WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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gifted me their accounts of personal experiences (Smythe et al., 2008). The commonality between these women is that they each hold the same position of responsibility as a coordinator in the tertiary hospital delivery suite setting. I acknowledge readers of this study may discover their own interpretations from this study and I may never know what thoughts I provoke in them as a result of this study. However, I care deeply about this phenomenon and I want to reflect the ‘Dasein’ of these coordinators’ experiences from my lens which has been as trustworthy as I can achieve in accordance with this methodological framework. Heidegger’s Phenomenology Phenomenology Edmund Husserl launched the school of philosophy in 1900 when he attempted to separate philosophy from science by focusing on how things appear to us rather than addressing theories on how the world functions from prevailing scientific perspectives. Husserl was Heidegger’s teacher and is attributed by Harman (2007) as the person who helped Heidegger reach his philosophical beliefs. Whereas Husserl challenged scientific naturalism, Heidegger introduced the notion that these ‘things’ are ‘events’ and began to supercede his teacher with his new thoughts. 63
What is a phenomenon? Heidegger (1927/1962) wrote a phenomenon is “that which shows itself from itself” with a caution that what appears to be, may be only a semblance or an appearance of the phenomenon because “what we do see may not represent what we think it may represent, or may only partially represent because the entities may be concealed in the ‘being’ of the phenomenon” (p.58). Harman (2007) explains that Heidegger viewed the world as full of entities, or events which are always partially obscured, “not thoroughly graspable from the outside, and are never entirely exhausted by human thought” (p.175). I will show the phenomenon of being a coordinator midwife in a tertiary hospital delivery suite setting in this study. Being and Dasein The basis to this study is the work of Heidegger. Harman (2007) writes that “every great thinker has one single great thought” and for Heidegger, Harman explains this revelation was ‘Being’ (p.1). Being is our human existence or human presence in our life world, which Heidegger also referred to as “Dasein” (Heidegger, 1927/1962, p.49). Harman writes, “Dasein exists only as an act, event or performance of its reality not as something visible from the outside” (p.33). For Heidegger, ‘being-in-the-world’ can only be experienced by humans rather than animals or inanimate objects and it relates to humans being open to their life world, interacting with it and being affected by it. This study captures the Dasein of five coordinators. 64
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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
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 and 70: subconscious, becomes the basis for
Page 71: CHAPTER THREE Research Methodology
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
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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
Page 211 and 212:
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
Page 219 and 220:
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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