The grounded theory of Coalescence of Perceptions, Practice and Power: An understanding of governance in midwifery practice

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dc.citation.issue8
dc.citation.volume30
dc.contributor.authorFerguson B
dc.contributor.authorBaldwin A
dc.contributor.authorHenderson A
dc.contributor.authorHarvey C
dc.coverage.spatialEngland
dc.date.accessioned2023-08-14T23:26:10Z
dc.date.accessioned2023-09-04T01:41:16Z
dc.date.available2022-11-18
dc.date.available2023-08-14T23:26:10Z
dc.date.available2023-09-04T01:41:16Z
dc.date.issued2022-11
dc.date.updated2023-08-14T22:11:22Z
dc.descriptionThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are madeen
dc.description.abstractAims This study aimed to understand midwifery care during labour, particularly decision-making processes, within Australian health systems. Background Midwifery, founded on a wellness model of motherhood, is at risk of being medicalized. Whilst medical intervention is lifesaving, it requires judicious use. Governance provides oversight to care. Exploring decision-making contributes to understanding governance of practices. Method Straussian grounded theory using semi-structured interviews. Eighteen Australian registered midwives were interviewed about their practice when caring for women during labour. Results Midwives were caught between divergent positions; birth as natural versus birth as risk. Experienced midwives discussed focussing on the woman, yet less experienced were preoccupied with mandatory protocols like early warning tools. Practice was governed by midwives approach within context of labour. The final theory: The Coalescence of Perceptions, Practice and Power, comprising three categories: perceptions and behaviour, shifting practice and power within practice, emerged. Conclusions Coalescence Theory elucidates how professional decision making by midwives during care provision is subject to power within practice, thereby governed by tensions, competing priorities and organizational mandates. Implications for Midwifery Managers Midwifery managers are well positioned to negotiate the nuanced space that envelopes birthing processes, namely, expert knowledge, policy mandates and staffing capability and resources, for effective collaborative governance. In this way, managers sustain good governance.
dc.format.extent4587-4594
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/36325759
dc.identifier.citationFerguson B, Baldwin A, Henderson A, Harvey C. (2022). The grounded theory of Coalescence of Perceptions, Practice and Power: An understanding of governance in midwifery practice.. J Nurs Manag. 30. 8. (pp. 4587-4594).
dc.identifier.doi10.1111/jonm.13892
dc.identifier.eissn1365-2834
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0966-0429
dc.identifier.urihttp://hdl.handle.net/10179/19945
dc.languageeng
dc.publisherJohn Wiley & Sons Ltd
dc.relation.isPartOfJ Nurs Manag
dc.rights(c) The author/s CC BY-NCen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectearly warning tool
dc.subjectgovernance
dc.subjectintrapartum
dc.subjectmidwifery or midwife
dc.subjectmidwifery practice
dc.subjectrisk aversion
dc.subjectPregnancy
dc.subjectFemale
dc.subjectHumans
dc.subjectMidwifery
dc.subjectGrounded Theory
dc.subjectAustralia
dc.subjectQualitative Research
dc.subjectNurse Midwives
dc.titleThe grounded theory of Coalescence of Perceptions, Practice and Power: An understanding of governance in midwifery practice
dc.typeJournal article
pubs.elements-id457859
pubs.organisational-groupOther
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