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This third edition of Introduction to Research for Midwives is the answer. If you want to have a
great selection of topics, choose from below. Returning midwives have unique learning and support
needs yet they do not always receive the appropriate support. Documented evidence of the case,
risks and benefits associated with the induction of labor. Compromise responding to therapy, but the
underlying problem persists. They were asked to discuss their experience of admission of women in
labour. Method A mixed-methods approach was used including data collection through
questionnaire, focus groups and interviews. Because evidence-based practice involves integrating
individual clinical expertise with the best available external clinical evidence from systematic
research. All titles, abstracts, or case facts were reviewed using a framework derived from the
definition of Midwifery Abdication. This renders Midwifery Abdication almost inevitable or at least
very difficult to prevent. Nursing and midwifery. 2018. (accessed18 August 2019). Simulation based
learning in midwifery education: a systematic review. Four main themes emerged from the analysis;
passion for midwifery, support, preparation for practice and returning to the midwifery workforce.
The experiences of inactive nurses returned to nursing after completing a refresher course. As a
recruitment strategy, current emphasis is on the education component. The paper sheds some lights
on the vaginal examination in labour, the information that healthcare professionals gather from it,
The Role of Midwives and patients, and the current situation of vaginal examination; whether
vaginal examination is a clinical intervention or an essential assessment tool; whether vaginal
examination is necessary or it is just a practice by midwives. Conclusion Return to midwifery practice
programmes need to be tailored and clinical staff need to be adequately prepared to provide the
required support. Yet, there are mixed reports as to how successful this recruitment strategy is at
returning midwives back to practice. Another had taken up a full-time post but she had resigned
within one month due to a change in family circumstances. Pairman et al (2006) makes an exhaustive
study of the subject with a number of case studies observed in Australia and New Zealand. Inactive
nurses in Taiwan: human capital, intention to return to hospital nursing, and incentives for returning.
RESULTS Midwifery Abdication occurs, as reported within the wider midwifery literature, and
indicated in three studies from different countries. The introduction for your paper must provide
insights about the issue that you will study. Returning to physiotherapy practice: the perspective of
returners, perspective returners and clinical supervisors. Refresher programmes are generally required
by returning midwives; however, there is a paucity of current research on the success of these
programmes. In the process, we would like to share and solicit perspectives on reflexivity as a
process and as an output. You need to introduce your topic and as the author, you need to
demonstrate well-researched paper. He has published widely across the nursing and midwifery press,
including articles on research methodology for both midwives and practice nurses. Under the
effective use of staff, it is important for the Health Care system to meet the changing demands
imposed by the erratic nature of the field by achieving a balance between the workers' skills and
service demands (NHS, 2006). It has been a fantastic resource at every level and invaluable with
concise, easy to follow chapters.
Videos Help others learn more about this product by uploading a video. The aim of this research was
to explore the experiences of registered midwives undertaking a return to midwifery practice
programme in Ireland, with the objective of identifying how effective and successful the programme
is at preparing and returning midwives to practice. Others did not return because of challenges they
encountered when seeking employment in midwifery. The importance of being reflexive is
highlighted in the literature in relation to nursing research, however, practical guidance as to how to
go about doing research reflexively is not always clearly articulated. Do you find it difficult to know
how to apply research to clinical practice. The diagnostic judgement was based on the physical signs
of labour: the management decision would then be made by considering the diagnostic judgement as
well as cues such as how the woman was coping, her expectations and those of her family and the
requirements of the institution.Conclusions. Midwives may experience more difficulty with the
management decision than with the initial diagnosis. This third edition of Introduction to Research
for Midwives is the answer. You can provide notions about midwifery, functions of midwives and
other issues. As evidenced, in the literature, support mechanisms for returning practitioners must
value pre-existing knowledge and skills ( Bariball et al, 2007 ). These requirements put the status of
midwives in both the advantaged and disadvantaged. Midwives’ decision-making process could be
divided into two stages. The aim is to establish the current state of reflexivity from nursing
perspective in order to identity areas for nursing practice. SAGE Research Methods Cases Part 2
Evans, AB, Nistrup, A, Henderson, H, Allen-Collinson, J and Siriwardena, N (2018), Reflexivity in
qualitative research: Two figurational studies. However, there was a perception that there was a lack
of understanding amongst supporting staff of the level and type of support they required. Returning
midwives have unique learning and support needs yet they do not always receive the appropriate
support. These experiences include feelings of anxiety ( Barriball et al, 2007; Amin et al, 2010 ) a
requirement for support throughout the programme ( Hammer and Craig, 2008; Payne, 2010 ) and a
preference for flexible working hours on programme completion ( Langan et al, 2007; Kent, 2015 ).
In other words, evidence-based healthcare practice involves development of appropriate methods for
conducting systematic reviews and analyses, collecting information globally, and finally, for
promoting clinical cost-effective healthcare. Findings: Findings of the review suggest that nurses’
reflexivity about their relations with patients is crucial in ensuring that important clinical decisions
that influence patient outcomes are made. All nine (100%) midwives indicated that they planned to
return to work as a midwife with over half, five (55%), indicating that they would seek full-time
employment in a maternity hospital. One of the common problems causing induction of labor is post-
date pregnancy. Evaluation of return to practice: the views of nurse returnees from three NHS
Hospital Trusts. Nevertheless, concurring with the literature ( Payne, 2010 ), return to midwifery
practice programmes do need to meet the individual needs of returning midwives. Semi-structured
interviews took place with each participant six months post-completion of the return to midwifery
practice programme. Foreign experience in midwifery can help you in having a good topic. The
current emphasis on the return to midwifery practice programmes appears to be based solely on
programme delivery and fails to support midwives to gain employment post-completion. A passion
for midwifery is a key driver for returning to practice. Compromise responding to therapy, but the
underlying problem persists. Evidence shows that elective caesarean delivery is increasingly chosen
by healthcare professionals and women in these regions. In particular, it examines some of the
barriers and influences which affect implementing knowledge into practice. Apart from clinical
factors, socio-economic factors are equally important in decision making with regard to complicacies
such as interventions of postdate pregnancy or caesarean delivery.
The case studies reveal that the rate of caesarean delivery is continuously rising in Australia, New
Zealand and the rest of the industrialized world. Pairman et al (2006) makes an exhaustive study of
the subject with a number of case studies observed in Australia and New Zealand. Journal of
Continuing Education in Nursing. 2008; 39:(8)358-367. With the medicalization of childbirth
becoming more and more complicated, it is important to realize that evidence-based practice is a
standard tool for assessing clinical evidence as well as other related factors. The conflicts
surrounding the interventions of postdate pregnancy require serious observation with regard to the
issue of communication and sharing of information among the women in labor and the practitioners.
Therefore, the most fundamental objective of an evidence-based nursing practice should be directed
at providing the woman with adequate care meeting her expressed needs. However, equal emphasis
needs to be placed on employment pathways on programme completion if this initiative is to be
effective at returning midwives back to the workforce. Full content visible, double tap to read brief
content. The content is particularly student-friendly and provides clear guidelines on critiquing
research articles and producing successful reviews of the literature, with many tips on producing
assignments that really work. Documented assessment of cervical favorability, fetal position, and
presentation and relationship of the fetal head to the pelvic brim. The midwifery profession also
benefits as the returning midwives bring with them life experience, skills and maturity which are
seen as assets in promoting autonomy and leadership in clinical practice ( Payne, 2010; NHS, 2014 ).
From the outset, all nine reported a desire to return to practice in their profession with a passion for
midwifery being reported as a key driver for returning to practice. Postdate or post-term pregnancy
takes place when pregnancy crosses 41 weeks of gestation. The most important and basic point in
evidence-based midwifery care is that midwifery is first and foremost about caring for women.
Midwifery Academy See Full PDF Download PDF About Press Blog People Papers Topics Job
Board We're Hiring. Most importantly, research shold be undertaken “with women, not on women”
(p. 23). Mander classifies a number of ethical issues relating to evidence-based caesarean research
including factors like a) the geographical location, b) the researcher’s discipline (rules and protocols),
c) researcher’s personal experience, d) timing of data collection, and so on. With this in mind and
based on our findings highlighting issues with return to midwifery practice programme, this is now
an opportune time to undertake a comprehensive national review of return to midwifery practice
programmes with all relevant stakeholders. Colin Rees Brief content visible, double tap to read full
content. Check out the list of literature review topics or read some education dissert. You need to
justify scientific interest to others about midwifery issues. Nurse researchers are encouraged to
explore and apply the concept of reflexivity in their research practices to develop transparency in the
research process and to increase robustness in their research. Integrate the evidence with clinical
expertise and patients’ perspectives. Read instantly on your browser with Kindle for Web.
Midwives’ decision-making process could be divided into two stages. This should include specific
education for clinical staff to enable them to provide the required support for this unique cohort.
What are symptoms?. The nurse ought to record the symptoms that the patient has as an indication
of head lice. Sustainability and resilience in midwifery: A discussion paper. Midwifery. 2016; 40:40-
48. It may be that the number of inappropriate admissions to labour wards could be reduced by
supporting midwives to negotiate the complex management hurdles, which accompany diagnosis of
labour. Conclusion Return to midwifery practice programmes need to be tailored and clinical staff
need to be adequately prepared to provide the required support. Doing my DPSM some years later
and recently finishing a BSc, this book has been very helpful especially in those early days of study.
With the medicalization of childbirth, the importance of midwifery care has become increasingly
apparent. This paper reports a study examining midwives’ perceptions of the way in which they
diagnose labour.Background. Diagnosis of active labour is often problematic. Check out the list of
literature review topics or read some education dissert. Documented evidence of the case, risks and
benefits associated with the induction of labor. It is thought to manifest itself in the joy of childbirth
and being able to make a difference in women's lives (Crother et al, 2016). A literature review is not
a simple summary of what has been written around a specific topic. As Page and McCandlish (2006)
define, evidence-based midwifery is “a process of involving women in making decisions about their
care and of finding and weighing up information to help make those decisions.” This information
can be drawn from various individual needs and, values of the woman and her family including
information taken from the clinical examination as well as from the evidence about treatments, place
of care, and forms of support. What strategies can be implemented to facilitate midwives who have
successfully completed a return to practice programme to re-enter the workforce? You can provide
notions about midwifery, functions of midwives and other issues. The primary responsibilities of
midwives include offering care to childbearing women during pregnancy, labor and birth as well as
to the newborn while assisting the mother with breastfeeding. The midwives, being medical
practitioners themselves are affected by these themes both in positive and negative ways (NHS,
2006). This literature review demonstrates evidence-based midwifery care. You need to justify
scientific interest to others about midwifery issues. As a recruitment strategy, current emphasis is on
the education component. One way to achieve this is through engagement in reflexive practice; that
is, to reflect on our own values, beliefs and biographies. Returning to practice has been described in
the literature, and also recounted by these midwives, as being associated with feelings of anxiety,
lack of confidence and fear of appearing incompetent ( Kirkham and Morgan, 2006; Elwin, 2007;
Sheppard et al, 2010 ). This is negatively impacting on the effectiveness of the initiative in returning
midwives back to practice. With the increasing rate of caesarean delivery across the world, the
responsibilities of midwifery care have become more critical. The concept of reflexivity in research is
explored using the Alvesson and Skoldberg model of reflexivity and practical examples of how a
researcher developed reflexivity in a grounded theory project are presented. Induction is generally
known as a method of artificially or prematurely stimulating childbirth in a woman. He has
undertaken a number of projects in midwifery, including the routine use of enemas in delivery with
Sheila Drayton, and has a special interest in antenatal education. We know that you might need help
with literature review writing, so why don't ask for help. Oxytocic drugs to augment labor are
associated with fetal hypoxia, identified as fetal distress, for which interventions to expedite the
birth, such as assistance with obstetric forceps or even caesarean section, may be deemed necessary”
(p. 16-17). In this context, various types of evidence-based literature are significant to note. This
particular midwife had not completed her midwifery training in Ireland and had no post-registration
midwifery experience. Lastly, do well in writing to provide what the examiners want to see. The
North Carolina AHEC self-paced RN refresher programme: an evaluation of the first two years.
RESULTS Midwifery Abdication occurs, as reported within the wider midwifery literature, and
indicated in three studies from different countries. International Journal of Evidence-Based
Healthcare. 2017; 15:(4). This further includes the concept of knowledge as the latter is involved in
that evidence.
Method A mixed-methods approach was used including data collection through questionnaire, focus
groups and interviews. With the medicalization of childbirth, the importance of midwifery care has
become increasingly apparent. Nevertheless, concurring with the literature ( Payne, 2010 ), return to
midwifery practice programmes do need to meet the individual needs of returning midwives.
Appraise the validity of the evidence to support answers to clinical questions. As defined by the
International Confederation of midwives (ICM), midwives are licensed, autonomous HCPs who are
specialized to provide well-being related to women's reproductive health including gynecological
tests, family planning, sexual health, antenatal tests, delivery, postpartum care, and menopausal care.
Reflexivity is thus considered essential, potentially facilitating understanding of both the
phenomenon under study and the research process itself. As a recruitment strategy, current emphasis
is on the education component. Routine use of interventions following postdate pregnancy is
common in many countries. They described using information cues, which could be separated into
two categories: those arising from the woman (Physical signs, Distress and coping, Woman's
expectations and Social factors) and those from the institution (Midwifery care, Organizational
factors and Justifying actions). The introduction for your paper must provide insights about the issue
that you will study. Better Births: improving outcomes of maternity services in England. 2016.
(accessed 15 February 2021). Perceptions of midwives on shortage and retention of staff at a public
hospital in Tshwane District. Curationis. 2019; 42:(1). As Page and McCandlish (2006) define,
evidence-based midwifery is “a process of involving women in making decisions about their care
and of finding and weighing up information to help make those decisions.” This information can be
drawn from various individual needs and, values of the woman and her family including information
taken from the clinical examination as well as from the evidence about treatments, place of care, and
forms of support. Colin Rees Brief content visible, double tap to read full content. Documented
evidence of the indication for induction and the presence of contradictions if any. It also analyzed
reviews to verify trustworthiness. Instead, our system considers things like how recent a review is
and if the reviewer bought the item on Amazon. Returning midwives have unique learning and
support needs that are influenced by their pre-existing knowledge and skills. It can be difficult to
know exactly how a researcher should engage in these practices, however. There are several elements
that will be discussed here with regard to specific standards of practice and this would deal with the
Vitamin K administration to babies. Another had taken up a full-time post but she had resigned
within one month due to a change in family circumstances. Also, it was found in previous researches
that the basic emphasis of midwives is to ensure the health of the fetus. One of the common
problems causing induction of labor is post-date pregnancy. Aim To explore the experiences of
registered midwives undertaking a return to midwifery practice programme in Ireland, and the
effectiveness of the programme in preparing and returning midwives to practice. On programme
completion, midwives must go through normal recruitment procedures to seek employment. Above
all, the health of the woman is the first and foremost objective of healthcare. Moreover, the practice
should not be limited by the midwife’s personal or professional philosophy of care; it has to be
incorporated with appropriate amount of research based on scientific and clinical evidence. A
literature review is not a simple summary of what has been written around a specific topic. In both
cases, investigation is conducted on what might work how in ideal and specific circumstances.
Download Free PDF View PDF On Becoming a Qualitative Researcher: The Value of Reflexivity
Diane P Watt Learning how to conduct qualitative research may seem daunting for those new to the
task, especially given the paradigm's emphasis on complexity and emergent design.
These interventions usually tend to follow a chain of complicacies since the medicalization of
childbirth itself is a complicated issue. The content is particularly student-friendly and provides clear
guidelines on critiquing research articles and producing successful reviews of the literature, with
many tips on producing assignments that really work. Finding out what is important to the woman
and her family. Journal of Nursing Management. 2009; 17:(2)203-211. I am a trained midwife,
please let me do things.”’. One of the themes emphasized by the NHS Modernisation Agency was
that about the Workforce. Similarly, a study carried out on returning midwives in the UK, identified
that a deep love of the profession was the main motivator for them to return ( Payne, 2010 ). Journal
of Continuing Education in Nursing. 1997; 28:(1)14-19. Full content visible, double tap to read brief
content. All of these specific and diverse skills underpin the role of the midwife in the 21st century
(see Figure 1 ). In order to consider what research articles must be included in the literature review
to make the review more reliable, authentic and evidence-based, it is important for the reviewer to
have an optimum knowledge on the different levels of the accorded studies, also known as hierarchy,
which provides a certain degree of confidence measure in the end-user (Evans, 2003). Midwifery is
my life's passion and I chose to do it a long time ago, and I don't regret it’. Journal of Continuing
Education in Nursing. 2008; 39:(8)358-367. The most important and basic point in evidence-based
midwifery care is that midwifery is first and foremost about caring for women. I will only take a job
where the hours and conditions are suitable.’. The establishment of such themes is expected to make
an impact in everything which are affiliated with health care, most specifically the patients and the
workers. When it comes to maternity situations, unintended consequences relatively occur in most
cases. Such an environment impacts on a midwife's ability to fully exercise autonomy, and to
advocate for normality and women. It may be that the number of inappropriate admissions to labour
wards could be reduced by supporting midwives to negotiate the complex management hurdles,
which accompany diagnosis of labour. Practice policies that are not supportive of a midwife's
professional autonomy and scope of practice reinforce the technocratic work environment. Let us
write or edit the literature review on your topic. Attrition rates following programme completion have
been reported to be as high as 75% ( Kirkham and Morgan, 2006; Payne, 2010 ). RESULTS
Midwifery Abdication occurs, as reported within the wider midwifery literature, and indicated in
three studies from different countries. This renders Midwifery Abdication almost inevitable or at
least very difficult to prevent. We conclude by highlighting the importance of methodological and
theoretical consistency in reflexive practice, which must also be attuned the particular needs of a
study and perspective of a researcher. An evidence-based approach is necessary in teaching the
students of nursing as it helps them incorporating the following key points (Levin and Feldman,
2006, p. 6). Ask clinical questions that can be answered through research and other evidence sources.
Spiby and Munro further discuss two types of evidence-based practice: context-free and context-
sensitive evidence practice. By the way, here are a few useful civil engineering dissertation topics
you will probably like. Discover more of the author’s books, see similar authors, read author blogs
and more Read more Read less.
Videos Help others learn more about this product by uploading a video. This paper attempts to
briefly address the concept of evidence-based midwifery care. The aim of this research was to
explore the experiences of registered midwives undertaking a return to midwifery practice
programme in Ireland, with the objective of identifying how effective and successful the programme
is at preparing and returning midwives to practice. Inactive nurses in Taiwan: human capital, intention
to return to hospital nursing, and incentives for returning. The North Carolina AHEC self-paced RN
refresher programme: an evaluation of the first two years. During clinical placement, midwives are
supernumerary to normal midwifery staffing levels. This lack of opportunity to consolidate
knowledge and skills gained on the return to midwifery practice programme was of concern to them.
A midwifery workforce planning tool identified that up to 30% of women admitted to United
Kingdom labour wards subsequently turned out not to have been in labour. Conclusion Return to
midwifery practice programmes need to be tailored and clinical staff need to be adequately prepared
to provide the required support. The extent of philosophy in these environments leads to the adoption
of midwifery philosophy failure. In a review of return to practice programmes in the UK, mentors
acknowledged that returning midwives had specific needs but there was a tendency to treat them
like student midwives ( NHS, 2014 ). There is evidence that if a woman is admitted to a labour ward
in early labour, she is more likely to have some form of medical intervention. According to NHS
(2006), to achieve balance, flexibility and skills are necessary for their workforce. Reflect on the
unique support midwives returning to practice may need and how clinical staff can provide this
support. It entails self-awareness and as Parahoo (2006) posits, reflexivity, as a process, is an
introspection on the role of subjectivity in the research that entails a continuous process of reflection
by researchers on their values. With the increasing rate of caesarean delivery across the world, the
responsibilities of midwifery care have become more critical. Quantitative data was tabulated and
entered onto an excel spreadsheet. One of the themes emphasized by the NHS Modernisation
Agency was that about the Workforce. Australian midwives' intentions to leave the profession and
the reason why. This paper evaluates management of a midwifery case of a 29-year old who after
presenting bleeding at 35. The midwives, being medical practitioners themselves are affected by
these themes both in positive and negative ways (NHS, 2006). You need to justify scientific interest
to others about midwifery issues. As mentioned earlier in the introduction of this paper, evidence-
based midwifery care involves active research contributing significantly to resolving complicating
situations and unhelpful interventions in common nursing practice. When referring to midwifery
skills, the Nursing and Midwifery Council's (2019a; 2019b ) standards for education and training,
and standards for midwives define these in multiple sections both individually and combined. Full
content visible, double tap to read brief content. Download Free PDF View PDF See Full PDF
Download PDF Loading Preview Sorry, preview is currently unavailable. Page and McCandlish
discuss five main steps to be taken to practice evidence-based midwifery. Evidence-based nursing
and midwifery practice is concerned specifically with the health of women and children while
contributing largely to cost-effective healthcare. The diagnostic judgement was based on the physical
signs of labour: the management decision would then be made by considering the diagnostic
judgement as well as cues such as how the woman was coping, her expectations and those of her
family and the requirements of the institution.Conclusions. Midwives may experience more difficulty
with the management decision than with the initial diagnosis. It was conducted by a gatekeeper,
lasted 35 minutes and was digitally recorded.

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