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A critical ethnographic approach to facilitating cultural shift in midwifery

Hughes, Deborah, Deery, Ruth and Lovatt, Alison (2002) A critical ethnographic approach to facilitating cultural shift in midwifery. Midwifery, 18 (1). pp. 43-52. ISSN 0266-6138

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Abstract

Objective: to improve understanding of local midwifery morale, inform development and reorganisation of a maternity unit, and enhance midwifery involvement in strategic planning.

Participants: a randomised stratified sample of 20 midwives working in a UK National Health Service (NHS) hospital and its surrounding community area.

Method: within a critical ethnographic framework, focus groups were tape-recorded and transcribed, and analysed using a thematic content analysis approach.

Findings: key areas affecting midwifery morale were identified, in particular staffing levels, working relationships and organisational issues. One year later, despite many changes having taken place, midwifery morale was still low but participants were more politically analytical of, and actively involved in changing their situation. The findings of the study indicate that there are complex and long-standing cultural inhibitions to the effective development of midwifery care but, if these are made explicit through a planned collaborative process, such as in this study, a process of cultural shift can be seen to begin.

Implications for practice: focus groups can be a useful tool in moving midwifery culture forward within a local context.

Item Type: Article
Additional Information: "Reprinted from Midwifery, Vol 18 No 1, Hughes Deery Lovatt, A critical ethnographic, 43-52., Copyright (2002), with permission from Elsevier." © 2002 Elsevier Science Ltd.
Uncontrolled Keywords: midwifery maternity strategic planning midwives NHS
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: 05 Apr 2007
Last Modified: 25 Aug 2015 06:04
URI: http://eprints.hud.ac.uk/id/eprint/163

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