Unsettling moods in rural midwifery practice

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aut.relation.endpagee66
aut.relation.issue1en_NZ
aut.relation.journalWomen and Birthen_NZ
aut.relation.pages8
aut.relation.startpagee59
aut.relation.volume31en_NZ
aut.researcherSpence, Deborah
dc.contributor.authorCrowther, Sen_NZ
dc.contributor.authorSmythe, Len_NZ
dc.contributor.authorSpence, Den_NZ
dc.date.accessioned2018-05-01T22:46:15Z
dc.date.available2018-05-01T22:46:15Z
dc.date.copyright2017en_NZ
dc.date.issued2017en_NZ
dc.description.abstractBackground: Rural midwifery and maternity care is vulnerable due to geographical isolation, staffing recruitment and retention. Highlighting the concerns within rural midwifery is important for safe sustainable service delivery. Method: Hermeneutic phenomenological study undertaken in New Zealand (NZ). 13 participants were recruited in rural regions through snowball technique and interviewed. Transcribed interview data was interpretively analysed. Findings are discussed through the use of philosophical notions and related published literature. Findings: Unsettling mood of anxiety was revealed in two themes (a) '. Moments of rural practice' as panicky moments; an emergency moment; the unexpected moment and (b) '. Feelings of being judged' as fearing criticism; fear of the unexpected happening to 'me' fear of losing my reputation; fear of feeling blamed; fear of being identified. Conclusions: Although the reality of rural maternity can be more challenging due to geographic location than urban areas this need not be a reason to further isolate these communities through negative judgement and decontextualized policy. Fear of what was happening now and something possibly happening in the future were part of the midwives' reality. The joy and delight of working rurally can become overshadowed by a tide of unsettling and disempowering fears. Implications: Positive images of rural midwifery need dissemination. It is essential that rural midwives and their communities are heard at all levels if their vulnerability is to be lessened and sustainable safe rural communities strengthened.en_NZ
dc.identifier.citationWomen and birth, 31(1), e59-e66.
dc.identifier.doi10.1016/j.wombi.2017.06.019en_NZ
dc.identifier.issn1871-5192en_NZ
dc.identifier.issn1878-1799en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/11539
dc.publisherElsevier
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S1871519216301305?via%3Dihub
dc.rights© 2017 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectMidwifery; Rural; Mood; Sustainability; Phenomenology
dc.titleUnsettling moods in rural midwifery practiceen_NZ
dc.typeJournal Article
pubs.elements-id285581
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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