当前位置： SCI文献检索 > MIDWIFERY期刊下所有文献 > Is the organisation and structure of hospital postnatal care a barrier to quality care? Findings from a state-wide review in Victoria, Australia.

Is the organisation and structure of hospital postnatal care a barrier to quality care? Findings from a state-wide review in Victoria, Australia.

Abstract：

OBJECTIVE:to describe the structure and organisation of hospital postnatal care in Victoria, Australia. DESIGN:postal survey sent to all public hospitals in Victoria (n=71) and key-informant interviews with midwives and medical practitioners (n=38). SETTING:Victoria, Australia. PARTICIPANTS:providers of postnatal care in Victorian public hospitals. FINDINGS:there is significant diversity across Victoria in the way postnatal units are structured and organised and in the way care is provided. There are differences in numerous practices, including maternal and neonatal observations and the length of time women spend in hospital after giving birth. Although the benefits of continuity of care are recognised by health care providers, continuity is difficult to provide in the postnatal period. Postnatal care is provided in busy, sometimes chaotic environments, with many barriers to providing effective care and few opportunities for women to rest and recover after childbirth. The findings in this study can, in part, be explained by the lack of evidence that has been available to guide early postnatal care. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:current structures such as standard postnatal documentation (clinical pathways) and fixed length of stay, may inhibit rather than support individualised care for women after childbirth. There is a need to move towards greater flexibility in providing of early postnatal care, including alternative models of service delivery; choice and flexibility in the length of stay after birth; a focus on the individual with far less emphasis on care being structured around organisational requirements; and building an evidence base to guide care.

journal_name

Midwifery

journal_title

Midwifery

authors

McLachlan HL,Forster DA,Yelland J,Rayner J,Lumley J

doi

10.1016/j.midw.2006.10.006

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

358-70

issue

3

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(06)00119-7

journal_volume

24

pub_type

杂志文章

相关文献

MIDWIFERY文献大全
  • Making existential meaning in transition to motherhood--a scoping review.

    abstract：OBJECTIVE:to provide a thematic overview of the existing literature on existential meaning-making related to transition to motherhood among mothers of full term born babies in Western oriented countries and to discuss the themes from a existential psychology perspective. DESIGN:the review follows the approach of a sco...

    journal_title：Midwifery

    pub_type： 杂志文章,评审

    doi：10.1016/j.midw.2013.06.021

    authors： Prinds C,Hvidt NC,Mogensen O,Buus N

    更新日期：2014-06-01 00:00:00

  • Risk perception of cigarette and e-cigarette use during pregnancy: A qualitative postpartum perspective.

    abstract：AIM:The aim of this exploratory qualitative analysis is to assess the perceptions of risks of cigarette and e-cigarette use during pregnancy. BACKGROUND:An important public health aim is a reduction of smoking at time of delivery (SATOD) from 10.6% to less than 6% by 2022 in the United Kingdom (UK). In order to succes...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2020.102917

    authors： Froggatt S,Reissland N,Covey J

    更新日期：2020-12-26 00:00:00

  • Influence on birthing positions affects women's sense of control in second stage of labour.

    abstract：OBJECTIVE:to explore whether choices in birthing positions contributes to women's sense of control during birth. DESIGN:survey using a self-report questionnaire. Multiple regression analyses were used to investigate which factors associated with choices in birthing positions affected women's sense of control. SETTING...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2012.12.007

    authors： Nieuwenhuijze MJ,de Jonge A,Korstjens I,Budé L,Lagro-Janssen TL

    更新日期：2013-11-01 00:00:00

  • Determinants of pain perception after external cephalic version in pregnant women.

    abstract：OBJECTIVE:A considerable proportion of pregnant women with a fetus in breech position refuses external cephalic version (ECV), with fear of pain as important barrier. As a consequence, they are at high risk for caesarean section at term. The current study investigated determinants of pain perception during ECV, with sp...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2013.11.005

    authors： Truijens SE,van der Zalm M,Pop VJ,Kuppens SM

    更新日期：2014-03-01 00:00:00

  • Maternity care: a narrative overview of what women expect across their care continuum.

    abstract：OBJECTIVES:to provide a narrative overview of the values schema underpinning women׳s expectations of public maternity-care services using an episodes-of-care framework. DESIGN:focus-group discussions and in-depth interviews were undertaken with Western Australian women who had opted for public maternity care to determ...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2014.12.009

    authors： Clark K,Beatty S,Reibel T

    更新日期：2015-04-01 00:00:00

  • Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries.

    abstract：INTRODUCTION:Asian women suffer the largest proportion of the world's maternal deaths. To reduce this, policymakers and healthcare providers must encourage women with traditionally low rates of maternal health care utilization to access services. OBJECTIVE:The purpose of this study is to provide a comprehensive review...

    journal_title：Midwifery

    pub_type： 杂志文章,评审

    doi：10.1016/j.midw.2017.10.019

    authors： Withers M,Kharazmi N,Lim E

    更新日期：2018-01-01 00:00:00

  • Labour augmentation and fetal outcomes in relation to birth positions: a secondary analysis of an RCT evaluating birth seat births.

    abstract：OBJECTIVE:the aim of this study was to compare the use of synthetic oxytocin for augmentation, duration of labour and birth and infant outcomes in nulliparous women randomised to birth on a birth seat or any other position. STUDY DESIGN:a randomised controlled trial in Sweden where 1002 women were randomised to birth ...

    journal_title：Midwifery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.midw.2011.12.014

    authors： Thies-Lagergren L,Kvist LJ,Sandin-Bojö AK,Christensson K,Hildingsson I

    更新日期：2013-04-01 00:00:00

  • Do estimates of blood loss differ between student midwives and midwives? A multicenter cross-sectional study.

    abstract：OBJECTIVE:the principal objective of this study was to assess the quality of blood loss estimates by midwives and student midwives. The secondary objectives were: to assess the intraobserver agreement of visual blood estimates and the rate of underestimation of blood loss by participants, and to estimate the sensitivit...

    journal_title：Midwifery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.midw.2017.12.017

    authors： Pranal M,Guttmann A,Ouchchane L,Parayre I,Rivière O,Leroux S,Bonnefont S,Debost-Legrand A,Vendittelli F

    更新日期：2018-04-01 00:00:00

  • Continuity of care in maternity services: women's views of one team midwifery scheme.

    abstract：OBJECTIVE:To describe the views of women using one team midwifery scheme and compare them with women using more traditional models of midwifery care. DESIGN:Postal and interview survey of 1482 consecutive women delivering over a six-month period. SETTING:Hospital and community in the South-East of England. SAMPLES:T...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1054/midw.1999.0189

    authors： Farquhar M,Camilleri-Ferrante C,Todd C

    更新日期：2000-03-01 00:00:00

  • African American and White women׳s perceptions of weight gain, physical activity, and nutrition during pregnancy.

    abstract：OBJECTIVE:To describe African American and White women's perceptions of weight gain, physical activity, and nutrition during pregnancy and to explore differences in perceptions by race. DESIGN:Qualitative interview study. SETTING:Two Ob/Gyn clinics in South Carolina, USA. PARTICIPANTS:Thirty pregnant women (15 Afric...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2015.11.005

    authors： Whitaker KM,Wilcox S,Liu J,Blair SN,Pate RR

    更新日期：2016-03-01 00:00:00

  • Magnitude and correlates of postnatal care utilization among reproductive aged women in a rural district in eastern Ethiopia: A cross-sectional study.

    abstract：BACKGROUND:Postnatal care is critical to detect and manage postpartum complications in the early stages as well as to prevent potentially life-threatening health conditions that lead to maternal death. However, postnatal care utilization is persistently low in Ethiopia. The aim of this study is to assess the magnitude ...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2018.12.002

    authors： Tesfaye G,Chojenta C,Smith R,Loxton D

    更新日期：2019-03-01 00:00:00

  • Development and measurement properties of the Chinese breastfeeding self-regulation questionnaire.

    abstract：BACKGROUND:although new mothers are aware of the benefits of breastfeeding, many of them stop breastfeeding early in the postpartum period. Maternal psychosocial factors have been shown to contribute to early breastfeeding cessation. According to Self-Determination Theory (SDT) maternal self-determination is an indispe...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2016.10.012

    authors： Lau CY,Fong DY,Choi AY,Ng JW,Sing C,Tarrant M

    更新日期：2017-01-01 00:00:00

  • Role of gender in sexual behaviours and response to education in sexually transmitted infections in 17-year-old adolescents.

    abstract：OBJECTIVE:to investigate gender differences in high school students with respect to sexual risk behaviours, and their perceptions of the effect of an educational programme on sexually transmitted infections (STIs). In addition, this study aimed to investigate differences between students in programmes preparing for uni...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2009.07.004

    authors： Rembeck GI,Gunnarsson RK

    更新日期：2011-04-01 00:00:00

  • Women's perspectives of the stages and phases of labour.

    abstract：BACKGROUND:within childbirth there is a common and widely known explanation of labour and birth which describes and defines the birth process as stages and phases. The aim of this research was to determine whether the discourse of labour as stages and phases resonated with women who had experienced spontaneous labour a...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2012.07.001

    authors： Dixon L,Skinner J,Foureur M

    更新日期：2013-01-01 00:00:00

  • Cambodian migrant women's postpartum experiences in Victoria, Australia.

    abstract：OBJECTIVE:to explore the postpartum experiences of Cambodian born migrant women who gave birth for the first time in Victoria, Australia between 2000 and 2010. DESIGN:an ethnographic study with 35 women using semi-structured and unstructured interviews and participant observation; this paper draws on interviews with 2...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2012.06.021

    authors： Hoban E,Liamputtong P

    更新日期：2013-07-01 00:00:00

  • Beliefs, attitudes and behaviours of pregnant women in Bali.

    abstract：OBJECTIVE:To explore beliefs, attitudes and behaviours of pregnant women in Bali, Indonesia. DESIGN:Descriptive qualitative study using in-depth interviews. SETTING:Community health-care centre in South Kuta, Bali, Indonesia. PARTICIPANTS:18 Pregnant women aged 20-35 years. FINDINGS:Insights into beliefs and attitu...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2010.09.005

    authors： Wulandari LP,Klinken Whelan A

    更新日期：2011-12-01 00:00:00

  • The golden hour in Finnish birthing units - An ethnographic study.

    abstract：OBJECTIVE:To explore midwives' and parents' perceptions and actions as well as the culture surrounding the first hour after the birth of a baby - the golden hour. DESIGN:Short-term ethnographic study, which included observations, informal interviews and focus group interviews. Thematic network analysis was used to ana...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2020.102793

    authors： Niela-Vilen H,Axelin A,Flacking R

    更新日期：2020-10-01 00:00:00

  • What is the effect of regular group exercise on maternal psychological outcomes and common pregnancy complaints? An assessor blinded RCT.

    abstract：OBJECTIVE:to examine the effects of supervised group exercise on maternal psychological outcomes and commonly reported pregnancy complaints. DESIGN:an observer-blinded randomized controlled trial. SETTING:Norwegian School of Sport Sciences, Oslo, Norway. PARTICIPANTS:105 sedentary, nulliparous pregnant women, mean a...

    journal_title：Midwifery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.midw.2015.10.008

    authors： Haakstad LA,Torset B,Bø K

    更新日期：2016-01-01 00:00:00

  • The feasibility phase of a community antenatal lifestyle programme [The Lifestyle Course (TLC)] for women with a body mass index (BMI)≥ 30 kg/m(2.).

    abstract：INTRODUCTION:maternal obesity [body mass index (BMI)≥30kg/m(2)] is a cause for concern because of increasing rates and risk of associated complications. However, little is known about how to improve the health of women with a BMI≥30kg/m(2). OBJECTIVE AND METHODS:a 10-week antenatal lifestyle programme (The Lifestyle C...

    journal_title：Midwifery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.midw.2014.10.002

    authors： Smith DM,Taylor W,Whitworth MK,Roberts S,Sibley C,Lavender T

    更新日期：2015-02-01 00:00:00

  • Effects of perinatal loss on current pregnancy in Turkey.

    abstract：OBJECTIVE:to evaluate how a history of pregnancy loss in the perinatal period (from 20 weeks of gestation to seven days post partum) affects women during subsequent pregnancies. DESIGN:cross-sectional, descriptive study. SETTING:Istanbul Medical School, Istanbul University between January and October 2009. PARTICIPA...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2012.11.015

    authors： Yilmaz SD,Beji NK

    更新日期：2013-11-01 00:00:00

  • Experience with and amount of postpartum maternity care: Comparing women who rated the care they received from the maternity care assistant as 'good' or 'less than good care'.

    abstract：OBJECTIVE:The postpartum period is an important time in the lives of new mothers, their children and their families. The aim of postpartum care is 'to detect health problems of mother and/or baby at an early stage, to encourage breastfeeding and to give families a good start' (Wiegers, 2006). The Netherlands maternity ...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2017.09.007

    authors： Baas CI,Wiegers TA,de Cock TP,Erwich JJHM,Spelten ER,Hutton EK

    更新日期：2017-12-01 00:00:00

  • A review of the literature on prevention of early vertical transmission of the HIV virus.

    abstract：OBJECTIVE:To review the literature on early vertical transmission of the HIV virus and its possible prevention. METHOD:Databases were searched using the keywords HIV, AIDS, HIV transmission, vertical transmission, HIV pregnancy, HIV newborn, AIDS paediatric, HIV paediatric, HIV maternal, maternal immunity, HIV diagnos...

    journal_title：Midwifery

    pub_type： 杂志文章,评审

    doi：10.1016/s0266-6138(97)80009-5

    authors： Vials JM

    更新日期：1997-12-01 00:00:00

  • Realities, difficulties, and outcomes for mothers choosing to breastfeed: primigravid mothers experiences in the early postpartum period (6-8 weeks).

    abstract：OBJECTIVE:to develop an understanding of primiparous women's experiences and challenges of breast feeding in the early postpartum period at two BFI accredited hospitals in the East Midlands in the UK that has lower rates of sustained breast feeding. DESIGN AND SETTING:a hermeneutic or interpretive phenomenology study ...

    journal_title：Midwifery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.midw.2013.10.001

    authors： Hinsliff-Smith K,Spencer R,Walsh D

    更新日期：2014-01-01 00:00:00

  • First-time fathers' experiences of childbirth--a phenomenological study.

    abstract：OBJECTIVE:To describe fathers' experiences during childbirth. DESIGN:Qualitative method with phenomenological lifeworld approach. A re-enactment interview method, with open-ended questions analysed with a phenomenological method, was used. PARTICIPANTS AND SETTING:10 First-time fathers from two hospitals were intervi...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2010.09.002

    authors： Premberg Å,Carlsson G,Hellström AL,Berg M

    更新日期：2011-12-01 00:00:00

  • Unique and proforma birth plans: a qualitative exploration of midwives׳ experiences.

    abstract：BACKGROUND:birth plans detailing a woman׳s preferences for intrapartum care are a common feature in British maternity units, and are a means of encouraging the implementation of choice. Proforma versions may be incorporated routinely in antenatal case notes, or the woman may devise her own unique birth plan. Although w...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2014.03.004

    authors： Welsh JV,Symon AG

    更新日期：2014-07-01 00:00:00

  • A comparison of data obtained from service providers and service users to assess the quality of maternity care.

    abstract：OBJECTIVE:to compare data obtained from two sources, service providers and service users, regarding the maternity services in Scotland. DESIGN:an audit of maternity services involving site visits, staff interviews and a cross-sectional survey of service users. PARTICIPANTS:lead professionals in every consultant-led m...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1054/midw.2002.0306

    authors： Hundley V,Penney G,Fitzmaurice A,van Teijlingen E,Graham W

    更新日期：2002-06-01 00:00:00

  • Agreement in Swedish childless couples' reproductive intentions in relation to age.

    abstract：OBJECTIVE:to investigate the agreement in Swedish childless couples' reproductive intentions, in terms of (1) expecting to have children or not, (2) time point for a first child, and (3) number of children, in relation to age. DESIGN:cross-sectional data from the Swedish Young Adult Panel Study in 2009. SETTING:Swede...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2013.10.019

    authors： Schytt E

    更新日期：2014-03-01 00:00:00

  • Online resources and apps to aid self-diagnosis and help seeking in the perinatal period: A descriptive survey of women's experiences.

    abstract：OBJECTIVE:Assess the role of online resources and apps for women's help seeking and staff's response to concerns in the perinatal period. DESIGN:Online survey. Descriptive analysis of women's use and experiences of digital resources for self-diagnosis and help seeking, drawing on numerical and free-text responses. SE...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2020.102803

    authors： Mackintosh N,Agarwal S,Adcock K,Armstrong N,Briley A,Patterson M,Sandall J,Sarah Gong Q

    更新日期：2020-11-01 00:00:00

  • Early labour services: changes, triggers, monitoring and evaluation.

    abstract：OBJECTIVES:to identify the changes to early labour services, their triggers and monitoring. DESIGN AND SETTING:a mixed methods approach in two stages, firstly a postal questionnaire survey of Heads of Midwifery (HoM) services in NHS Trusts in England (cover sheet to each HoM and questionnaire for each unit in their ju...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2012.05.007

    authors： Spiby H,Green JM,Richardson-Foster H,Hucknall C

    更新日期：2013-04-01 00:00:00

  • Confidence: Fundamental to midwives providing labour care in freestanding midwifery-led units.

    abstract：:The aim of this study was to reveal what enables, safeguards and sustains midwives to provide labour care in freestanding midwifery-led units. DESIGN:A hermeneutic phenomenological study was undertaken in the Auckland region of New Zealand. In-depth interviews were conducted with 14 participants: 11 midwives who prov...

    journal_title：Midwifery

    pub_type： 杂志文章

    doi：10.1016/j.midw.2018.08.016

    authors： Hunter M,Smythe E,Spence D

    更新日期：2018-11-01 00:00:00