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A Study using action research to help midwives influence and change maternity services

Samwill, Lisa and Deery, Ruth (2004) A Study using action research to help midwives influence and change maternity services. Project Report. University of Huddersfield, Huddersfield, UK. (Unpublished)

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    In April 2001, Calderdale NHS Trust and Huddersfield NHS Trust merged to become
    Calderdale & Huddersfield NHS Trust. Until this time each of the trusts have worked
    very much (get rid of ‘very much’) independently having developed their own
    organisational styles and cultures. To add to the challenge of a recently merged
    organisation, midwifery managers are also faced with the increasing demands of
    modernising and improving the quality of maternity services (DoH, 1999).
    In Huddersfield Royal Infirmary (HRI) there is a labour ward and independent
    antenatal/postnatal ward, both of which are serviced by hospital based midwives. In
    comparison, Calderdale Royal Hospital (CRH) moved from the traditional model of
    maternity services (i.e. having separate delivery suites and antenatal/postnatal wards),
    to a Labour, Delivery, Rest and Postnatal (LDRP) suite where women stay from
    admission until transfer home. This is staffed by hospital based midwives. The
    independent midwife led unit on the same floor is staffed by community midwives.
    Prior to the introduction of the changes in Calderdale, a series of focus groups were held
    in order to elicit midwives views of the service (Deery et al., 1999). Key areas affecting
    midwifery morale were identified; in particular staffing levels, working relationships and
    organisational issues. The following year in November 2000, further focus groups were
    held to enable midwives to reflect on their experience and the changes that had taken
    place since. Whilst midwifery morale was still low, participants were more politically
    analytical of, and actively involved in changing their situation (Deery et al., 2000). The
    findings from this study indicated that focus groups could be an important means of
    positively developing maternity services and moving midwifery culture forward.
    The above research studies helped the facilitation of culture and practice development
    at CRH which is now well developed. In order to give the midwives at HRI the same
    opportunity to become more actively involved in the planning and provision of future
    services, we replicated the study that was undertaken in CRH. The two modern matrons
    and Head of Midwifery services have collaborated and participated in this project. In
    addition, as a means of understanding how the midwives views could link with
    maternity managers, we also conducted further focus groups with maternity services
    managers including the general manager and medical director of services
    The aims of the midwives’ focus groups were to:
    1. To provide a forum for midwives to explore current service provision.
    2. To engage midwives in discussion of practice and service development.
    3. To establish a ‘snapshot picture’ of midwifery in Huddersfield.
    4. To gain an insight into midwifery morale.
    5. To make written recommendations to the Children’s and Women’s Services

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    Item Type: Monograph (Project Report)
    Additional Information: © University of Huddersfield
    Uncontrolled Keywords: maternity services; midwives; hospital; Calderdale Huddersfield; 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
    Related URLs:

    DoH (1999) Making a difference: The stationary office, London Department of Health
    Deery, R., Hughes, D., Lovatt, A., & Topping, A. (1999) "Hearing Midwives' Views": Focus
    Groups on Maternity Care in Calderdale NHS Trust, Unpublished report, Primary Care
    Research Group, University of Huddersfield.
    Deery, R., Hughes, D. & Lovatt, A. (2000) "Quite a Healthy Exercise": Follow-up Focus
    Groups on Maternity Care in Calderdale NHS Trust, Unpublished report, Primary Care
    Research Group, University of Huddersfield.
    Hughes D, Deery R & Lovatt A (2002) A critical ethnographic approach to facilitating
    cultural shift in midwifery, Midwifery 18, 43-52

    Depositing User: Sara Taylor
    Date Deposited: 31 Mar 2008 10:06
    Last Modified: 05 Jan 2011 15:20


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