WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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Beneath the ‘doing’ .........................................................................................174 Relationships between this and other studies ..........................................................177 Recommendations to the profession for practice, education and research ..............180 Limitations to this study ..........................................................................................187 Conclusion ...............................................................................................................189 GLOSSARY....................................................................................................................192 REFERENCES ...............................................................................................................194 APPENDIX A Participant information sheet.............................................................211 APPENDIX B Consent form ........................................................................................215 APPENDIX C Confidentiality agreement ..................................................................217 v
Attestation of Authorship I hereby declare that this submission is my own work and that, to the best of my knowledge and belief, it contains no material previously published or written by another person (except where explicitly defined in the acknowledgements), nor material which to a substantial extent has been submitted for the award of any other degree or diploma of a university or other institution of higher learning. Signature…………………………. Date………………………… vi
Page 1 and 2: WORKING AS A COORDINATOR MIDWIFE IN
Page 3 and 4: My perspectives of partnership in t
Page 5: Summary ...........................
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 and 28: holding my daughter at birth to bre
Page 29 and 30: My Pre-understandings Interview Eve
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
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the sense of value nurses attribute
Page 61 and 62:
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
Page 71 and 72:
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
Page 111 and 112:
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
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’
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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
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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
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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
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Irene was skilled and able to view
Page 173 and 174:
suggested they did a pH 9 on the ca
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The responsibility coordinators und
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CHAPTER SEVEN Discussion Summary of
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‘Needing to know’ Coordinators
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Facing the ‘known’ and the ‘u
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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 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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