Women and Birth
Volume 22, Issue 4 , Pages 112-118 , December 2009

Encountering the culture of midwifery practice on the postnatal ward during Action Research: An impediment to change

  • Lois McKellar

      Affiliations

    • School of Population Health and Clinical Practice, The University of Adelaide, Australia
    • School of Nursing and Midwifery, University of South Australia, Australia
    • Corresponding Author InformationCorresponding author at: Discipline of Nursing, School of Population Health and Clinical Practice, Level 3, Eleanor Harrald Building, The University of Adelaide, SA 5000, Australia. Tel.: +61 8 8303 3866; fax: +61 8 8303 3594.
    • ,
  • Jan Pincombe

      Affiliations

    • School of Nursing and Midwifery, University of South Australia, Australia
    • ,
  • Ann Henderson

      Affiliations

    • Centre for Continuing Education, Children, Youth & Women's Health Service, Australia

Received 22 December 2008 ,Revised 12 February 2009 ,Accepted 12 February 2009.

References 

  1. Brown S, Bruinsma F, Darcy M, Small R, Lumley J. Early discharge: no evidence of adverse outcome in three population-based Australian surveys of recent mothers, conducted in 1989, 1994, and 2000. Paediatric and Perinatal Epidemiology. 2004;18(3):202–213
  2. Forster D, Rayner S, McLachlan H, Rayner J, Yelland J, Gold L. Alternative approaches to early postnatal care: exploring women's views. Melbourne: Mother and Child Health Research and the School of Nursing and Midwifery, La Trobe University; 2007;
  3. Chan A, Scott J, Nguyen A, Sage L. Pregnancy outcomes in South Australia 2005. Adelaide, Pregnancy Outcome Unit, Department of Health of South Australia; 2006;
  4. Morse C, Durkin S, Buist A, Milgrom J. Improving the postnatal outcomes of new mothers. Journal of Advanced Nursing. 2004;45(5):465–474
  5. Petrou S, Boulvain M, Simon J, Maricot P, Borst F, Perneger T, et al. Home-based care after a shortened hospital stay versus hospital-based care postpartum: an economic evaluation. British Journal of Obstetrics and Gynaecology. 2004;111(8):800–806
  6. Boulvain M, Perneger T, Othenin-Girard V, Petrou S, Berner M, Irion O. Home-based versus hospital-based postnatal care: a randomised controlled trial. British Journal of Obstetrics and Gynaecology. 2004;111(8):807–813
  7. Cooke M, Barclay L. Are we providing adequate postnatal services?. Australian and New Zealand Journal of Public Health. 1999;23(2):210–211
  8. Ockenden J. After the birth is over … rest and support for new mothers. The Practising Midwife. 2000;3(11):10–13
  9. Singh D, Newburn M. Postnatal care in the month after birth. The Practising Midwife. 2001;4(5):22–25
  10. Hanna B, Edgecombe G, Jackson C, Newman S. The importance of first-time parent groups for new parents. Nursing and Health Sciences. 2002;4(4):209–214
  11. Stamp G, Crowther C. Women's views of their postnatal care by midwives at an Adelaide women's hospital. Midwifery. 1994;10(3):148–156
  12. Sanford S, Lamb C. Nurse partners: going beyond the delivery room. Mother Baby Journal. 1997;2(6):8–12
  13. Gilmour C, Twining S. Postnatal care in hospitals: ritual routine or individualised. Australian College of Midwives Incorporated. 2002;15(2):11–15
  14. Cooke M. Postnatal care: what do women want?. Nursing Review. 2000;15(3):
  15. McKenna H, Hasson F, Smith M. A Delphi survey of midwives and midwifery students to identify non-midwifery duties. Midwifery. 2002;18(3):314–322
  16. Persson E, Dykes A. Parents’ experience of early discharge from hospital after birth in Sweden. Midwifery. 2002;18(1):53–60
  17. Maloni J. The content and sources of knowledge about the infant. MCN The American Journal of Maternal/Child Nursing. 1994;22(4):110–120
  18. MacArthur C, Winter H, Bick D, Knowles H, Lilford R, Henderson C, et al. Effects of redesigned community postnatal care on women's health 4 months after birth: a cluster randomised controlled trial. The Lancet. 2002;359(9302):378–386
  19. Mitchell M, Doyle M. Evaluating a new course in postnatal care. British Journal of Midwifery. 2002;10(12):746–750
  20. Holtslander L. Clinical application of the 15-minute family interview: addressing the needs of postpartum families. Journal of Family Nursing. 2005;11(1):5–18
  21. Keppler A, Roudebush J. Postpartum follow-up care in a hospital-based clinic: an update on an expanded program. Journal of Perinatal and Neonatal Nursing. 1999;13(1):1–14
  22. Ruchala P. Teaching new mothers: priorities of midwives and postpartum women. JOGNN. 2000;29(3):265–273
  23. Fredriksson G, Hogberg U, Lundman B. Postpartum care should provide alternatives to meet parents’ need for safety, active participation, and ‘bonding’. Midwifery. 2003;19(3):267–276
  24. Cattrel R, Lavender T, Wallymahmed A, Kingdom C, Riley J. Postnatal care: what matters to midwives. British Journal of Midwifery. 2005;13(4):206–213
  25. Kemmis S, McTaggart R. The action research planner. Victoria: Deakin University Press; 1982;
  26. Waterman H, Tillen D, Dickson R. Action research: a systematic review and guidance for assessment. Health Technology Assessment. 2001;5(23):1–166
  27. Polit D, Hungler B. Nursing research principles and methods. 5th ed.. Philadelphia: Lippincott; 1995;
  28. Lincoln Y, Guba E. Naturalistic inquiry. California: Sage Publications; 1985;
  29. Sandelowski M. ‘To be of use’: enhancing the utility of qualitative research. Nursing Outlook. 1997;45(3):125–132
  30. McKellar L, Pincombe J, Henderson A. Insights from Australian parents into educational experiences in the early postnatal period. Midwifery. 2006;22(4):356–364
  31. McKellar L, Pincombe J, Henderson A. Enhancing fathers educational experiences during the early postnatal period. The Journal of Perinatal Education. 2008;17(4):12–20
  32. Reed J. Using action research in nursing practice with older people: democratising knowledge. Journal of Clinical Nursing. 2005;14(5):594–600
  33. Greenwood J. Action Research: a few details, a caution and something new. Journal of Advanced Nursing. 1994;20(1):13–18
  34. Brown S, Davey M, Bruinsma F. Women's views and experiences of postnatal hospital care in the Victorian survey of recent mothers 2000. Midwifery. 2005;21(2):109–126
  35. Lindberg I, Christensson K, Ohrling K. Midwives’ experience of organisational and professional change. Midwifery. 2005;21(4):355–364
  36. Rayner J, Forster D, McLachlan H, Yelland J, Davey M. A state-wide review of hospital postnatal care in Victoria, Australia: the views and experiences of midwives. Midwifery. 2008;24(3):310–320
  37. McKellar L, Pincombe J, Henderson A. Congratulations—you’re a mother: a strategy for enhancing postnatal education for first-time mothers investigated through an action research cycle. Adelaide: University of South Australia; 2002;
  38. Hunter B. Conflicting ideologies as a source of emotion work in midwifery. Midwifery. 2004;20(3):261–272
  39. Kirkham S, Stapleton H. Midwives’ support needs as childbirth changes. Journal of Advanced Nursing. 2000;32(2):465–472
  40. Hughes D, Deery R, Lovatt A. A critical ethnographic approach to facilitating cultural shift in midwifery. Midwifery. 2002;18(1):43–52
  41. Taylor P. Loss and grief: issues for organisational change and development. In: HERDSA Annual International Conference. Melbourne. 1999;
  42. Schoolfield M, Orduna A. Understanding staff nurse responses to change: utilisation of a grief-change framework to facilitate innovation. Clinical Nurse Specialist. 2001;15(5):224–229
  43. Stein H. Letting go of who we were: the triad of change-loss-grief on organisational and wider cultural life: a case study and its broader implications. Organisational and Social Dynamics: An International Journal of Psychoanalytic, Systemic and Group Relations Perspective. 2006;6(2):204–223
  44. Kirkham S. The culture of midwifery in the National Health Service in England. Journal of Advanced Nursing. 1999;30(3):732–739
  45. Perlman D, Takacs G. The 10 stages of change. Nursing Management. 1990;21(4):33–38
  46. McLachlan H, Forster D, Yelland J, Rayner J, Lumley J. Is the organisation and structure of hospital postnatal care a barrier to quality care? Findings from a state-wide review in Victorian, Australia. Midwifery. 2008;24(3):358–370

PII: S1871-5192(09)00028-6

doi: 10.1016/j.wombi.2009.02.003

Women and Birth
Volume 22, Issue 4 , Pages 112-118 , December 2009

Article Tools