Where data is available it demonstrates the shortage of midwives and thelack of consistency in educational programs for midwives within states and nationally. It is difficult to form a nationalpicture with published sources of data because there are differences in definition and a lack of relevant information.Strategies for educational reform are discussed in relation to improving the supply and preparation of midwives.

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Mair, Judith, and Dianna Kenny. "Fetal welfare: Midwives' perspectives in Australia." Australian College of Midwives Incorporated Journal 9, no. 4 (December 1996): 9–14. http://dx.doi.org/10.1016/s1031-170x(96)80052-3.

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Johnston, Joy. "Midwives, breastfeeding, and baby friendly Australia." Australian College of Midwives Incorporated Journal 9, no. 4 (December 1996): 21–24. http://dx.doi.org/10.1016/s1031-170x(96)80054-7.

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Brodie, Pat, and Lesley Barclay. "Contemporary issues in Australian midwifery regulation." Australian Health Review 24, no. 4 (2001): 103. http://dx.doi.org/10.1071/ah010103.

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This paper reports on research that examined the Nurses' Acts, regulations and current policies of each state and territory in Australia, in order to determine their adequacy in regulating the education and practice of midwifery. This is part of a three-year study (Australian Midwifery Action Project) set up to identify and investigate barriers to midwifery within the provision of mainstream maternity services in Australia. Through an in-depth examination and comparison of key factors in the various statutes, the paper identifies their effect on contemporary midwifery roles and practices. The work assessed whether the current regulatory system that subsumes midwifery into nursing is adequate in protecting the public appropriately and ensuring that minimum professional standards are met. This is of particular importance in Australia, where many maternity health care services are seeking to maximise midwives' contributions through the development of new models of care that increase midwives' autonomy and level of accountability.

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Sidebotham, Mary, Annette Dalsgaard, Deborah Davis, and Sarah Stewart. "The Virtual International Day of the Midwife: A Synchronous Open Online Conference for Continuing Professional Development and Learning for Midwives." International Journal of Childbirth 5, no. 2 (2015): 91–99. http://dx.doi.org/10.1891/2156-5287.5.2.91.

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AIM: To examine the contribution of the Virtual International Day of the Midwife (VIDM) conference to midwives’ continuing professional development (CPD).BACKGROUND: Knowledge and understanding of CPD for midwives as synchronous online learning is limited. Studies of e-learning programs for CPD have underlined the need for interaction with others. The VIDM is a synchronous online 24-hour conference freely available for midwives designed to provide a unique CPD opportunity.METHOD: An online survey with a mix of fixed-response, multiple-response, and open-ended free-text questions was available to participants for 1 month after the conference via the wiki page in 2012 and 2013.FINDINGS: The survey was completed by 239 conference participants. Midwifery students and clinical midwives were the largest groups of attendees. The most common countries of residence were Australia, United Kingdom, and United States. Respondents believed that the conference contributed to their professional development by enabling professional growth, facilitating shared learning, and raising awareness of global issues.CONCLUSION: Offering synchronous events is important to facilitate deeper learning for those engaging in online activities. As an annual synchronous 24-hour, open online conference, the VIDM has become a valuable CPD opportunity for midwives.

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Barker, Megan, Jennifer Fenwick, and Jenny Gamble. "Midwives' Experiences of Transitioning Into Private Practice With Visiting Access in Australia: A Qualitative Descriptive Study." International Journal of Childbirth 9, no. 3 (September 1, 2019): 145–57. http://dx.doi.org/10.1891/ijcbirth-d-19-00031.

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BACKGROUNDA 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.AIMTo explore the experiences of midwives who transitioned into private practice with visiting access to a public hospital.METHODUsing a qualitative descriptive approach, six midwives participated in digitally recorded in-depth interviews. Data was analyzed using thematic analysis.FINDINGSTransitioning 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 CONCLUSIONSPrivate 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.

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Homer, Caroline S. E., Lyn Passant, Pat M. Brodie, Sue Kildea, Nicky Leap, Jan Pincombe, and Carol Thorogood. "The role of the midwife in Australia: views of women and midwives." Midwifery 25, no. 6 (December 2009): 673–81. http://dx.doi.org/10.1016/j.midw.2007.11.003.

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Bass, Janice, Mary Sidebotham, Jenny Gamble, and Jennifer Fenwick. "Commencing Undergraduate Midwifery Students’ Beliefs About Birth and the Role of the Midwife." International Journal of Childbirth 5, no. 2 (2015): 83–90. http://dx.doi.org/10.1891/2156-5287.5.2.83.

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BACKGROUND: A shift has occurred in the last decade toward preregistration undergraduate Bachelor of Midwifery programs in Australia. This has led to an increase in the numbers of student midwives from diverse backgrounds with limited experience of university and socialization into hospital systems.AIM: This study aimed to explore commencing midwifery students’ beliefs about birth and expectations of the role of the midwife.METHOD: A qualitative descriptive approach was used. All 115 commencing first-year midwifery students enrolled in the first week of an undergraduate Bachelor of Midwifery program were invited and completed a self-administered survey. The survey used open-ended questions to elicit student beliefs about birth and the role of the midwife. Latent content analysis was used to analyze the data set.FINDINGS: Midwifery students’ beliefs were captured within the four themes: birth as “a miracle,” “a woman’s journey,” “a transformative event,” and “a natural process.” Students articulated the role of the midwife as one of support, education, advocacy, and partnership. Student beliefs and expectations were aligned with the emergent philosophy of the normality of birth and woman-centered care within the Australian maternity care context.CONCLUSION: Greater understanding is essential to designing quality midwifery education programs that are responsive to the needs of commencing student midwives. Supporting midwifery students’ successful transition into, and early engagement with the midwifery profession, may have long-term benefits in terms of retention and successful completion of their program. In addition, ensuring professional socialization occurs early is likely to develop graduates who are well prepared to work across their full scope and are willing to participate in the reform of maternity services in Australia.

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Louise, Gibson, and Norris Kimberley. "Psychological wellbeing and mental health outcomes in Australian Nurses and Midwives." Archives of Nursing Practice and Care 8, no. 1 (September 6, 2022): 017–27. http://dx.doi.org/10.17352/2581-4265.000061.

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Aim: To examine the intrapersonal and organizational factors that contribute to pathogenic and salutogenic psychological outcomes in Australian nurses and midwives. Design: The conceptual framework Factors associated with Salutogenic and Pathogenic Outcomes in Australian Midwives and Nurses was used as a guide for this exploratory, cross-sectional study. Method: Participants were recruited from public, private, and community settings throughout Australia. Six hundred and fifteen participants completed an online survey assessing job satisfaction, professional quality of life, ways of coping, resilience, psychological distress, and the impact of the worldwide coronavirus pandemic on psychological health and well-being. Results: Analyses showed that workplace environmental factors were strong predictors of Secondary Traumatic Stress, and Burnout. Results also showed that workplace factors and adaptive coping were predictive of the salutogenic outcomes of compassion satisfaction and resilience. Conclusion: Adopting a salutogenic approach, focused on maximizing individual and organizational contributors to psychological health and wellbeing, provides a new way for organizations to develop strategies to decrease adverse psychological outcomes, promote well-being and better equip nurses and midwives to cope with the challenges of the healthcare environment. Impact: The findings will be of interest to Chief Nurses, Midwifery Officers, healthcare organizations, and universities to target workplace, individual and interpersonal factors that promote health and wellbeing amongst nurses and midwives.

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Bradfield, Zoe, Karen Wynter, Yvonne Hauck, Linda Sweet, Alyce N. Wilson, Rebecca A. Szabo, Vidanka Vasilevski, Lesley Kuliukas, and Caroline S. E. Homer. "COVID-19 vaccination perceptions and intentions of maternity care consumers and providers in Australia." PLOS ONE 16, no. 11 (November 15, 2021): e0260049. http://dx.doi.org/10.1371/journal.pone.0260049.

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Introduction Vaccination against COVID-19 is a key global public health strategy. Health professionals including midwives and doctors support and influence vaccination uptake by childbearing women. There is currently no evidence regarding the COVID-19 vaccination perceptions and intentions of those who receive or provide maternity care in Australia. The aim of this study was to address this gap in knowledge and explore the perceptions and intentions regarding COVID-19 vaccination from consumers and providers of maternity care in Australia. Methods A national cross-sectional online study conducted in early 2021 in Australia, a country that has had a very low number of COVID-19 cases and deaths. Recruitment was undertaken through parenting and health professional social media sites and professional college distribution lists. A total of 853 completed responses, from women (n = 326), maternity care providers including doctors (n = 58), midwives (n = 391) and midwifery students (n = 78). Findings Personal intention to be vaccinated ranged from 48–89% with doctors most likely and women least likely. Doctors and midwifery students were significantly more likely to recommend the vaccine to pregnant women in their care than midwives (p<0.001). Fewer doctors (2%) felt that women should wait until breastfeeding had concluded before being vaccinated compared with 24% of midwives and 21% of midwifery students (p<0.001). More than half of the midwives (53%) had concerns about the COVID-19 vaccine for the women in their care compared with 35% of doctors and 46% of midwifery students. Despite national guidelines recommending vaccination of breastfeeding women, 54% of practitioners were unlikely to recommend vaccination for this group. Conclusion This is the first study to explore the perceptions and intentions regarding COVID-19 vaccination from the perspective of those who receive and provide maternity care in Australia. Findings have utility to support targeted public health messaging for these and other cohorts.

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Gray, Michelle, Jennifer Rowe, and Margaret Barnes. "Australian midwives’ interpretation of the re-registration, recency of practice standard." Australian Health Review 39, no. 4 (2015): 462. http://dx.doi.org/10.1071/ah14070.

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Objective The aim of the present study was to investigate how midwives are responding to the changed re-registration requirements; specifically the Recency of Practice (RoP) Standard. Methods A qualitative longitudinal case study used conversational interviews conducted annually at two time phases after the introduction of national registration. Results Findings reveal that confusion has created challenges in demonstration of the RoP standard. This confusion was evident at individual and organisational levels. Conclusions Professional bodies need to support staff in this transition by providing clearer guidance that exemplifies the Nursing and Midwifery Board of Australia expectations. What is known about the topic? Impact subsequent to Australian legislative and regulatory changes affecting midwifery and nursing registration has not been examined. What does this paper add? The findings of this study provide an insight into midwives’ responses to the changed re-registration standard in Australia. What are the implications for practitioners? There appears to be a problem in the way tensions and challenges are being met; misinterpretation of the requirements has generated questions about the relationship between skills and work areas and demonstration of RoP. This may influence individual career planning and have broader workforce planning implications.

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Plint, Elke, and Deborah Davis. "Sink or Swim: Water Immersion for Labor and Birth in a Tertiary Maternity Unit in Australia." International Journal of Childbirth 6, no. 4 (2016): 206–22. http://dx.doi.org/10.1891/2156-5287.6.4.206.

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PURPOSE: This study aimed to describe and compare the attitudes and practices of midwives and obstetric doctors in a tertiary setting regarding water immersion for labor and birth and to identify strategies for improving bath usage in the facility.DESIGN: A questionnaire consisting of 47 multiple choice and 2 open-ended questions was distributed to midwives and obstetric doctors providing labor care in the facility.FINDINGS: Obstetric doctors were unsupportive. Birth suite midwives, despite assigning value to it, rarely facilitated water immersion. Only continuity midwives routinely facilitated water immersion. The main identified strategies for increasing bath usage in labor were staff training and support, antenatal education, and increased access to continuity of care.CONCLUSION: Providing bath access and supporting guidelines is not sufficient to increase water immersion for labor and birth in a tertiary setting. Additional strategies are needed to incorporate this practice into standard care in the birth suite.

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George, Ajesh, Margaret Duff, Shilpi Ajwani, Maree Johnson, Hannah Dahlen, Anthony Blinkhorn, Sharon Ellis, and Sameer Bhole. "Development of an Online Education Program for Midwives in Australia to Improve Perinatal Oral Health." Journal of Perinatal Education 21, no. 2 (2012): 112–22. http://dx.doi.org/10.1891/1058-1243.21.2.112.

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It is recommended that all pregnant women should receive a comprehensive oral health evaluation because poor maternal oral health may affect pregnancy outcomes and the general health of the woman and her baby. Midwives are well placed to provide dental health advice and referral. However, in Australia, little emphasis has been placed on the educational needs of midwives to undertake this role. This article outlines the development of an online education program designed to improve midwives’ dental health knowledge, prepare them to assess the oral health of women, refer when required, and provide appropriate dental education to women and their families. The program consists of reading and visual material to assist with the oral health assessment process and includes competency testing.

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Pincombe, Jan, Lois McKellar, Carol Grech, Elizabeth Grinter, and Gerardine Beresford. "Registration requirements for midwives in Australia: a delphi study." British Journal of Midwifery 15, no. 6 (June 2007): 372–83. http://dx.doi.org/10.12968/bjom.2007.15.6.23686.

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Sibbritt, David W., Christine J. Catling-Paull, Vanessa L. Scarf, and Caroline S. E. Homer. "The profile of women who consult midwives in Australia." Women and Birth 26, no. 4 (December 2013): 240–45. http://dx.doi.org/10.1016/j.wombi.2013.08.007.

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Fox, Deborah, Athena Sheehan, and Caroline S. E. Homer. "Birthplace in Australia: Midwives’ experiences of intrapartum homebirth transfer." Women and Birth 28 (2015): S15. http://dx.doi.org/10.1016/j.wombi.2015.07.057.

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Li, Jie, Hong Lu, and Rui Hou. "A review of the definition and scope of practice of midwives in five representative countries." Frontiers of Nursing 5, no. 3 (October 25, 2018): 165–73. http://dx.doi.org/10.1515/fon-2018-0022.

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Abstract Objective To review the definition and scope of the practice of midwives in Sweden, Finland, the United Kingdom, the United States, and Australia to find models and make suggestions for reforms in the midwifery policies of China. Methods This article reviewed the midwifery policies published by authorities, organizations, and governments of these countries and relevant literature in the databases of PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), and Wanfang database. Results The definition and scope of practice of midwives in five representative countries and China were reviewed. The similarities and differences in midwifery policies among them show that most countries set standards based on the definition and scope of practice of midwives recommended by International Confederation of Midwives. Conclusions The definition of midwives should include registration, midwifery education, and acceptance standards. The scope of practice of midwives should specify an autonomous environment, the objective of care, the period of care involved, prescribing rights, emergency treatment, and health counseling.

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Javanmard, Mitra, Mary Steen, Rachael Vernon, and Megan Cooper. "Transition experiences of internationally qualified midwives practising midwifery in Australia." Women and Birth 33, no. 3 (May 2020): e234-e244. http://dx.doi.org/10.1016/j.wombi.2019.05.002.

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Catling, Christine, and Chris Rossiter. "Midwifery workplace culture in Australia: A national survey of midwives." Women and Birth 33, no. 5 (September 2020): 464–72. http://dx.doi.org/10.1016/j.wombi.2019.09.008.

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Petraki, Eleni, and Shannon Clark. "Escalating the positive in antenatal consultations: Midwife support in (inter)action." Communication and Medicine 14, no. 3 (October 26, 2018): 241–55. http://dx.doi.org/10.1558/cam.36356.

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This article investigates the practical accomplishment of support in midwife-led antenatal interactions. Drawing on 16 transcribed antenatal consultations from Australia, and utilizing principles of conversation analysis, we investigate a range of interactional practices that midwives use to support expectant mothers and create a positive interactional environment during the consultations. The interactional practices examined include positive assessments, compliments, enhanced agreements, extended back-channels, good wishing, humor and joking, and brightside formulations. Through these turns, the midwife works to create with the woman a shared positive stance towards the upcoming birth by encouraging her, endorsing her decisions, treating the woman’s progression through pregnancy as an achievement, and selectively focusing on the positive side of situations. As such, the research contributes to understanding the practical management of support, a concept which underpins many health and care professions.

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Marsden, Kathryn M., I. K. Robertson, and J. Porter. "Stressors, manifestations and course of COVID-19 related distress among public sector nurses and midwives during the COVID-19 pandemic first year in Tasmania, Australia." PLOS ONE 17, no. 8 (August 9, 2022): e0271824. http://dx.doi.org/10.1371/journal.pone.0271824.

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Impacts of the COVID-19 pandemic on the mental health of healthcare workers has been established, linking workplace factors with high levels of stress, anxiety, depression, insomnia and burnout. Less established is how COVID-19 affects both work, home and social life of nurses and midwives concurrently. This study describes the prevalence and severity of anxiety, depression, post-traumatic stress disorder (PTSD) and insomnia and examines their associations with stressors within the work, home and social environment, among nurses and midwives. A longitudinal, mixed-methods, online survey explored the psychological health of public sector nurses and midwives during the COVID-19 pandemic first year. Surveys were conducted in April (initial) and June 2020 (3-month), and April 2021 (12-month) and consisted of psychological tests including the Patient Health Questionnaire, General Anxiety Disorder, Insomnia Severity Index, and the Impact of Events Scale-Revised; workplace and lifestyle questions, together with free-text comments. The relative strengths of the associations between predictor and outcome variables were estimated using repeated measures ordered logistic regression, and free text responses were themed. Data show diagnostic levels of anxiety (23%, 18%, 21%) at surveys one, two and three respectively, depression (26%, 23% and 28%), PTSD (16%, 12% and 10%) and insomnia (19%, 19% and 21%). The strongest predictors of psychological distress were current home and family stress and poor clinical team support. Factors which will help preserve the mental health of nurses and midwives include strong workplace culture, reducing occupational risk, clear communication processes, and supporting stable and functional relationships at home. The COVID-19 pandemic has increased the visibility of mental distress on nurses and midwives and established they are pivotal to healthcare. The health service has a duty-of-care for the welfare of nurses and midwives who have entered this psychologically taxing profession to future proof service delivery and safeguard its service-response capacity.

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Glass, Nel, K. Robyn Ogle, Helen Webb, Vanessa Rice, and Cecilia Yeboah. "Wellness for Work: Perspectives from Nurses, Midwives, and Paramedics in Australia." International Journal of Health, Wellness, and Society 3, no. 3 (2014): 23–39. http://dx.doi.org/10.18848/2156-8960/cgp/v03i03/41073.

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Cowin, L. S., T. K. Riley, J. Heiler, and L. R. Gregory. "The relevance of nurses and midwives code of conduct in Australia." International Nursing Review 66, no. 3 (July 9, 2019): 320–28. http://dx.doi.org/10.1111/inr.12534.

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Susanti, Ari Indra. "Perbandingan Kurikulum Pendidikan Bidan di Indonesia, New Zaeland, dan Australia." Inovasi Kurikulum 18, no. 2 (August 30, 2021): 196–207. http://dx.doi.org/10.17509/jik.v18i2.36410.

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Bidan adalah salah satu tenaga kesehatan sebagai profesi yang terus berkembang sehingga harus mengikuti perkembangan dan perubahan globalisasi. Era globalisasi menuntut tersedianya sumber daya manusia profesional dalam memberikan pelayanan kepada masyarakat. Oleh karena itu, diperlukan pengembangan kurikulum pendidikan bidan berdasarkan kebutuhan perkembangan zaman dengan membandingkan kurikulum pendidikan bidan di Indonesia, New Zaeland, dan Australia. Metode yang digunakan pada penulisan artikel ini dengan menggunakan penelaahan literatue (literature riview) berupa proses penyusunana sintesis kepustakaan. Tahap yang dilakukan dengan menelusuri kepustakaan, menemukan ide utama setiap artikel, dan menuliskan dengan gaya paraphrase. Hal tersebut, dilakukan dengan mengumpulkan berbagai referensi berupa artikel-artikel ilmiah dan text book berdasarkan kajian tentang kurikulum pendidikan bidan di Negara Indonesia, New Zaeland, dan Australia. Dengan demikan, hasil kajian perbandingan kurikulum pendidikan bidan bertujuan untuk mengembangkan kurikulum pendidikan bidan yang dapat menghasilkan lulusan bidan profesional dalam memberikan asuhan yang berpusat pada wanita.Kata Kunci: Bidan, Kurikulum, Pendidikan Midwives are one of the health workers as a profession that continues to develop so that they must follow the developments and changes of globalization. The era of globalization demands the availability of professional human resources in providing services to the community. Therefore, it is necessary to develop a midwife education curriculum based on the needs of the times by comparing the midwife education curriculum in Indonesia, New Zealand, and Australia. The method used in writing this article uses a literature review in the form of a library synthesis compilation process. The stage was carried out by browsing the literature, finding the main idea of each article, and writing in a paraphrase style. This has done by collecting various references in the form of scientific articles and text books based on studies on the midwifery education curriculum in Indonesia, New Zealand, and Australia. Thus, the results of the comparative study of midwifery education curriculum aim to develop a midwife education curriculum that can produce professional midwife graduates in providing women-centred care.

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Hall, Helen G., Debra L. Griffiths, and Lisa G. McKenna. "Holistic Pregnancy Care: Aligning Complementary and Alternative Medicine With Midwifery Practice." International Journal of Childbirth 3, no. 2 (2013): 98–105. http://dx.doi.org/10.1891/2156-5287.3.2.98.

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BACKGROUND:The use of complementary and alternative medicine (CAM) to manage pregnancy-related conditions is becoming increasingly popular. This article draws on a qualitative study that aimed to explain the processes midwives engaged when determining the role of these therapies for pregnancy care.METHODOLOGY:Our study used grounded theory methodology. Twenty-five midwives, who were employed in metropolitan hospitals situated in Victoria, Australia, participated in the study. Data was collected from semistructured interviews and nonparticipant observation of a subgroup over an 18-month period.RESULTS:Midwives’ attitudes and behavior toward the CAM was influenced by their professional ideology and knowledge. When participants considered the role of these therapies, they employed various strategies including aligning CAM with midwifery philosophy, using the therapies to increase women’s options, valuing diverse ways of understanding and seeking out professional knowledge.CONCLUSIONS:Although midwives do not reject conventional medicine, many value the opportunity CAM offers to individualize care and promote natural childbearing.

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Bradfield, Zoe, Karen Wynter, Yvonne Hauck, Vidanka Vasilevski, Lesley Kuliukas, Alyce N. Wilson, Rebecca A. Szabo, Caroline S. E. Homer, and Linda Sweet. "Experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia: A five-cohort cross-sectional comparison." PLOS ONE 16, no. 3 (March 24, 2021): e0248488. http://dx.doi.org/10.1371/journal.pone.0248488.

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Introduction The global COVID-19 pandemic has radically changed the way health care is delivered in many countries around the world. Evidence on the experience of those receiving or providing maternity care is important to guide practice through this challenging time. Methods A cross-sectional study was conducted in Australia. Five key stakeholder cohorts were included to explore and compare the experiences of those receiving or providing care during the COVID-19 pandemic. Women, their partners, midwives, medical practitioners and midwifery students who had received or provided maternity care from March 2020 onwards in Australia were recruited via social media and invited to participate in an online survey released between 13th May and 24th June 2020; a total of 3701 completed responses were received. Findings While anxiety related to COVID-19 was high among all five cohorts, there were statistically significant differences between the responses from each cohort for most survey items. Women were more likely to indicate concern about their own and family’s health and safety in relation to COVID-19 whereas midwives, doctors and midwifery students were more likely to be concerned about occupational exposure to COVID-19 through working in a health setting than those receiving care through attending these environments. Midwifery students and women’s partners were more likely to respond that they felt isolated because of the changes to the way care was provided. Despite concerns about care received or provided not meeting expectations, most respondents were satisfied with the quality of care provided, although midwives and midwifery students were less likely to agree. Conclusion This paper provides a unique exploration and comparison of experiences of receiving and providing maternity care during the COVID-19 pandemic in Australia. Findings are useful to support further service changes and future service redesign. New evidence provided offers unique insight into key stakeholders’ experiences of the rapid changes to health services.

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Watson, Lyndsey, Anne Potter, and Lisa Donohue. "Midwives in Victoria, Australia: a survey of current issues and job satisfaction." Midwifery 15, no. 4 (December 1999): 216–31. http://dx.doi.org/10.1054/midw.1999.0176.

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Hildingsson, Ingegerd, Jenny Gamble, Mary Sidebotham, Debra K. Creedy, Karen Guilliland, Lesley Dixon, Julie Pallant, and Jennifer Fenwick. "Midwifery empowerment: National surveys of midwives from Australia, New Zealand and Sweden." Midwifery 40 (September 2016): 62–69. http://dx.doi.org/10.1016/j.midw.2016.06.008.

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Teate, Alison, Nicky Leap, and Caroline S. E. Homer. "Midwives’ experiences of becoming CenteringPregnancy facilitators: A pilot study in Sydney, Australia." Women and Birth 26, no. 1 (March 2013): e31-e36. http://dx.doi.org/10.1016/j.wombi.2012.08.002.

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George, Ajesh, Gillian Lang, Maree Johnson, Allison Ridge, Andrea M. de Silva, Shilpi Ajwani, Sameer Bhole, et al. "The evaluation of an oral health education program for midwives in Australia." Women and Birth 29, no. 3 (June 2016): 208–13. http://dx.doi.org/10.1016/j.wombi.2015.10.004.

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Williams, Jessica, Lyn Ebert, and Jed Duff. "Neonatal resuscitation training for midwives in Australia: A discussion of current practice." Women and Birth 33, no. 6 (November 2020): e505-e510. http://dx.doi.org/10.1016/j.wombi.2020.01.002.

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Gamble, Jenny, Jocelyn Toohill, Valerie Slavin, Debra K. Creedy, and Jennifer Fenwick. "Identifying Barriers and Enablers as a First Step in the Implementation of a Midwife-Led Psychoeducation Counseling Framework for Women Fearful of Birth." International Journal of Childbirth 7, no. 3 (2017): 152–68. http://dx.doi.org/10.1891/2156-5287.7.3.152.

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BACKGROUND: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.

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Power, Melissa, Kevin Dong, Jennifer Walsh, David A. Lewis, and Daniel Richardson. "Barriers to HIV testing in hospital settings within a culturally diverse urban district of Sydney, Australia." Sexual Health 18, no. 4 (2021): 340. http://dx.doi.org/10.1071/sh20189.

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Background Eleven percent of people living with HIV in Australia remain unaware of their diagnosis, and there are missed opportunities for HIV testing in priority settings in New South Wales. HIV testing remains low outside of sexual health clinics with the exception of antenatal settings where HIV testing is routine. To understand why HIV testing rates are low, we sought to identify health worker-related barriers to HIV testing. Methods: We conducted an anonymous online survey to health workers in Western Sydney Local Health District (WSLHD) in September 2019. Tick-box, Likert scale responses were analysed using Chi-square and Kruskal–Wallis statistical tests, and free text responses were analysed with thematic analysis. Results: Three percent (n = 420) of WSLHD’s estimated 14 000 health workers responded. These included 317 clinicians (171 nurses, 65 doctors, 56 allied health professionals (AHPs), 25 midwives, and 103 health workers in non-clinical roles). Health workers were from a variety of in-patient/out-patient settings. Many health workers (291/420, 69%; 95%CI = 64.9–73.7%) were unaware that HIV testing is offered in their areas; doctors (82%) and midwives (80%) were more aware than nurses (23%) and AHPs (11%) (P < 0.0001). Doctors (Likert score = 3.62; 3.45/5) and midwives (2.84; 2.76) were significantly more comfortable discussing and confidently offering HIV testing than nurses (2.42; 1.81) or AHPs (1.83; 0.91) (P < 0.0001 for both). The top five barriers to HIV testing were (1) procedural knowledge, (2) identification of at-risk patients, (3) HIV knowledge, (4) positive result management, and (5) privacy concerns. Free text responses highlighted perceived stigma, testing/result responsibilities and resource challenges as barriers to HIV testing. Conclusions: Clinicians working in priority settings and with priority populations require more education and support to increase targeted HIV testing.

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Wright, Helen, Lin Zhao, Melanie Birks, and Jane Mills. "Genomic Literacy of Registered Nurses and Midwives in Australia: A Cross‐Sectional Survey." Journal of Nursing Scholarship 51, no. 1 (October 27, 2018): 40–49. http://dx.doi.org/10.1111/jnu.12440.

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Davison, Clare. "Power and control: The experiences of privately practising midwives (PPMs) in Western Australia." Women and Birth 32 (September 2019): S21. http://dx.doi.org/10.1016/j.wombi.2019.07.212.

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Yates, Arimaya, Linda Katherine Jones, and Merv Jackson. "Women’s experiences of perceived traumatic vaginal birth in Australian maternity settings." International Journal of Healthcare 5, no. 2 (April 27, 2019): 1. http://dx.doi.org/10.5430/ijh.v5n2p1.

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Objective: Before the beginning of medicalisation in Australia during the 1950s, childbirth was the sole domain of women. Contemporary birthing practices have posed a more medicalised technological environment on women resulting in both good and bad outcomes. In recent surveys, 45.5% of Australian women reported experiencing birth as traumatic; with nearly 20% experiencing postnatal depression. While there have been some studies on women’s trauma experiencing a caesarean section, minimal research has been completed into perceived traumatic experiences related to normal vaginal births.Methods: This study utilized a qualitative methodology to explore psychological and emotional impact of women’s experiences with perceived traumatic normal births. The research used an in-depth semi-structured interview and analysed the data within the phenomenological paradigm. The data analysis revealed nine themes: I was determined to birth naturally; Not telling me what they were doing; I just had to force her to be born; it was really horrific; I know that is just what the system is like. . . they’re hospital midwives. . . they’re medical; I didn’t feel connected to them; She stood up for me; After the birth, just horrible; I deserve a better birth.Results: Although the rates are unclear, these findings highlight that some women suffer trauma from their experience of a normal vaginal birth. The perceived causes include: midwives not always being with women and supporting physiological childbirth; women not being fully informed; power asymmetries and hegemony inside the birthing room; and a fetocentric model of care that left women feeling disrespected, disempowered and objectified.Conclusions: The findings indicate a need for midwives to truly be with women and provide continuity of care, as well as supporting the physiological process of childbirth, medical and midwifery professional education on trauma awareness following birth, a rethinking of antenatal education programs to include coping strategies and greater midwifery support in the hospital post-natal stay.

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Bogossian, Fiona E., Maryann H. Long, Christine Benefer, Lindy J. Humphreyes Reid, Susan E. M. Kellett, Isabella Zhao, and Catherine Turner. "A workforce profile comparison of practising and non-practising midwives in Australia: Baseline data from the Midwives and Nurses e-cohort Study." Midwifery 27, no. 3 (June 2011): 342–49. http://dx.doi.org/10.1016/j.midw.2011.03.001.

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I.S., Momoh, and Rogers M.K.K. "Time to Consider the Introduction of Mandatory Continuous Professional Development Training Programme for Registered Healthcare Workers Especially Nurses and Midwives in Sierra Leone." African Journal of Health, Nursing and Midwifery 6, no. 1 (February 1, 2023): 11–22. http://dx.doi.org/10.52589/ajhnm-q0zplgvs.

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In developed countries like Australia, Canada, UK and USA, continuous professional development (CPD) is statutory or mandatory training for all regulated healthcare staff such as doctors, midwives, nurses, pharmacists and physiotherapists. All patients facing healthcare professionals are expected to attend stipulated programs of learning some with annual recall. These trainings are compulsory to attend. Staff employers would be in breach of statutory laws or regulatory requirements if they employ or allow staff to work with expired CPD competencies. In a low- or middle-income country (LMIC) like Sierra Leone, CPD is currently selective, and voluntary and registration licences are not revalidated. This can invariably put patients at risk as clinical skills/knowledge are not regularly verified. This paper discusses the rationale for the Government of Sierra Leone (GoSL) to consider introducing mandatory CPD training programmes, especially for nurses and midwives employed in healthcare settings in the country.

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Peterson, David, Tracey Clark, Richard Sprod, Trudi Verrall, Louise English, and Amanda Thomson. "Bloody Good! The Impact of eLearning on Medical and Nursing Practice." International Journal of Advanced Corporate Learning (iJAC) 10, no. 2 (November 9, 2017): 75. http://dx.doi.org/10.3991/ijac.v10i2.7349.

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<p class="Abstract">Blood transfusion is a commonly-performed medical procedure that improves and saves the lives of patients. However, this procedure also has significant risks, is sometimes used inappropriately and has substantial costs associated with the collection, testing, processing and distribution of blood and blood products.</p><p class="Abstract">BloodSafe eLearning Australia (BEA) (<a href="/index.php/i-jac/author/saveSubmit/www.bloodsafelearning.org.au">www.bloodsafelearning.org.au</a>) is an education program for Australian doctors, nurses and midwives, designed to improve the safety and quality of clinical transfusion practice. Courses are interactive and include case studies, videos, and best-practice tips. Successful completion of a multiple-choice assessment provides learners with a certificate of completion. To date there are more than 400,000 registered learners, from more than 1500 organisations, who have completed more than 765,000 courses.</p><p class="Abstract">Stakeholder feedback shows that the program: provides credible, consistent education across Australia; is cost effective; reduces duplication; is ‘best-practice’ elearning that is readily accessible; allows institutions to focus on practical aspects of transfusion education; results in change to clinical practice; and supports the broader implementation of a blood management strategy in Australia.</p><p class="Abstract">User evaluation shows that the courses have a positive impact, with 89% of respondents stating they had gained additional knowledge of transfusion practice, processes and/or policy and more than 87% reporting they will make, or have made, changes to their work practices which will improve patient safety and outcomes.</p>The BloodSafe eLearning Australia program provides education to a large number of health professionals across Australia. Evaluation demonstrates that these courses provide users with a consistent and reliable knowledge base that translates into changes to practice and improved patient outcomes.

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Safari, Mrs Kolsoom, Lisa McKenna, and Doctor Jenny Davis. "Registration experiences of Middle Eastern qualified midwives in Australia: A narrative case study analysis." Women and Birth 35 (September 2022): 53. http://dx.doi.org/10.1016/j.wombi.2022.07.151.

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Pugh, Judith D., Diane E. Twigg, Tracy L. Martin, and Tapan Rai. "Western Australia facing critical losses in its midwifery workforce: A survey of midwives' intentions." Midwifery 29, no. 5 (May 2013): 497–505. http://dx.doi.org/10.1016/j.midw.2012.04.006.

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Regan, Annette K., Donna B. Mak, Yvonne L. Hauck, Robyn Gibbs, Lauren Tracey, and Paul V. Effler. "Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives." Women and Birth 29, no. 5 (October 2016): 423–29. http://dx.doi.org/10.1016/j.wombi.2016.01.009.

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McLaughlin, Karen, Megan Jensen, Maralyn Foureur, and Vanessa E. Murphy. "Antenatal asthma management by midwives in Australia — Self-reported knowledge, confidence and guideline use." Women and Birth 33, no. 2 (March 2020): e166-e175. http://dx.doi.org/10.1016/j.wombi.2019.04.007.

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Bourgeault, Ivy Lynn, Elena Neiterman, and Jane LeBrun. "Midwives on the move: Comparing the requirements for practice and integration contexts for internationally educated midwives in Canada with the U.S., U.K. and Australia." Midwifery 27, no. 3 (June 2011): 368–75. http://dx.doi.org/10.1016/j.midw.2011.03.010.

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Shannon, Jaylene, Kath Peters, and Stacy Blythe. "The Challenges to Promoting Attachment for Hospitalised Infants with NAS." Children 8, no. 2 (February 22, 2021): 167. http://dx.doi.org/10.3390/children8020167.

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The postnatal period is crucial for infants in establishing a connection with and security in primary caregivers and can have enduring effects on attachment patterns. However, due to the need for symptom management, many infants diagnosed with neonatal abstinence syndrome (NAS) may be separated from primary caregivers and cared for in a neonatal intensive care unit (NICU) or special care nursery (SCN) soon after birth. Research has shown that substance-exposed infants are more likely to experience insecure attachment patterns with their primary caregivers and that mothers with a history of substance abuse are less sensitive to their infants’ cues. Therefore, the aim of this research was to explore nurses’ and midwives’ experiences in promoting the attachment relationship for infants admitted to an NICU/SCN with NAS. A qualitative research design was used to gather data on the experiences of nine nurses/midwives from various NICU and SCN settings in Australia. Individual, semi-structured interviews were conducted, and transcribed interviews were coded using thematic analysis. While nurses/midwives valued the attachment relationship for infants with NAS, facilitation of the attachment relationship was mainly promoted when the mother was present. However, parents were often reported to be absent from the nursery. Difficulties in promoting an attachment relationship were also identified when an infant had child protection involvement. This research identifies areas in need of innovative change regarding the approach taken to promote the attachment relationship for infants with NAS when they are admitted to an NICU/SCN.

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Priddis, Holly, Hannah Dahlen, and Virginia Schmied. "Juggling Instinct and Fear: An Ethnographic Study of Facilitators and Inhibitors of Physiological Birth Positioning in Two Different Birth Settings." International Journal of Childbirth 1, no. 4 (2011): 227–41. http://dx.doi.org/10.1891/2156-5287.1.4.227.

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BACKGROUND: Although there is evidence to support the benefits for women of using a variety of birth positions, particularly upright birth positions, there is limited research into practices that facilitate or inhibit physiological birth positioning.AIM: To explore how physiological birth positioning is facilitated by midwives and experienced by women in two main settings in New South Wales (NSW), Australia (birth center and delivery ward).METHOD: An ethnographic approach guided data collection and analysis in this study. Data was collected using observation of women in the second stage of labor, focus groups with midwives, and interviews with women.RESULTS: Women were more likely to assume upright birth positions in the birth center setting (81.84%) than in the delivery ward setting (24.47%). They also instinctively wanted to lean forward during labor and birth. Midwives and women constantly “juggle instinct and fear” as they work to adapt to the birth environment, and this impacts physiological birth positioning.CONCLUSION: Women are more likely to adopt physiological birth positions during the first and second stage of labor in a birth center setting compared to a delivery ward setting. The birth center setting acts as a facilitator for physiological birth positions by providing a buffer from medicalized care.CLINICAL IMPLICATIONS: An in-depth exploration into facilitators and inhibitors of physiological birth positioning in two different birth settings provided new insights. Findings from this study have the potential to inform clinical practice through the design of birth environments and models of care that are available to women.

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Javanmard, Mitra, Mary Steen, Rachael Vernon, and Megan Cooper. "Transitional Experiences of Internationally Qualified Midwives Practicing in Australia: Protocol for a Mixed Methods Study." JMIR Research Protocols 8, no. 6 (June 1, 2019): e13406. http://dx.doi.org/10.2196/13406.

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Gaffney, Lauren, and Caroline A. Smith. "Use of complementary therapies in pregnancy: The perceptions of obstetricians and midwives in South Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 44, no. 1 (February 2004): 24–29. http://dx.doi.org/10.1111/j.1479-828x.2004.00161.x.

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