WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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Hunter, B. (2005). Emotion work and boundary maintenance in hospital- based midwifery. Midwifery, 21, 253-266. Hunter, L.P. (2007). A hermeneutic phenomenological analysis of midwives’ ways of knowing during childbirth. Retrieved November 10, 2008, from Midwifery (2007), doi:10.1016/j.midw.2007.06.001. Isa, T., Thwaites, H., McGregor, B., Gibson, E., Earl, D., & McAra-Couper, J. (2002). The Middlemore practice paper. Paper presented at the 7 th Biennial National Midwifery Conference, New Zealand. James, D.K., Steer, P.J., Weiner, C.P., & Gonik, B. (1994). High risk pregnancy (2 nd .Ed). London:W.B.Saunders. John, V., & Parsons, E. (2006). Shadow work in midwifery: Unseen and unrecognized emotional labour. British Journal of Midwifery, 14(5), 266- 271. Johnston, M. (2007, December, 18). Midwife shortage a timebomb. New Zealand Herald. Retrieved November 16, 2008, from http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10482960&pnu m=2 201
Kennedy, H. P. (2002). The midwife as an “Instrument of Care”. American Journal of Public Health, 92(11), 1759-1760. Kirkham, M. (2000). Midwives support needs as childbirth changes. Journal of Advanced Nursing, 32(2), 465-472. Kirkham, M.(2005). A midwifery journey. Midwifery matters, 104, 11-12. Koch, T. (1996). Implementation of a hermeneutic inquiry in nursing: Philosophy, rigour and representation. Journal of Advanced Nursing, 24, 174-184. Kouzes, J., & Posner, B. (1995). The leadership challenge. San Francisco: Jossey-Bass Publishers. Lankshear, G., Ettorre, E., & Mason, D. (2005). Decision making, uncertainty and risk: Exploring the complexity of work processes in NHS delivery. Risk and Society, 7(4), 361-377. Lavender, T., & Chapple, J. (2004). An evaluation of midwives views of the current maternity system in England. Midwifery, 13(6), 354-359. 202
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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
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When Irene is invited into a room s
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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 and 206: Code of Health and Disability Servi
Page 207 and 208: Edward, K. (2005). The phenomenon o
Page 209: Health Emergency Management in New
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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