Delivering continuity of midwifery care to Queensland women

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Glossary This glossary includes all relevant definitions from the NHMRC’s National Guidance on Collaborative Maternity Care. Thanks to NHMRC for allowing use of their work. ACM: Australian College of Midwives www.midwives.org.au AHPRA: Australian Health Practitioner Regulation Agency, the new (2010) national body regulating health practitioners www.ahpra.gov.au ALSO: Advanced Life Support in Obstetrics. www.also.net.au Caseload midwifery: Refers to the model where the woman has a ‘primary’ or ‘named’ midwife, providing the majority of pregnancy, birth and post birth care (Homer et al 2008). This model is also referred to as a ‘continuity of carer model’ or ‘one to one’ midwifery care. Case load. The actual number of women a caseload midwife is ‘carrying’ or providing care for (i.e. her workload). Clinical privileging: The process by which a health care professional is granted permission by a health service (e.g. a hospital) to provide care services within defined limits. These limits are based on an individual’s qualifications, experience and registration status. Clinical Services Capability Framework: The levels of clinical capability for health services in Queensland and outlines the required resources. www.health.qld.gov.au/cscf Collaborating partners: Maternity care professionals who are actively collaborating (i.e. not in an employee–employer relationship). Collaborating partners refer women to each other as the need arises. Collaboration: A process where two or more independent professionals work together with the woman to achieve common goals by sharing knowledge, learning and building consensus. Collaborative agreement or arrangement: An informal or formal recognition of the terms of a collaboration. Collaborative practice: A group of maternity care professionals who collaborate with each other and with women in the planning and delivery of their maternity care (see also Section 1.1, NHMRC National Guidance on Collaborative Maternity Care). Continuity of care: A situation where a woman is cared for by a group of professionals who share common ways of working and a common philosophy. Continuity of carer: Care provided, or supervised, over time by the same trusted carer (usually including backup arrangements). Coordinator of care: The person nominated by a woman to coordinate her maternity care. Core midwives: Work rostered shifts to provide midwifery care within a facility (in contrast to caseload midwives who may work in a range of settings and attend as required by client’s needs). CPD: Continuing Professional Development. CSCF: Clinical Services Capability Framework www.health.qld.gov.au/cscf Doula: An unregulated health worker. A support person who assists the woman and her family to prepare for birth and parenting through emotional and physical support. Eligible midwife: Is able to provide Medicare-rebatable services. She has a notation to her registration by the Nursing and Midwifery Board of Australia (NMBA), which is granted after application and meeting the NMBA Registration Standard for Eligible Midwives. Family: The woman’s spouse, husband, defacto, partner, sibling, kin, parent, guardian or community. 90 Delivering continuity of midwifery care to Queensland women
Informed choice: When a woman has the autonomy and control to make decisions about her care after a process of information exchange that involves providing her with sufficient, evidence-based information about all options for her care, in the absence of coercion by any party and without withholding information about any options. Informed consent: When a woman consents to a recommendation about her care after a process of information exchange that involves providing her with sufficient, evidencebased information about all the options for her care so that she can make a decision, in the absence of coercion by any party that reflects self-determination, autonomy and control (NHMRC Guidance). Queensland Health policy and consent forms are available from www. health.qld.gov.au/consent Informed refusal: When a woman refuses a recommendation about her care after a process of information exchange that involves providing the woman with sufficient, evidence-based information so that she can make a decision that reflects self-determination, autonomy and control. MaCRM: Maternity Crisis Resource Management Program, provided by the Queensland Health Skills Development Centre. www.sdc.qld.edu.au/MaCRM-000.htm Midwifery Group Practice (MGP): The organisational or management unit in which caseload midwives usually work. The purpose of the MGP is to support the practice of the caseload midwives within it and to facilitate communication and management. MPR Midwifery Practice Review: According to the Australian College of Midwives: Midwifery Practice Review is a formal, transparent, nationally consistent peer review mechanism that supports midwives to regularly reflect on their portfolio, their own midwifery practice and future professional development plans or identified needs. Maternity care professionals: Registered clinicians who provide care for women during antenatal, intrapartum or postnatal stages of maternity care (e.g. midwives, GP obstetricians, obstetricians and GPs). NHMRC: National Health and Medical Research Council: www.nhmrc.gov.au NMBA: Nursing and Midwifery Board of Australia. www.nursingmidwiferyboard.gov.au NMOQ: Nursing and Midwifery Office Queensland. This is the Queensland Health agency responsible for Nursing and Midwifery professional issues and includes a midwifery advisor position. OCNO: Office of the Chief Nursing Officer. OCNO changed its name to the Queensland Nursing and Midwifery Office, Queensland (NMOQ) in 2011. PAD: Performance assessment and development. Primary care (or primary health care): The first level of care accessed by the consumer, without referral. Midwives and GPs provide primary maternity care. Primary midwife: Each woman receiving caseload midwifery care will have a ‘primary midwife’ who provides the majority of her midwifery care and is her maternity care coordinator. ‘Known midwife’ and ‘named midwife’ have the same meaning. The woman will probably describe her primary midwife as ‘my midwife’. QCMB: Queensland Centre for Mothers and Babies, is an independent centre based at the University of Queensland in Brisbane, funded by the Queensland Government. www.qcmb.org.au RMI: Rural Maternity Initiative. A Queensland Health program of funding to increase rural women’s access to midwifery services, administered through NMOQ. Strong women workers: Women who have specialised cultural knowledge related to their local community who work with Aboriginal and Torres Strait Islander health workers and other professionals in their communities in projects generally related to improving the health of pregnant women, new mothers and their babies. A guide to implementation 91
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Nursing and Midwifery Office, Queen
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Nursing and Midwifery Office, Queen
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Section 9 Professional development
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4 Delivering continuity of midwifer
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5. Cultural change—building a sup
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Section 1 Why provide continuity of
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These reforms can be seen as part o
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The emotional and social benefits w
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Section 2 Midwifery continuity mode
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shifts, but also rotate across ante
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For well women, evidence supports t
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Gottvall, K., Waldenstrom, U., Ting
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• The project officer develops se
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- on-call arrangements - relief - (
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Section 4 Key elements to successfu
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Key issues for leaders in midwifery
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At the Gold Coast Hospital Birth Ce
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Goondiwindi A review of Goondiwindi
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Culture of birth—current issues I
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A mechanism to inform and engage th
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Section 6 Clinical governance Eleme
Page 44 and 45: Consumer participation and informed
Page 46 and 47: Clinical practice guidelines To ens
Page 48 and 49: Award levels for midwives Often mid
Page 50 and 51: Balance of service demand and resou
Page 52 and 53: Considerations when implementing ca
Page 54 and 55: Section 8 Industrial issues The ann
Page 56 and 57: Example: A new MGP model is impleme
Page 58 and 59: References Collins, C., Fereday, J.
Page 60 and 61: Each midwife working in Queensland
Page 62 and 63: Midwives working in continuity of c
Page 64 and 65: Skills for managers Managers suppor
Page 66 and 67: • Midwifery Practice Review (MPR)
Page 68 and 69: • Find a few sources of evidence
Page 70 and 71: Interactions within the whole MGP T
Page 72 and 73: Measurement of continuity provided
Page 74 and 75: • clearly outline what constitute
Page 76 and 77: At 1 pm I receive a call from K, sh
Page 78 and 79: Section 11 Collaborative maternity
Page 80 and 81: Example Mary presents to Miles Hosp
Page 82 and 83: Collaboration with GPs A range of m
Page 84 and 85: How to sustain your model The abili
Page 86 and 87: References Homer, C. Brodie, P. & L
Page 88 and 89: MBS rebates are available for a ran
Page 90 and 91: Hybrid private and public models Wo
Page 92 and 93: operationalised the universal postn
Page 96 and 97: Team midwifery: A model of maternit
Page 98 and 99: 94 Department of Health and Ageing.
Page 100 and 101: Queensland Health. (2008b). Queensl
Page 102 and 103: Acknowledgments Queensland Health w
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Delivering continuity of midwifery care to Queensland women

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