Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design
Problem: Little is known about midwives’ views and wellbeing when working in an all-risk caseload model. Background: Between March 2017 and December 2020 three maternity services in Victoria, Australia implemented culturally responsive caseload models for women having a First Nations baby. Aim: Expl...
Published in: | Women and Birth |
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Language: | English |
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Umeå universitet, Institutionen för omvårdnad
2023
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212267 https://doi.org/10.1016/j.wombi.2023.05.006 |
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ftumeauniv:oai:DiVA.org:umu-212267 2023-10-09T21:51:32+02:00 Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design McLardie-Hore, Fiona E. McLachlan, Helen L. Forster, Della A. Holmlund, Sophia McCalman, Pamela Newton, Michelle S. 2023 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212267 https://doi.org/10.1016/j.wombi.2023.05.006 eng eng Umeå universitet, Institutionen för omvårdnad Umeå universitet, Obstetrik och gynekologi Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, VIC, Bundoora, Australia; The Royal Women's Hospital, Parkville, Victoria, Australia Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, VIC, Bundoora, Australia; School of Nursing and Midwifery, La Trobe University, VIC, Bundoora, Australia Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, VIC, Bundoora, Australia Women and Birth, 1871-5192, 2023 orcid:0000-0003-3391-2308 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212267 doi:10.1016/j.wombi.2023.05.006 PMID 37407296 Scopus 2-s2.0-85164320117 info:eu-repo/semantics/openAccess Aboriginal Caseload midwifery Continuity of care First Nations Torres Strait Islander Nursing Omvårdnad Article in journal info:eu-repo/semantics/article text 2023 ftumeauniv https://doi.org/10.1016/j.wombi.2023.05.006 2023-09-22T14:00:41Z Problem: Little is known about midwives’ views and wellbeing when working in an all-risk caseload model. Background: Between March 2017 and December 2020 three maternity services in Victoria, Australia implemented culturally responsive caseload models for women having a First Nations baby. Aim: Explore the views, experiences and wellbeing of midwives working in an all-risk culturally responsive model for First Nations families compared to midwives in standard caseload models in the same services. Methods: A survey was sent to all midwives in the culturally responsive (CR) model six-months and two years after commencement (or on exit), and to standard caseload (SC) midwives two years after the culturally responsive model commenced. Measures used included the Midwifery Process Questionnaire and Copenhagen Burnout Inventory (CBI). Findings: 35 caseload midwives (19 CR, 16 SC) participated. Both groups reported positive attitudes towards their professional role, trending towards higher median levels of satisfaction for the culturally responsive midwives. Midwives valued building close relationships with women and providing continuity of care. Around half reported difficulty maintaining work-life balance, however almost all preferred the flexible hours to shift work. All agreed that a reduced caseload is needed for an all-risk model and that supports around the model (e.g. nominated social workers, obstetricians) are important. Mean CBI scores showed no burnout in either group, with small numbers of individuals having burnout in both groups. Discussion and conclusion: Midwives were highly satisfied working in both caseload models, but decreased caseloads and more organisational supports are needed in all-risk models. Article in Journal/Newspaper First Nations Umeå University: Publications (DiVA) Women and Birth 36 5 469 480 |
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Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Aboriginal Caseload midwifery Continuity of care First Nations Torres Strait Islander Nursing Omvårdnad |
spellingShingle |
Aboriginal Caseload midwifery Continuity of care First Nations Torres Strait Islander Nursing Omvårdnad McLardie-Hore, Fiona E. McLachlan, Helen L. Forster, Della A. Holmlund, Sophia McCalman, Pamela Newton, Michelle S. Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
topic_facet |
Aboriginal Caseload midwifery Continuity of care First Nations Torres Strait Islander Nursing Omvårdnad |
description |
Problem: Little is known about midwives’ views and wellbeing when working in an all-risk caseload model. Background: Between March 2017 and December 2020 three maternity services in Victoria, Australia implemented culturally responsive caseload models for women having a First Nations baby. Aim: Explore the views, experiences and wellbeing of midwives working in an all-risk culturally responsive model for First Nations families compared to midwives in standard caseload models in the same services. Methods: A survey was sent to all midwives in the culturally responsive (CR) model six-months and two years after commencement (or on exit), and to standard caseload (SC) midwives two years after the culturally responsive model commenced. Measures used included the Midwifery Process Questionnaire and Copenhagen Burnout Inventory (CBI). Findings: 35 caseload midwives (19 CR, 16 SC) participated. Both groups reported positive attitudes towards their professional role, trending towards higher median levels of satisfaction for the culturally responsive midwives. Midwives valued building close relationships with women and providing continuity of care. Around half reported difficulty maintaining work-life balance, however almost all preferred the flexible hours to shift work. All agreed that a reduced caseload is needed for an all-risk model and that supports around the model (e.g. nominated social workers, obstetricians) are important. Mean CBI scores showed no burnout in either group, with small numbers of individuals having burnout in both groups. Discussion and conclusion: Midwives were highly satisfied working in both caseload models, but decreased caseloads and more organisational supports are needed in all-risk models. |
format |
Article in Journal/Newspaper |
author |
McLardie-Hore, Fiona E. McLachlan, Helen L. Forster, Della A. Holmlund, Sophia McCalman, Pamela Newton, Michelle S. |
author_facet |
McLardie-Hore, Fiona E. McLachlan, Helen L. Forster, Della A. Holmlund, Sophia McCalman, Pamela Newton, Michelle S. |
author_sort |
McLardie-Hore, Fiona E. |
title |
Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
title_short |
Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
title_full |
Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
title_fullStr |
Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
title_full_unstemmed |
Comparing the views of caseload midwives working with First Nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
title_sort |
comparing the views of caseload midwives working with first nations families in an all-risk, culturally responsive model with midwives working in standard caseload models, using a cross-sectional survey design |
publisher |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2023 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212267 https://doi.org/10.1016/j.wombi.2023.05.006 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
Women and Birth, 1871-5192, 2023 orcid:0000-0003-3391-2308 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212267 doi:10.1016/j.wombi.2023.05.006 PMID 37407296 Scopus 2-s2.0-85164320117 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1016/j.wombi.2023.05.006 |
container_title |
Women and Birth |
container_volume |
36 |
container_issue |
5 |
container_start_page |
469 |
op_container_end_page |
480 |
_version_ |
1779314647508189184 |