WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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may be an LMC obstetrician, an LMC midwife or an LMC General Practitioner. Women who have not registered with an LMC and who have received little or no antenatal care receive DHB midwife/core midwifery care when they present at a DHB hospital. DHBs employ midwives who specifically offer LMC hospital team midwifery care to women. DHB midwives/core midwives also provide midwifery care to women whose conditions require handover of care to secondary services in accordance with Section 88 referral guidelines (Ministry of Health, 2002, p. 31-36). Tertiary Hospital: There are six tertiary hospital facilities in New Zealand with three in the upper North Island where this study is focused. These facilities provide intensive care facilities for women and babies in addition to the provision of secondary care and are referred to as Level 3 units. Secondary Hospital Care: There are 18 secondary care hospitals in New Zealand which provide limited specialist maternity and neonatal care and are referred to as Level 2 units. Primary Hospital Care: There are both DHB and privately owned primary care birthing facilities in New Zealand where woman who are identified as ‘low risk’ may choose to birth with the anticipation of the normal birth of a well neonate. These are referred to as Level 1 units. 193
REFERENCES Barnes, I. (2006). Coping with workplace stress. Canadian Nursing Home. 17(4), 19-24. Banks, M. (2000). Home birth bound: mending the broken weave. New Zealand: Birthspirit. Baxley, E., Deutchman, M., Arwood, L., Murphy, N., & Yu, J. (2000). Advanced Life Support in Obstetrics (4thEd.). Kansas, US: Billington, M., & Stevenson, M. (2007). Critical care in childbearing for midwives. Oxford, UK: Blackwell Publishing. Black, J. (2007). Corporate bullying – a virulent organism. Kaitiaki Nursing New Zealand, 13(3), 202 Boston Consulting Group (2006). The manager of the 21 st century 2020 vision. Innovation & Business Skills Australia. Byrne, E., & Maziarz, F. (1969). Human being and being human. New York:Appleton- Century Crofts. 194
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WORKING AS A COORDINATOR MIDWIFE IN
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My perspectives of partnership in t
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Summary ...........................
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Attestation of Authorship I hereby
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Abstract This phenomenological stud
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is deemed by the midwife manager wh
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pregnancy and childbirth experience
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The Department of Labour (2006) rep
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secondary midwifery care” (p.11).
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DHB coordinators is how they embrac
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No national or international resear
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Methodology Why phenomenology? The
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change” (p.157). To this end, I a
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holding my daughter at birth to bre
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My Pre-understandings Interview Eve
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come to work, how do they manage on
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midwife, whilst ensuring safe pract
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‘unknowing’ resulted in tension
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Summary My pre-understandings revea
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entitled; The Luxury of Time, ‘Th
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The Realities of the Tertiary Deliv
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New Zealand perspectives of seconda
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hospital. Their objective was to ra
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provide an increased opportunity fo
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whereas now when she responds to ca
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The ‘Emotion Work’ and the ‘S
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unrecognized and may be conducive t
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demands, job resources and their di
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midwife, representing “working th
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the sense of value nurses attribute
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of a consultant is described by Isa
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in a sustained way and are not inte
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following accepted procedures” (p
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same. This reveals the variance in
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subconscious, becomes the basis for
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CHAPTER THREE Research Methodology
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What is a phenomenon? Heidegger (19
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new meaning and truth. An added dim
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space, things, the body and others
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Participant Recruitment My workplac
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Anonymity and Confidentiality For m
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Interview venue Participants chose
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Two coordinators knew what they wan
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I made tentative notes about themes
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Literature research I delved into a
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Geanellos (1998) offers alternative
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Summary In this chapter, I have ide
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Irene explains: Being the coordinat
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I work, the difficulty is the staff
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weather storms better than others j
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for her as coordinator. This story
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An anonymous quote is cited by Mall
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which reflects on the colleagues sh
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Alice explains what it feels like f
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Alice reveals she has to subconscio
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Irene reveals there are different r
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egarding this overspill or emotiona
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professional supervision” (p.13).
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Summary This chapter reveals how co
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CHAPTER FIVE Time as lived The cloc
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eveals her interpretation of what i
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We had a woman needing to go for a
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herself desperately trying to engag
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Sally offers a story with a differe
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subsequent three ‘nightmare’ ad
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decision to augment the labour base
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environment is well described by Ca
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eginning of January so she was bran
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I didn’t even have the midwife’
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minute, then got up and said to the
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life” (p.192). The coordinators h
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“Techne” and “phronesis” ar
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egarding who is assigned to the shi
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who hadn’t even been orientated t
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the staff would respond to her dire
Page 151 and 152: case of going in and demanding to k
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Page 155 and 156: When Irene is invited into a room s
Page 157 and 158: anaesthetist as to what is safe for
Page 159 and 160: skill mix. Her knowledge regarding
Page 161 and 162: ‘I’m already overseeing three w
Page 163 and 164: experiences which contribute to her
Page 165 and 166: this is her opportunity every day w
Page 167 and 168: (2004) writes “the place of birth
Page 169 and 170: shoes and a gown on and be ready fo
Page 171 and 172: Irene was skilled and able to view
Page 173 and 174: suggested they did a pH 9 on the ca
Page 175 and 176: The responsibility coordinators und
Page 177 and 178: CHAPTER SEVEN Discussion Summary of
Page 179 and 180: ‘Needing to know’ Coordinators
Page 181 and 182: Facing the ‘known’ and the ‘u
Page 183 and 184: which may involve empathizing, reas
Page 185 and 186: Coordinators take their emotional w
Page 187 and 188: solutions - which offers resonance
Page 189 and 190: cohesiveness and teamwork. Alice su
Page 191 and 192: There is a career pathway for DHB m
Page 193 and 194: will enhance tertiary level clinica
Page 195 and 196: The stories shared by coordinators
Page 197 and 198: This research offers no insight int
Page 199 and 200: work shift after shift and reveal n
Page 201: GLOSSARY Coordinator/Charge midwife
Page 205 and 206: Code of Health and Disability Servi
Page 207 and 208: Edward, K. (2005). The phenomenon o
Page 209 and 210: Health Emergency Management in New
Page 211 and 212: Kennedy, H. P. (2002). The midwife
Page 213 and 214: Ministry of Health. (2002). Notice
Page 215 and 216: Pairman, S. (1999). Partnership rev
Page 217 and 218: Smythe, E. (2000). “Being safe in
Page 219 and 220: Van Manen, M. (2007). Phenomenology
Page 221 and 222: midwifery coordinator/charge midwif
Page 223 and 224: Whom do I contact for further infor
Page 225 and 226: I agree to take part in this resear
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