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Midwives' experience of organisational and professional change
Luleå University of Technology, Sweden.
Mälardalen University, School of Health, Care and Social Welfare.
Luleå University of Technology, Sweden.
2005 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 4, 355-364 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: to describe midwives' experiences of changes in their caring role and professional function in postpartum wards in the northern part of Sweden. In this part of the country, three out of eight maternity departments have been closed over the last 5 years. During the same period, hospital stays have reduced in length, and an early discharge model has been introduced. DESIGN: focus-group discussions. SETTING: four focus groups at two hospitals in northern Sweden. PARTICIPANTS: 21 midwives experienced in midwifery practice in maternity wards. FINDINGS: the analysis revealed four categories of comments: 'to have limited time when caring for the mother and the baby'; 'no longer being valued as the expert'; 'a wish to have responsibility for childbirth in its entirety'; 'to see future possibilities in the development of the profession'. The theme identified is 'being ahead in ideas about caring but still partly caught up in the past'. KEY CONCLUSIONS AND IMPLICATIONS: the identified theme of being ahead in ideas about caring but still partly caught up in the past can be understood as representing a transition. The midwives experienced loss and grief over their former midwifery practice, but had ideas and visions for developing and expanding their future professional role. A healthy transition requires support, participation and skilled management.

Place, publisher, year, edition, pages
2005. Vol. 21, no 4, 355-364 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:mdh:diva-11136DOI: 10.1016/j.midw.2005.02.002ISI: 000234033700007PubMedID: 16023772Scopus ID: 2-s2.0-28344443002OAI: oai:DiVA.org:mdh-11136DiVA: diva2:370742
Available from: 2010-11-17 Created: 2010-11-17 Last updated: 2015-07-08Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
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  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
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  • nn-NO
  • nn-NB
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More languages
Output format
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