WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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This literature review demonstrates the wealth of research available regarding midwifery practice and its associated complexities but an apparent absence of New Zealand and international research specific to the experiences of coordinators of tertiary hospital delivery suites. With the increasing birth rate and advances in technology associated with childbirth, this lack of research indicates further exploration of this topic especially in relation to sustainability and resilience would be worthwhile. 61
CHAPTER THREE Research Methodology Introduction This study is based on Heidegger’s interpretive phenomenological, hermeneutic philosophy (1927/1962) and van Manen’s (1990) research methodology. Insights reveal themselves to the researcher in phenomenology through “a journey of ‘thinking’ in which the researchers are caught up in a cycle of a reading-writing-dialogue which spirals onwards” (Smythe, Ironside, Sims, Swenson & Spence, 2008, p.1389). The simplicity of this explanation however, belies the reality that this methodology is only trustworthy when the researcher is attuned to the text, has an open mind, is able to question and allows interpretations to reveal themselves. Ultimately it is the reader who makes his or her individual judgment regarding the trustworthiness of this study. I want the reader to be able to identify with what I have written with a sense that it feels “true” to them. Van Manen (1990) describes phenomenology as being that which describes how a person “orientates to lived experience”. He continues by explaining “hermeneutics describes how one interprets the ‘texts of life’” (p.4). This research is not about proving anything, it is not about transferring what has been revealed to other situations, rather it ‘is’ my interpretations of the stories of five unique individuals who 62
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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).
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
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: subconscious, becomes the basis for
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
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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
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skill mix. Her knowledge regarding
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‘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
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(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
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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
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Coordinators take their emotional w
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solutions - which offers resonance
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cohesiveness and teamwork. Alice su
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There is a career pathway for DHB m
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will enhance tertiary level clinica
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The stories shared by coordinators
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This research offers no insight int
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work shift after shift and reveal n
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GLOSSARY Coordinator/Charge midwife
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REFERENCES Barnes, I. (2006). Copin
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Code of Health and Disability Servi
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Edward, K. (2005). The phenomenon o
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Health Emergency Management in New
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Kennedy, H. P. (2002). The midwife
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Ministry of Health. (2002). Notice
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Pairman, S. (1999). Partnership rev
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Smythe, E. (2000). “Being safe in
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Van Manen, M. (2007). Phenomenology
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midwifery coordinator/charge midwif
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Whom do I contact for further infor
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I agree to take part in this resear
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