No / The aim of this project was to explore the feasibility and identify the issues of using mobile technologies in the assessment of health and social care students in practice settings. We report here on a case study, which took place between a University department and varied clinical settings where students were on placement. Twenty-nine student midwives and five members of lecturing staff took part in the study and were issued with PocketPCs on which to record assessment documentation including action plans and evidence of achieving performance criteria. Qualitative data were obtained from three focus groups with student midwives and individual interviews with their link lecturers and quantitative data were gathered through short questionnaires to provide simple descriptive statistics. Findings indicated that students preferred the neatness and durability of the PocketPC to the paper based format, which became worn overtime. The ability to add to notes and references as and when appropriate was welcomed. However, anxiety about losing the device or material stored within it proved to be a major constraint. Lecturing staff found that synchronising the device with the University electronic diary system was extremely useful whilst clinical staff approached the change with varying levels of acceptance or dismissal. Introducing mobile technology into the clinical setting will require a significant shift in culture and a significant level of training and support.

No

No

No

Yes / Both flexible working and worklife balance (WLB) are important issues for the midwifery profession and can have both positive and negative consequences for midwives working in the National Health Service (NHS). This study examined midwives’ views and experiences of flexible working, work-life balance and the implications for the midwifery profession.

This qualitative study was aimed at exploring midwives’ responses and attitudes towards women in labour, as well as their perception of the pain experienced during labour. A non-probability purposive sampling method was followed, and the data collection methods selected were in-depth individual interviews and focus-group interviews, with the aid of an interview guide for both methods, the researcher being the main data collecting instrument. More than one data collection method (triangulation) was used to ensure the trustworthiness of the study. Concerning the perception of midwives towards women experiencing labour pain, the study revealed that firstly, labour pain is unique to individual women, it is natural and bearable. Secondly, labour pain may be unbearable, and the women in labour need to be given medication for pain. Furthermore, certain behaviour was identified and viewed as unacceptable by participating midwives because it could put both the lives of the mother and the unborn baby at risk; these include: drinking herbal medicines during pregnancy and childbirth; extreme activities like jumping out of bed and rolling on the floor. These behaviours were sources of frustration to midwives. / Health Studies / M.A. (Health Studies)

This study was undertaken to investigate the practice of Traditional Birth Attendants (TBA) during pregnancy, labor, and the postpartum period. The overall goal of this study was to promote safe motherhood. This study was conducted in Abaqulusi, a sub-district of KwaZulu-Natal, Zululand Health District 26, in four rural communities. A descriptive design with structured interview schedule guided the process. A convenient sample of forty-eight actively practicing trained Traditional Birth Attendants and forty-eight mothers attended by these Traditional Birth Attendants were interviewed. Of these 48 TBAs 47 were women, and one interestingly, was a man. Their age range was from 20 to over 70. Fifty percent of the mothers attended by the TBAs were between 15 and 24 years old. This finding is significant because the result shows that most of the mothers who are attended and delivered by TBAs are a high risk group. Data generated was quantitatively and qualitatively analyzed. The study revealed that the TBAs attended the mothers during the pregnancy, labor, and postpartum periods. All TBAs examined mothers with their hands, gave education on the importance of good nutrition, child spacing, and follow up care. The study showed that during labor 100 % of TBAs deliver babies on the floor with an old blanket, in the lithotomy position and encouraged the mother to empty her bladder before and during labor. They wore gloves or plastic bags. They examined mothers before delivery was done. They measured the umbilical cord, tied it with string and cut it. They cleaned the baby's mouth, nose, and eyes with a clean cloth, and wrapped the baby up and put it near the mother. They delivered the placenta, checked it to see if all was out. They washed the mother and put her on her bed. During the postpartum period, 100 % of the TBAs visited the mother at her home for one week to assess and care for the mother and her baby. The TBAs examined the mother, checked the umbilical cord and bathed the baby. They educated the mother about breastfeeding, caring for her breast, and eating balanced meals to produce adequate breast milk. The study revealed that the mothers perceived the TBAs as caring. The mothers loved the TBAs because the TBAs were easily accessible, even at night. The conclusion reached in this study is that TBAs are of great value to the rural communities of South Africa. They need to be supported by the health professionals so thal tbeir practice can be recognized. They form part of the maternal and child health care. Their practice is indispensable. / Thesis (M.N.)-University of Natal,Durban, 2004.

Midwifery is a dynamic, ever changing, specialised field of nursing involving the care of women and childbearing families. Clients are central to the practice of midwifery and thus their well-being is the main focus of midwives. So, it is not surprising that much of the relatively small body of midwifery research is client focused. As a result, client perspectives have been studied in a number of ways, regarding several aspects of midwifery care. This research, however, aimed to consider midwifery from the midwives' perspective by exploring the everyday encounters of everyday midwives who are working in institutional settings, and identifying the ethical aspects of those encounters. From the researcher's standpoint, it is clear that midwives' everyday encounters are ethical encounters and have potential to be either beneficent or harmful. There was, however, uncertainty that midwives recognized this "everydayness" of ethics. This research sought to clarify the place of ethics within midwives' everyday activities. A further purpose was to ascertain how the ethics that entered into the encounters and activities midwives participated in on a daily basis had affected their practise, their profession and/ or themselves. In doing this, the intent was to broaden the understandings of the ethical dimension of the practice. A particular ethical approach was adopted for this project. It is a view of ethics where persons have regard for, and responsibility toward, each other (Isaacs, 1998). The fact that midwifery is a social practice was expected to be significant in both the everyday encounters that midwives experienced and the ethical responses to those encounters. Members of social practices share an overall purpose and have a moral obligation or desire to practise ethically. As they share a culture and a covenantal commitment to care for those the profession seeks to serve - in a context of gift, fidelity and trust (Isaacs, 1993; Langford, 1978), it was anticipated that midwives would, generally, work in an ethically laden "world". Narrative research offered an appropriate framework for investigating these dimensions of midwifery practice. Many authors have noted the value of story-telling for making sense, and illuminating the ethical features, of our lives. It is, Kearney says, "an open-ended invitation to ethical ... responsiveness" (2000, p. 156). By enabling the participants to tell their stories, rich, contextual narrative material was obtained. The researcher was able to engage with both the participants and the stories as audience. An introduction to the study is provided in Chapter One, while Chapter Two explains both why narrative inquiry was chosen for this research project and the framework that was utilised. The insights from the study are presented in Chapters Three through Six. Each chapter considers the issues and concepts arising from stories that involve midwives' relationships and interactions with a different group of people: midwives, institutions and administration ("them"), doctors and families. In Chapter Three different types of interactions between midwives and their colleagues are explored. Some of the issues that arise are the importance of understanding one's own values and the place of ethics in practice, as well as the need to "do ethics-on-the-run". Many ethical concepts are evident including autonomy, integrity and professional identity. Participants had many negative experiences, and some conveyed feeling a lack of support, threatened or overwhelmed. Conversely, some stories share very positive images of mutual understanding where midwives worked together empathetically. Chapter Four looks at how managers' interactions with midwives impacted upon them and their practice. Unfortunately, this seems to be mostly negative. The midwives convey a sense of feeling undervalued both professionally and personally. Doctors have their turn to interact with the midwives in Chapter Five. In this chapter it becomes evident that doctors and midwives view birth from different perspectives. The participants' stories tell of challenging situations that alert us to the fact that normal, in the context of birth, is not as simple and common place as one might think when doctors and midwives have to work together. Wonderful, positive stories of midwives and doctors working together told of the symbiotic relationship that these two groups of professionals can have when the client is the focus. The last of the insights chapters, Chapter Six, focuses on the relationships midwives have with families. Interestingly, these are the people they spoke of least, even though they are the people for whom the profession exists. Here the concept of midwife as friend is discussed. Then, through their stories some of the participants help us to learn how midwives work together with their clients, care about them, not just for them, and how their past experience has had a lasting impact on their practice. Professionalism (or a lack of it) was implicated as a possible cause of some of the participants' concerns, as was the improper use of power. Both of these concepts arose many times throughout the project. Chapter 7 discusses these issues in some depth. The final chapter provides an overview of midwives situated within their practice. An account is offered of how the participants see the future of their practice and it is questioned if midwifery is, in fact, a social practice with common goals. The thesis draws attention to the embeddedness of ethics in the everyday practice of midwives, and to the vital role that relationships play in midwifery practice. This suggests the need for a relational, contextual ethics approach if the practice is to flourish.

Thesis (M.S.)--University of Michigan, 1985. / eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Michigan, 1992.