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A DESCRIPTION OF THE PRACTICE OF ADVANCED MIDWIVES

Midwives, in the absence of medical practitioners are the most readily available
health professionals to render care in Primary and Community Health Care settings.
After obtaining a qualification in Advanced Midwifery and Neonatology, midwives
should be placed and utilized in areas where they can use their competencies for the
benefit of the mother and the baby.
The aim of this study was to describe the practice of advanced midwives including
their placement and utilization. A non-experimental and descriptive design was used.
After a thorough literature analsis as well as a focus group discussion was done, a
questionnaire for data collection was compiled. The data was collected after
approval was obtained from the relevant roleplayers as well as from the Ethics
Committee of the Faculty of Health Science from the local University.
The population consisted of all (178) practicing advanced midwives who trained at
the University of the Free State during 1995-2007. No sampling was done and 178
questionnaires were distributed to the practicing advanced midwives. Sixty nine
questionnaires were returned (39% return rate) and analysed.
The findings indicated that only 13 (n=13, 19%) of advanced midwives were placed
and utilized correctly. Advanced midwives that were not placed and utilized correctly
expressed a loss of self-confidence, lack of support and a lack of recognition. They
also reported an inability to demonstrate their expertise in practice due to
inappropriate placement and utilization.
Nurse academics and Advanced midwifery Practitioners should publish research
articles in Health Sciences Journals to make their competencies known. That might
ensure that they are recognized by their colleagues and given the opportunity to
practice what they have trained for.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:ufs/oai:etd.uovs.ac.za:etd-11302011-104202
Date30 November 2011
CreatorsLesia, Nozimanga Gladys
ContributorsDr L Roets
PublisherUniversity of the Free State
Source SetsSouth African National ETD Portal
Languageen-uk
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.uovs.ac.za//theses/available/etd-11302011-104202/restricted/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University Free State or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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