WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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My job is predominantly a deskbound position; however I maintain nursing and midwifery annual practising certificates and I periodically work ‘on the floor’ in addition to responding to staffing shortages and obstetric emergencies from my office. As a result of these experiences, I was drawn to research this phenomenon, in recognition that midwifery coordinators carry significant clinical, leadership and managerial responsibility within a climate of staffing shortages, a declining midwifery workforce and legislative differentiation between the provision of primary and secondary midwifery care to women in my workplace. 19
My Pre-understandings Interview Everything I have written in this chapter reveals my biases, my assumptions, my presuppositions, my beliefs, my understandings and my theories. Van Manen (1990) writes “the problem of phenomenological enquiry is not always that we know too little about the phenomenon we wish to investigate, rather we know too much” (p.46). Crotty (1998) reinforces this and writes “layers of interpretation get placed one upon the other like levels of mineral deposit in the formation of rock” (p.59). I needed to dig beneath my layers of interpretations. In keeping with my methodology, I was interviewed by my supervisors with the interview tape recorded so I could subsequently interpret my pre-understandings. I needed to discover the influences which have come into play in my life that have influenced who I am, why I chose this study and how I have approached the subject. Van Manen (1990) reminds me that we “come to terms with our assumptions, not in order to forget them again, but rather to hold them deliberately at bay and even turn them into knowledge itself, as it were, thereby concealing its shallow or concealing nature” (p.47). Standing back and looking in I have not worked as a coordinator so this interview helped me understand I have been the outsider looking in at a world I am integrally part of yet in most instances I am on the sidelines, standing back, quietly watching, questionning and wondering what colleagues are really thinking and feeling. 20
Page 1 and 2: WORKING AS A COORDINATOR MIDWIFE IN
Page 3 and 4: My perspectives of partnership in t
Page 5 and 6: Summary ...........................
Page 7 and 8: Attestation of Authorship I hereby
Page 9 and 10: Abstract This phenomenological stud
Page 11 and 12: is deemed by the midwife manager wh
Page 13 and 14: pregnancy and childbirth experience
Page 15 and 16: The Department of Labour (2006) rep
Page 17 and 18: secondary midwifery care” (p.11).
Page 19 and 20: DHB coordinators is how they embrac
Page 21 and 22: No national or international resear
Page 23 and 24: Methodology Why phenomenology? The
Page 25 and 26: change” (p.157). To this end, I a
Page 27: holding my daughter at birth to bre
Page 31 and 32: come to work, how do they manage on
Page 33 and 34: midwife, whilst ensuring safe pract
Page 35 and 36: ‘unknowing’ resulted in tension
Page 37 and 38: Summary My pre-understandings revea
Page 39 and 40: entitled; The Luxury of Time, ‘Th
Page 41 and 42: The Realities of the Tertiary Deliv
Page 43 and 44: New Zealand perspectives of seconda
Page 45 and 46: hospital. Their objective was to ra
Page 47 and 48: provide an increased opportunity fo
Page 49 and 50: whereas now when she responds to ca
Page 51 and 52: The ‘Emotion Work’ and the ‘S
Page 53 and 54: unrecognized and may be conducive t
Page 55 and 56: demands, job resources and their di
Page 57 and 58: midwife, representing “working th
Page 59 and 60: the sense of value nurses attribute
Page 61 and 62: of a consultant is described by Isa
Page 63 and 64: in a sustained way and are not inte
Page 65 and 66: following accepted procedures” (p
Page 67 and 68: same. This reveals the variance in
Page 69 and 70: subconscious, becomes the basis for
Page 71 and 72: CHAPTER THREE Research Methodology
Page 73 and 74: What is a phenomenon? Heidegger (19
Page 75 and 76: new meaning and truth. An added dim
Page 77 and 78: space, things, the body and others
Page 79 and 80:
Participant Recruitment My workplac
Page 81 and 82:
Anonymity and Confidentiality For m
Page 83 and 84:
Interview venue Participants chose
Page 85 and 86:
Two coordinators knew what they wan
Page 87 and 88:
I made tentative notes about themes
Page 89 and 90:
Literature research I delved into a
Page 91 and 92:
Geanellos (1998) offers alternative
Page 93 and 94:
Summary In this chapter, I have ide
Page 95 and 96:
Irene explains: Being the coordinat
Page 97 and 98:
I work, the difficulty is the staff
Page 99 and 100:
weather storms better than others j
Page 101 and 102:
for her as coordinator. This story
Page 103 and 104:
An anonymous quote is cited by Mall
Page 105 and 106:
which reflects on the colleagues sh
Page 107 and 108:
Alice explains what it feels like f
Page 109 and 110:
Alice reveals she has to subconscio
Page 111 and 112:
Irene reveals there are different r
Page 113 and 114:
egarding this overspill or emotiona
Page 115 and 116:
professional supervision” (p.13).
Page 117 and 118:
Summary This chapter reveals how co
Page 119 and 120:
CHAPTER FIVE Time as lived The cloc
Page 121 and 122:
eveals her interpretation of what i
Page 123 and 124:
We had a woman needing to go for a
Page 125 and 126:
herself desperately trying to engag
Page 127 and 128:
Sally offers a story with a differe
Page 129 and 130:
subsequent three ‘nightmare’ ad
Page 131 and 132:
decision to augment the labour base
Page 133 and 134:
environment is well described by Ca
Page 135 and 136:
eginning of January so she was bran
Page 137 and 138:
I didn’t even have the midwife’
Page 139 and 140:
minute, then got up and said to the
Page 141 and 142:
life” (p.192). The coordinators h
Page 143 and 144:
“Techne” and “phronesis” ar
Page 145 and 146:
egarding who is assigned to the shi
Page 147 and 148:
who hadn’t even been orientated t
Page 149 and 150:
the staff would respond to her dire
Page 151 and 152:
case of going in and demanding to k
Page 153 and 154:
“support from midwives in the sec
Page 155 and 156:
When Irene is invited into a room s
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anaesthetist as to what is safe for
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skill mix. Her knowledge regarding
Page 161 and 162:
‘I’m already overseeing three w
Page 163 and 164:
experiences which contribute to her
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this is her opportunity every day w
Page 167 and 168:
(2004) writes “the place of birth
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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
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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 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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