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Showing results for tags 'Midwife'.
Found 223 results
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Content ArticleThis article, published by the Medical Journal of Australia, reviews the current evidence for models of maternity care that provide midwifery continuity of care, in terms of their impact on clinical outcomes, the views of midwives and childbearing women, and health service costs.
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Content Article
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In this presentation, Trixie McAree, National Midwifery Lead for Continuity of Carer, gives a comprehensive overview of the continuity of carer model and how it impacts on patient safety. Trixie also provides advice and practical tips for teams setting up the continuity of carer model and explains why this transformation is key to improving outcomes. This video provides valuable insight and can be used as a training tool for maternity teams considering this way of working. -
Content ArticleWomen with little-to-no English continue to have poor birth outcomes and low service user satisfaction. When language support services are used it enhances the relationship between the midwife and the woman, improves outcomes and ensures safer practice. However, this study has shown a reluctance to use professional interpreter services by midwives. This study from Bridle et al. aims to understand the experiences of midwives using language support services.
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Content ArticleAlthough midwifery-led continuity of care is associated with superior outcomes for mothers and babies, it is not available to all women. Issues with implementation and sustainability might be addressed by improving how it is led and managed – yet little is known about what constitutes the optimal leadership and management of midwifery-led continuity models. Hewitt et al. carried out a scoping review on leadership and management in midwifery-led continuity of care models.
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Content ArticleThe Royal College of Midwives (RCM) has warned that measures to reduce pressure on maternity services are putting safety at risk. In a letter to Jacqueline Dunkley-Bent, Chief Midwifery Officer at NHS England, the RCM acknowledges the effectiveness of some measures to relieve pressure on staff and services, but expresses concern at others.
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Content ArticleThe Royal College of Midwives is calling for "common sense" from NHS trusts and boards on staff access to water and other drinks. The college is concerned that the health and wellbeing of midwives could be in jeopardy as a result of having limited opportunities to stay hydrated on long, hot shifts. .In new guidance to its members, the RCM sets out the importance of staying hydrated on shift and the potential implications of not doing so. These included an impact on decision making, memory, attention span, mood and tiredness. The document also debunks myths suggesting that having fluid bottles on units is a cross infection risk.
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Content Article
Written evidence submitted by Donna Ockenden (EPE0025)
PatientSafetyLearning Team posted an article in Maternity
In this written evidence, submitted to the Health and Social Care Select Committee, the Independent Maternity Review Team provides commentary on the following commitment: "The majority of women will benefit from the ‘continuity of carer’ model by 2021, starting with 20% of women by 2019." They outline a number of concerns around the safe implementation of Continuity of Carer, particularly where there are significant staff shortages and/or inadequate funding. -
Content Article
Royal College of Midwives Podcasts
Patient-Safety-Learning posted an article in Maternity
A new series of podcasts by the Royal College of Midwives (RCN). Each month for 2021, there will be podcasts by the RCN that will focus on new developments and work being done by the College with it's midwife and and maternity support worker members. -
Content ArticleIn midwifery practice, skin assessment is an important element of any physical examination of women. Fundamentally, key practice recommendations are centred on visual and tactile cues to assist with the identification of changes in skin appearance. Although visual signals are more readily discernible in women with light skin tones, they may be more challenging to detect in women with darker skin tones. As a means of decolonising midwifery theory and practice, this article published in The Practising Midwife, highlights ways in which midwives can develop confidence in skin assessment when caring for women with dark skin tones. Read the full article Related content – Decolonising midwifery education part 2: neonatal assessment
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Content ArticleThis article from the Transforming Maternity Care Collaborative discusses midwifery a public health strategy, highlighting midwives in continuity of care models, evidence on midwifery public health interventions, and how the COVID-19 pandemic has shown the importance of investing in public health care to meet population health needs.
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Content ArticleThis study, published in Women and Birth, aimed to: 1. analyse clinical outcomes for women experiencing CMC with CoCE by students 2. analyse clinical outcomes for women in a fragmented care model with CoCE by students; 3. compare clinical outcomes according to women’s primary model of care. Authors conclude that continuity of care experiences should be offered to all women early in their pregnancy to ensure optimal benefits. Acknowledging midwifery students’ potential to make positive impacts on women’s clinical outcomes may prompt more health services to reconceptualise and foster continuity of care experiences.
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Content ArticleAuthors of this study conclude that among infants with a birth weight between 1.0 and 1.799 kg, those who received immediate kangaroo mother care (continuous skin-to-skin contact) had lower mortality at 28 days than those who received conventional care with kangaroo mother care initiated after stabilisation. Follow the link below to access the paper in full via The New England Journal of Medicine.
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Content ArticleIn this podcast, Gill Phillips speaks to Nadia Leake and Rachel Collum, parents of premature babies who had long stays in neonatal care after birth, about the importance of Family Integrated Care. Gill developed Whose Shoes?® as a tool to allow people to 'walk in other people's shoes'. Through a wide range of scenarios and topics, Whose Shoes?® helps groups explore many of the concerns, challenges and opportunities facing the different groups affected by the transformation of health and social care.
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Content ArticleThis poster from the Royal College of Midwives (RCM) provides information for midwives and midwife support workers on appropriate PPE for different scenarios in maternity care. It covers what to wear in different stages of care in both hospital and community settings if a patient has, or does not have, confirmed or suspected Covid-19.
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Content ArticleThis report looks at how when face-to-face midwife visits were replaced by virtual appointments during the Covid-19 pandemic, the health of the some babies deteriorated. Guidance has been amended to state that initial visits should be face-to-face.
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Content ArticleIn this article for the Maternity & Midwifery Forum, Kirstin Webster, NMPA Neonatal Clinical Fellow, describes the role of the National Maternity and Perinatal Audit. She presents results from research using the audit’s data on births during the major period of the pandemic, and the recent audit report of the effects of ethnicity and socio-economic deprivation on maternity and perinatal care. She highlights inequalities in outcomes and joins the call to investigate the causes of these disparities.
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Content ArticleThis article in Frontiers in Global Women's Health highlights the importance of using sexed language to enable effective communication in pregnancy, birth, lactation, breastfeeding and newborn care.
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Content ArticleA midwife in England shares their experiences of working in the NHS in 2021. They describe the mental and physical impact of having to work beyond capacity on a daily basis, a situation caused by a staffing crisis in the midwifery workforce. The impact of this is that more midwives are leaving the NHS as they are unable to cope with these pressures, which makes the workload for remaining staff even heavier.
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Content Article
RCM - Midwife number slumps (7 February 2022)
Patient-Safety-Learning posted an article in Maternity
In this blog, Stuart Bonar, Public Affairs Advisor at the Royal College of Midwives, looks at the growing midwifery workforce crisis in the UK. For the first time since records began, the number of midwives is falling year-on-year. The impact on those midwives who remain in the NHS is bigger workloads and decreasing wellbeing. The author calls on the government to pay attention to the situation, and suggests that an adequate pay rise for midwives and midwifery assistants should be part of the solution to falling staff numbers. -
Content ArticleThis study in Patient Education and Counseling aimed to systematically review parental perceptions of shared decision-making (SDM) in neonatology, and identify barriers and facilitators to implementing SDM. The study identified the following key barriers to SDM: Emotional crises experienced in the NICU setting Lack of medical information provided to parents to inform decision-making Inadequate communication of information Poor relationships with caregivers Lack of continuity in care Perceived power imbalances between HCPs and parents. It also identified the following key facilitators for SDM: Clear, honest and compassionate communication of medical information Caring and empathetic caregivers Continuity in care Tailored approaches that reflected parent’s desired level of involvement.
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Content ArticleThis guidance will help Local Maternity Systems align their Equality and Equality Action Plans with Integrated Care Systems health inequalities work. The guidance includes an analysis of the evidence, interventions to improve equity and equality, resources, indicators and metrics.
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Content Article
Being fat & pregnant is not a crime (29 January 2022)
Patient-Safety-Learning posted an article in Maternity
In this blog for Refinery29, Sadhbh O'Sullivan looks at the issues faced during antenatal care by pregnant women who are overweight. She recounts the perspectives of several pregnant women who felt dehumanised and blamed for their weight during pregnancy. She also highlights issues with the way in which risks are communicated to pregnant women, with overcommunication and overestimation of risk causing anxiety and sometimes making women reluctant to engage with maternity services. She also discusses failures of informed consent, the role of comorbidities and the impact of wider health inequalities. -
Event
NHS England: Time-critical medication webinar
Sam posted an event in Community Calendar
untilThe webinar will be aimed at all Nursing and Midwifery professionals in all healthcare settings. It will look at time-critical medication and improving practice in this area, with a particular focus on medication for Parkinson’s Disease and Diabetes. The webinar will draw on expertise in Pharmacy, Nursing, Midwifery and other specialists such as Parkinson’s UK (charity) and their patient led campaign, which links to the focus on Personalised Care in the NHS Long Term Plan. There will be presentations from patient representatives who will share their experience of receiving time critical medication in healthcare settings and experts in this area. The design of the webinar has taken a collaborative approach - with the co-design taking place between NHS England, subject matter experts, clinicians and patient representatives. The codesign process will involve nursing, medical and pharmacy staff in discussion and feedback on processes for safely delivering time critical medication. This will educate staff and help to improve processes through the involvement of both staff and patients. Reserve your place -
EventuntilInterested in sustainability and a Greener NHS? Join the Nursing and Midwifery Sustainability Network and help improve health now and for future generations. Nurses, midwives and care staff have a unique role to play in supporting the NHS’ net zero goal. They are already making tangible changes to tackle climate change while improving care. And together, we can achieve even more. That’s why NHS England is launching a Nursing and Midwifery Sustainability Network. The network will create a space and opportunity to share ideas, successes, and innovative practices and it will help us to address barriers and discuss challenges in order for our professions to make a real impact. Nurse, midwives and care staff prove every day that that they are adept at identifying issues and creating solutions – skills that are immensely valuable in reducing the NHS carbon footprint and delivering the NHS’ net zero goal. Come along to the online launch event and first network meeting to find out more about the network and how you can get involved. Open to all nurses and midwives working within the NHS in England, please sign up using your NHS email. Further information
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EventuntilHuman activity is driving global warming at an alarming rate. Extreme temperatures, air pollution, drought and floods affect all nations – including the UK and Republic of Ireland. This climate emergency is also a health emergency. As nurses and midwives, we must act now as a profession to safeguard our patients and services from the effects of a warming world. This joint Royal College of Nursing and NHS England conference builds on the aspirations of the United Nations Sustainable Development Goals. Join to raise awareness of the impact of care provision on greenhouse gas emissions, and explore the opportunities this challenge presents to improve health and care services. Register
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