WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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Department of Labour. (2006). Midwife: Occupational Skill Shortage Assessment. Wellington: New Zealand. Donley, J. (1986). Save the midwife. Auckland: New Women’s Press. Downe, S. (2004). Normal childbirth evidence and debate. Edinburgh: Churchill Livingstone. Draycott, T., Winter, C., Croft, J., & Barnfield, S. (2006). Practical Obstetric Multi- Professional Training Course Manual. PROMPT Foundation: Bristol NHS Trust, UK. Dunne, J. (1993). Back to the rough ground. US: University of Notre Dame Press. Earl, D. (2004). Keeping birth normal: Midwives experiences in a secondary setting. Unpublished master’s thesis. Auckland University of Technology, Auckland, New Zealand. Earl, D., Gibson, G., Isa, T., McAra-Couper, J., McGregor, G., & Thwaites, H. (2002). Core midwifery: The challenge continues. New Zealand College of Midwives Journal, 27, 30-33. 197
Edward, K. (2005). The phenomenon of resilience in crisis care mental health clinicians. International Journal of mental Health Nursing, 14, 142-148. Edwards, R. (2004). Intuition, evidence and safety. The Lancet, 364, 387. Employee Assistance Programmes: EAP. Retrieved February 27, 2009, from http://www.eapservices.co.nz/employee-assistance-programmes Exton, L. (2008). The baby business. New Zealand: Craig Potton Publishing. Fraser, D. (2006). Improving learning in hospital labour suites: An ethnographic approach to educational audit. Retrieved October 1, 2007, from http://www.intagentaconnect.com/content/bsc/1hs/20060000005/0000004/art0000 3 Fraser, D., & Cooper, M. (2003). Myles textbook for midwives (14 th Ed.). Edinburgh: Churchill Livingstone. Geallanos, R. (1998). Hermeneutic philosophy. Part 1: Implications for its use as methodology in interpretive nursing research. Nursing Inquiry, 5, 154-163. Giddings, L.S., & Wood, P. J., (2000). The methodological journey of a grounded theorist: an interview with Denise Dignam. Nursing Praxis, 16(2), 4-16. 198
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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
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case of going in and demanding to k
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“support from midwives in the sec
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 and 202: GLOSSARY Coordinator/Charge midwife
Page 203 and 204: REFERENCES Barnes, I. (2006). Copin
Page 205: Code of Health and Disability Servi
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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