Midwifery workplace culture in Australia: A national survey of midwives

© 2019 Problem: The midwifery workforce in Australia is impacted by shortages and attrition. Workplace culture affects midwives’ intentions to stay in the profession and their capacity to provide woman-centred care for mothers and infants. Background: Staff attrition in maternity services often relates to midwives’ workplace experiences and negative perceptions of organisational culture. Broad-based data are essential to fully understand midwifery workplace culture. Aim: This study aimed to examine Australian midwives’ perceptions of workplace culture, using a specifically developed instrument. Methods: A national online survey of Australian midwives, within a wider project on maternity workplace culture. Quantitative data were analysed descriptively. Qualitative data were analysed using content analysis. Findings: Overall, 322 eligible midwives rated workplace culture and 150 provided further qualitative responses. Themes included ‘the ability to be a midwife’, ‘support at work’ and ‘bullying’. Less than a third of midwives thought their workplace had a positive culture. Many respondents felt disengaged and unsupported by managers and described an inability to use all their midwifery knowledge in medically-dominated environments. Many attributed poor workplace culture to limited resources, poor communication, time pressure and a lack of leadership in their workplaces. Inadequate staffing levels and poor management left many midwives feeling disempowered and despondent about their workplace. Others, however, described highly positive workplace cultures and inspiring role models. Conclusion: The survey captured a snapshot of Australian midwifery workplace culture. Findings on leadership, workloads, management support and other aspects of workplace culture can inform future workforce planning and policies. A larger study of the midwifery workplace culture is needed

The Use of Ethnography in Maternity Care.

While the value of ethnography in health research is recognized, the extent to which it is used is unclear. The aim of this review was to map the use of ethnography in maternity care, and identify the extent to which the key principles of ethnographies were used or reported. We systematically searched the literature over a 10-year period. Following exclusions we analyzed 39 studies. Results showed the level of detail between studies varied greatly, highlighting the inconsistencies, and poor reporting of ethnographies in maternity care. Over half provided no justification as to why ethnography was used. Only one study described the ethnographic approach used in detail, and covered the key features of ethnography. Only three studies made reference to the underpinning theoretical framework of ethnography as seeking to understand and capture social meanings. There is a need to develop reporting guidelines to guide researchers undertaking and reporting on ethnographic research

Micro-Pressure Sensors for Future Mars Missions

The joint research interchange effort was directed at the following principal areas: u further development of NASA-Ames' Mars Micro-meteorology mission concept as a viable NASA space mission especially with regard to the science and instrument specifications u interaction with the flight team from NASA's New Millennium 'Deep-Space 2' (DS-2) mission with regard to selection and design of micro-pressure sensors for Mars u further development of micro-pressure sensors suitable for Mars The research work undertaken in the course of the Joint Research Interchange should be placed in the context of an ongoing planetary exploration objective to characterize the climate system on Mars. In particular, a network of small probes globally-distributed on the surface of the planet has often been cited as the only way to address this particular science goal. A team from NASA Ames has proposed such a mission called the Micrometeorology mission, or 'Micro-met' for short. Surface pressure data are all that are required, in principle, to calculate the Martian atmospheric circulation, provided that simultaneous orbital measurements of the atmosphere are also obtained. Consequently, in the proposed Micro-met mission a large number of landers would measure barometric pressure at various locations around Mars, each equipped with a micro-pressure sensor. Much of the time on the JRI was therefore spent working with the engineers and scientists concerned with Micro-met to develop this particular mission concept into a more realistic proposition

The Cosmic Shoreline

Volatile escape is the classic existential problem of planetary atmospheres. The problem has gained new currency now that we can study the cumulative effects of escape from extrasolar planets. Escape itself is likely to be a rapid process, relatively unlikely to be caught in the act, but the cumulative effects of escape in particular, the distinction between planets with and without atmospheres should show up in the statistics of the new planets. The new planets make a moving target. It can be difficult to keep up, and every day the paper boy brings more. Of course most of these will be giant planets loosely resembling Saturn or Neptune albeit hotter and nearer their stars, as big hot fast-orbiting exoplanets are the least exceedingly difficult to discover. But they are still planets, all in all, and although twenty years ago experts could prove on general principles that they did not exist, we have come round rather quickly, and they should be welcome now at LPSC. Here we will discuss the empirical division between planets with and without atmospheres. For most exoplanets the question of whether a planet has or has not an atmosphere is a fuzzy inference based on the planet's bulk density. A probably safe presumption is that a low density planet is one with abundant volatiles, in the general mold of Saturn or Neptune. On the other hand a high density low mass planet could be volatile-poor, in the general mold of Earth or Mercury. We will focus on planets, mostly seen in transit, for which both radius and mass are measured, as these are the planets with measured densities. More could be said: a lot of subtle recent work has been devoted to determining the composition of planets from equations of state or directly observing atmospheres in transit, but we will not go there. What interests us here is that, from the first, the transiting extrasolar planets appear to have fit into a pattern already seen in our own Solar System, as shown in Fig. 1. We first noticed this in 2004 when there were just two transiting exoplanets to consider. The trend was well-defined by late 2007. Figure 1 shows how matters stood in Dec 2012 with approx.240 exoplanets. The figure shows that the boundary between planets with and without active volatiles - the cosmic shoreline, as it were - is both well-defined and follows a power law

Enabling new graduate midwives to work in midwifery continuity of care models: A conceptual model for implementation

© 2017 The Authors Background: High-level evidence demonstrates midwifery continuity of care is beneficial for women and babies. Women have limited access to midwifery continuity of care models in Australia. One of the factors limiting women's access is recruiting enough midwives to work in continuity. Our research found that newly graduated midwives felt well prepared to work in midwifery led continuity of care models, were well supported to work in the models and the main driver to employing them was a need to staff the models. However limited opportunities exist for new graduate midwives to work in midwifery continuity of care. Aim: The aim of this paper therefore is to describe a conceptual model developed to enable new graduate midwives to work in midwifery continuity of care models. Method: The findings from a qualitative study were synthesised with the existing literature to develop a conceptual model that enables new graduate midwives to work in midwifery continuity of care. Findings: The model contains the essential elements to enable new graduate midwives to work in midwifery continuity of care models. Discussion: Each of the essential elements discussed are to assist midwifery managers, educators and new graduates to facilitate the organisational changes required to accommodate new graduates. Conclusion: The conceptual model is useful to show maternity services how to enable new graduate midwives to work in midwifery continuity of care models

Future-proofing simulation and clinical skills

Midwifery pre-registration education must adopt a range of learning and teaching approaches, including simulation and clinical skills sessions, to ensure that student midwives have the required skills and competencies to be admitted to the register. Simulation and clinical skills sessions, undertaken in the ‘safe’ environment of the classroom, enhance students' understanding, confidence and skills—particularly in managing obstetric emergencies, where in practice the needs of the woman take precedence over students' learning opportunities. The unpredictability of the clinical environment may lead to students not having the opportunity to manage an obstetric emergency until after they qualify. Setting up and facilitating simulation and clinical skills sessions is time-consuming for midwifery lecturers and not best use of their expertise, which is why specialist support in the form of laboratory/clinical skills technicians is critical to the smooth running of sessions and maintenance of costly equipment