Australian midwives’ experiences of implementing practice change

Journal article


Bayes, Sara, Juggins, Elaine, Whitehead, Lisa and De Leo, Annemarie. (2019) Australian midwives’ experiences of implementing practice change. Midwifery. 70, pp. 38-45. https://doi.org/10.1016/j.midw.2018.12.012
AuthorsBayes, Sara, Juggins, Elaine, Whitehead, Lisa and De Leo, Annemarie
Abstract

Objective
The introduction of the best available evidence into health care practice is a complicated and uncertain process. Attempts to translate even highly reliable evidence into care provision are known to flounder. The objective of this study was to investigate midwives' experiences of leading practice change.

Design
This study was conducted using Glaserian Grounded Theory methodology.

Setting
Australian midwifery practice contexts provided the setting for this study.

Participants
Midwives who had led practice change initiatives.

Findings
Sixteen Australian midwife change leaders participated in this study. Each had sought to implement a workplace practice change. The core problem experienced by the participants was labelled ‘So many barriers on so many levels’.

Key conclusions
Although some participants were encouraged, supported and enabled to enact change to some degree, even when the change was initiated by the practice site, all participants experienced a number of obstacles at many levels in their implementation efforts. For most, this meant that their endeavours to move the best available evidence into practice took many years or did not progress at all.

Implications for practice
The findings of this study will be of interest to midwives, midwifery leaders and midwifery educators. Understanding the factors in midwifery care environments that support or limit the uptake of best evidence into practice will help to inform and develop midwifery context-specific mechanisms to expedite sustained practice innovation.

Keywordsmidwifery; evidence based practice; maternal health services; organizational innovation; qualitative research
Year2019
JournalMidwifery
Journal citation70, pp. 38-45
PublisherChurchill Livingstone
ISSN0266-6138
Digital Object Identifier (DOI)https://doi.org/10.1016/j.midw.2018.12.012
Scopus EID2-s2.0-85058507158
Research or scholarlyResearch
Page range38-45
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online15 Dec 2018
Publication process dates
Accepted11 Dec 2018
Deposited08 Apr 2021
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