Working with private hospital midwives in Victoria, Australia to identify practice change priorities : Outcomes of a Delphi study

Journal article

Dawson, Kate, Bayes, Sara, Gilbert, Stacey, Sayers, Kylie and Kelly, Isabella. (2023). Working with private hospital midwives in Victoria, Australia to identify practice change priorities : Outcomes of a Delphi study. Midwifery. 124, p. Article 103767. https://doi.org/10.1016/j.midw.2023.103767
AuthorsDawson, Kate, Bayes, Sara, Gilbert, Stacey, Sayers, Kylie and Kelly, Isabella
Abstract

Objective/aim
In this study, we invited midwives working at one metropolitan private hospital in Victoria, Australia to identify their workplace change needs and priorities for research.

Methods
In this two-round Delphi study, all midwifery staff within the maternity unit of a private hospital in Melbourne, Australia were invited to participate. In round one, participants joined face-to-face focus groups to put forward their ideas for workplace change and research ideas, and these data were developed into themes. In round two, participants ranked the themes in priority order.

Findings
The top four themes identified by this cohort of midwives were: ‘Ways of working – investigating alternate ways of working to enable greater flexibility and opportunities’; ‘Understanding midwifery – working with the executive team to highlight the nuances of maternity care’; ‘Education – increase in staff in the education team to provide a greater presence and opportunity for education’; and ‘Postnatal specific – review ways of working in postnatal areas’.

Key conclusions
A number of priority research and change areas were identified which, if implemented, would strengthen both midwifery practice and midwife retention in this workplace. The findings will be of interest to midwife managers. Further research to evaluate the process and success of implementing the actions identified in this study would be valuable

Keywordsmidwifery workforce; Delphi study; research priorities; midwife well-being
Year2023
JournalMidwifery
Journal citation124, p. Article 103767
PublisherElsevier Ltd
ISSN0266-6138
Digital Object Identifier (DOI)https://doi.org/10.1016/j.midw.2023.103767
PubMed ID37419009
Scopus EID2-s2.0-85164363591
Open accessPublished as ‘gold’ (paid) open access
Page range1-5
FunderAustralian Catholic University (ACU)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online05 Jul 2023
Publication process dates
Accepted23 Jun 2023
Deposited01 Apr 2025
Additional information

© 2023. Published by Elsevier Ltd.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Nicholls, Sarah, Hauck, Yvonne L., Bayes, Sara and Butt, Janice. (2016). Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study. Midwifery. 33, pp. 73-81. https://doi.org/10.1016/j.midw.2015.10.010
The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia
Davison, Clare, Hauck, Yvonne L., Bayes, Sara J., Kuliukas, Lesley J. and Wood, Jennifer. (2015). The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia. Midwifery. 31(8), pp. 772-778. https://doi.org/10.1016/j.midw.2015.04.012
Exploring midwifery students' views and experiences of caseload midwifery : A cross-sectional survey conducted in Victoria, Australia
Dawson, Kate, Newton, Michelle, Forster, Della and McLachlan, Helen. (2015). Exploring midwifery students' views and experiences of caseload midwifery : A cross-sectional survey conducted in Victoria, Australia. Midwifery. 31(2), pp. e7-e15. https://doi.org/10.1016/j.midw.2014.09.007
Australian midwifery students’ views about profession-specific peer mentoring
Bayes, Sara Jayne, Collyer, Doreen, Dobbs, Kirsten and Walsh, Laura. (2014). Australian midwifery students’ views about profession-specific peer mentoring. Eculture. 7, pp. 1-10.
Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth
Byrne, Jean, Hauck, Yvonne, Fisher, Colleen, Bayes, Sara and Schutze, Robert. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery & Womens Health. 59(2), pp. 192-197. https://doi.org/10.1111/jmwh.12075