Transitioning across professional boundaries in midwifery models of care : A literature review

Journal article


Baldwin, Adele, Harvey, Clare, Willis, Eileen, Ferguson, Bridget and Capper, Tanya. (2019). Transitioning across professional boundaries in midwifery models of care : A literature review. Women and Birth. 32(3), pp. 195-203. https://doi.org/10.1016/j.wombi.2018.08.003
AuthorsBaldwin, Adele, Harvey, Clare, Willis, Eileen, Ferguson, Bridget and Capper, Tanya
Abstract

Background
High-risk pregnancy, or one with escalating complexities, requires the inclusion of numerous health professions in care provision. A strategy of midwife navigators to facilitate the smooth transition across models of care and service providers has now been in place in Queensland, Australia, for over twelve months, and a formal review process will soon begin. Navigators are experienced nurses or midwives who have the expertise and authority to support childbearing women with chronic or complex problems through the health system so that it is co-ordinated and they can transition to self-care. This includes ensuring a logical sequence in tests and procedures, providing education, or facilitating access to specialist care. The navigator evaluation included a review of existing models of care that support women with chronic and complex needs during their pregnancy. This paper describes the integrative literature review that explored the transitioning of care models.

Methods
The review followed formal Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, utilised the Critical Appraisal Skills Program tools and analysed a final 33 papers, published from 2000 onwards in professional, peer-reviewed journals and databases.

Results/Conclusions
Four key themes of communication, context, visibility and frames were identified, discussed in depth, and considered in the current body of knowledge. The outcomes refer clearly to ‘property rights’ or turf protected by invisible fences and gatekeeping by midwives and other health professionals. This review may inform development of future frameworks and practice review to better address the needs of pregnant women.

Keywordsmidwifery model; transition; navigation; coordination; complex care
Year2019
JournalWomen and Birth
Journal citation32 (3), pp. 195-203
PublisherElsevier Ltd
ISSN1871-5192
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2018.08.003
PubMed ID30145166
Scopus EID2-s2.0-85052111823
Page range195-203
FunderOffice of the Chief Nursing and Midwifery Officer (OCNMO), Government of Queensland
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online23 Aug 2018
Publication process dates
Accepted07 Aug 2018
Deposited10 Nov 2023
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https://acuresearchbank.acu.edu.au/item/8zyxy/transitioning-across-professional-boundaries-in-midwifery-models-of-care-a-literature-review

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