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Supporting midwife-led care through action research: A tale of mess, muddle and birth balls

Deery, Ruth and Hughes, Deborah (2004) Supporting midwife-led care through action research: A tale of mess, muddle and birth balls. Evidence based midwifery, 2 (2). pp. 52-58. ISSN 1479-4489

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    Aim. To explore the processes and outcomes of an action research project undertaken to support midwife-led care in a
    maternity unit in the north of England.
    Objectives. To identify changes in care given by midwives, to offer developmental opportunities to midwives to support the
    continuation of a midwife-led ethos and to examine the process of cultural shift created by relocation to shared facilities.
    Method. Action research, with its emphasis on collaboration and participation, was considered an appropriate approach,
    because it facilitates understanding of, and is able to adapt to, changing situations within clinical practice. A variety of
    data-gathering methods, including telephone interviews, personal construct analysis and observation, were used to explore
    and consolidate midwife-led care in one setting during a time of transition.
    Findings/results. Key weaknesses were identified within a midwife-led unit (MLU) and actions agreed and taken to address
    these, with a resulting strengthening of midwife-led care. The reflective process, an integral part of action research, fostered
    a shared concept of midwife-led care and an expanded skill-base for the facilitation of physiological childbirth.
    Implications. Action research can stimulate change and development within a midwifery context providing common values
    are identified and participation is realised. Although the methodology can be complex, it has the potential to clarify and
    solve problems within a specific clinical context.

    Item Type: Article
    Additional Information: Reproduced by permission of Evidence Based Midwifery, published by Ten Alps Publishing on behalf of the Royal College of Midwives. © 2004 The royal college of midwives,
    Uncontrolled Keywords: Action research, midwifery, participation, collaboration, values, change, practice-development, midwife-led care
    Subjects: R Medicine > R Medicine (General)
    R Medicine > RG Gynecology and obstetrics
    Schools: School of Human and Health Sciences
    School of Human and Health Sciences > Centre for Applied Childhood Studies

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    Depositing User: Sara Taylor
    Date Deposited: 02 Mar 2007
    Last Modified: 05 Jan 2011 15:19


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