Linda Sweet

Linda Sweet
Deakin University · School of Nursing and Midwifery

BNg, MNgS, PhD, Grad Cert Ed (Higher Ed)

About

175
Publications
29,269
Reads
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1,628
Citations
Introduction
Linda Sweet is a nurse and midwife who currently works at the College of Nursing and Health Sciences, Flinders University. Linda does research in Higher Education, Teacher Education and midwifery clinical practice includes obesity in pregnancy, HIV, and supporting breastfeeding.
Additional affiliations
July 2013 - present
Flinders University
Position
  • Professor (Associate)
January 2003 - December 2007
University of South Australia
Position
  • Lecturer
February 1998 - December 2002
Women`s and Children`s Hospital
Position
  • Midwifery Fellow

Publications

Publications (175)
Article
Background: The DIAMOND antenatal clinic was established to provide multidisciplinary continuity of care to pregnant women living with morbid (body mass index (BMI) ≥40 kg/m2 ) or super-obesity (BMI ≥50 kg/m2 ). Aim: The aim was to describe clinic processes, demographics, clinical outcomes and women's perceptions of the clinic. Methods: Women...
Article
Introduction The early years of a child’s life (including the in-utero environment) have an important influence on their immediate and long-term developmental and health outcomes. Intervening as early as possible is key to preventing these consequences. Effective engagement with perinatal services during pregnancy and the postnatal period can have...
Article
Background Reflective capacity is recognised as an essential professional attribute that underpins the development of midwives as competent and autonomous, self-determined, life-long learners, and critical reflective thinkers. Despite this professional requirement, little is known about how reflective capacity is developed, facilitated, or measured...
Article
Introduction Continuity of Care Experience (CoCE) is a practice-based learning experience for midwifery students in Australia. This mandated component of education leading to the registration as a midwife provides students the experience of providing continuity of care regardless of the setting the clinical practice takes place. Since implementatio...
Article
Women and Birth is the peer reviewed journal that is owned by the Australian College of Midwives. It is a midwifery journal that publishes on all matters relating to pregnancy, birth, and the first six weeks post-partum. All papers must draw from, and contribute to, the relevant contemporary research, policy and/or theoretical literature. We focus...
Article
Background The majority of Australian women birth in a hospital, with approximately 1% of women having a homebirth. There are currently 15 publicly-funded homebirth services in Australia. The clinical outcomes of homebirth services are rarely reported. Aim To report maternal and neonatal outcomes of the first ten years of operation of a single pub...
Article
The Registered Undergraduate Student of Midwifery (RUSOM) workforce model provides final year midwifery students with the opportunity for paid employment as an assistant to registered midwives. The role allows students to gain experience while being immersed in the hospital setting and under supervision of a midwife. A RUSOM supports the work of mi...
Article
Introduction Vaccination against COVID-19 is an urgent global public health strategy. Health professionals including midwives and doctors support and influence vaccination uptake by childbearing women in their care. The aim of this study was to address the gap in knowledge and explore the perceptions and intentions regarding COVID-19 vaccination fr...
Article
Introduction Obesity is known to reduce fertility and increase the risk of pregnancy related complications. Many women of childbearing age undertake bariatric surgery to lose weight for the purpose of becoming pregnant. Bariatric surgery results in physical changes that are associated with both benefits and risks for maternal and neonatal outcomes....
Article
Introduction Obstetric triage is usually undertaken by a midwife and involves identifying the woman’s presenting problem and conducting physiological and vital signs assessment. Triage of a pregnant woman poses challenges, as the physiological changes associated with pregnancy do not match the general parameters of standard emergency department tri...
Article
Introduction A maternity service capability framework provides direction for health services to assess the level of resources required for safe and effective service delivery. The way in which risk is considered, evaluated, and the way in which maternity services are operationalised to manage risk is largely determined by these frameworks. The curr...
Article
Background Obstetric triage is usually undertaken by a midwife and involves conducting a physical assessment to identify a woman’s presenting problem. The Birmingham Symptom-specific Obstetric Triage System (BSOTS) was developed in the United Kingdom (UK) to overcome challenges associated with triaging women by standardising the maternity triage pr...
Article
Full-text available
Aims The aim was to examine the social determinants of health on human immunodeficiency virus care quality for children in Indonesia. Design A qualitative design using constructivist grounded theory methods was utilized. Methods Data were collected between 2019 and 2020 using in‐depth‐ interviews and memo writing. In total, 23 semi‐structured ind...
Article
Objective Healthcare delivery in Australia is managed at state and territory levels. This paper aims to compare the content and structure of publicly accessible Australian maternity service state and territory frameworks which guide the delivery of maternity care.MethodsA scoping review was conducted to identify publicly accessible Australian state...
Article
Full-text available
Objective To investigate predictors of breastfeeding self-efficacy, postnatal care experiences, and there subsequent impact on breastfeeding outcomes in Australia and Aotearoa New Zealand in the context of the COVID-19 pandemic. Design A cross-sectional online survey collected data between August and October 2020 with recruitment via social media....
Article
Objective: Assessment of women's risk status influences the operationalisation of maternity. Decisions are made at a health service executive level, related to the ongoing level of maternity care provided, and/or sustainability of the maternity service. The aim of this scoping review was to explore how health service executives considered maternit...
Article
Background : Obesity is a global public health problem, and in high income countries such as Australia, approximately 60 percent of women are overweight, and half of these women are classed in the obese range. A large proportion of women who are obese are of childbearing age and many are undergoing surgical weight loss procedures (bariatric surgery...
Article
Background The Registered Undergraduate Student of Midwifery (RUSOM) workforce model provides final year midwifery students an opportunity of paid employment and gain experience as an assistant to midwives. A RUSOM supports the work of midwives by providing care to women and their newborns. Little is known about how the RUSOM role impacts the range...
Article
Full-text available
Background Common approaches to manage breastfeeding problems such as pain, blocked ducts, and milk production issues include breast compression, breast massage, application of warmth or cold, medications, and breastmilk expression. Several devices are available to apply heat or cold to the breast, however, none promote breast compression and/or ma...
Article
Background: Rates of homebirth in Australia remain low, at less than 0.3% of all births. Aims: To report maternal and neonatal outcomes of ten years of a publicly funded homebirth service, 2009-2019. Method: Retrospective analysis of clinical outcome data including neonatal outcomes of women who requested a homebirth at a large metropolitan he...
Article
Full-text available
Background The COVID-19 pandemic has led to multiple changes in maternity services worldwide. Systems rapidly adapted to meet public health requirements aimed at preventing transmission of SARS-CoV-2, including quarantine procedures, travel restrictions, border closures, physical distancing and “stay-at-home” orders. Although these changes have imp...
Article
Full-text available
Purpose To construct a conceptual model of comprehensive care for Indonesian children with Human Immunodeficiency Virus. Design and Methods A qualitative constructivist grounded theory design. Purposive sampling was used to interview 12 children with Human Immunodeficiency Virus and 8 family members with the age of the children ranged from 9 to 18...
Article
Full-text available
Arts-based learning in the context of clinical placement is rarely discussed in the literature, yet storytelling is potentially a valuable tool for students to reflect on the multi-dimensional experience. Clandinin and Connolly’s approach to narrative inquiry provided the methodology to explore students’ experiences of storytelling as a learning st...
Article
Full-text available
Introduction: Vaccination against COVID-19 is a key global public health strategy. Health professionals including midwives and doctors support and influence vaccination uptake by childbearing women. There is currently no evidence regarding the COVID-19 vaccination perceptions and intentions of those who receive or provide maternity care in Austral...
Article
Background The COVID-19 pandemic has caused isolation, fear, and impacted on maternal healthcare provision. Aim To explore midwives’ experiences about how COVID-19 impacted their ability to provide woman-centred care, and what lessons they have learnt as a result of the mandated government and hospital restrictions (such as social distancing) duri...
Article
Problem Australian midwives are considering leaving the profession. Moral distress may be a contributing factor, yet there is limited research regarding the influence of moral distress on midwifery practice. Background Moral distress was first used to describe the psychological harm incurred following actions or inactions that oppose an individual...
Article
Background The World Health Organization recommend that infants be exclusively breastfed until six months of age. The Baby Friendly Health Initiative (BFHI) was developed for protecting, promoting, and supporting breastfeeding. The BFHI global criteria guides hospital practice for supporting infant feeding and reducing disparities in breastfeeding...
Article
Background Holistic reflection encompasses reflection as a continuum, incorporating critical reflection, reflexivity, critical thinking and a whole-of-person approach. The development of holistic reflection in midwifery students and midwives is rarely measured in a standardised way. Aim To develop and test a tool to measure holistic reflection in...
Article
Research suggests that the incidence of moral distress experienced by health professionals is significant and increasing, yet the concept lacks clarity and remains largely misunderstood. Currently, there is limited understanding of moral distress in the context of midwifery practice. The term moral distress was first used to label the psychological...
Article
Background There are 15 publicly-funded homebirth programs in Australia. Women’s access to these programs is determined by program specific inclusion and exclusion criteria. Aims To examine women’s perception of inclusion and exclusion criteria for publicly-funded homebirth programs in Australia and how these perceptions may influence women’s choi...
Article
Background Substantial changes occurred in Australian healthcare provision during the COVID-19 pandemic to reduce the risk of infection transmission. Little is known about the impact of these changes on childbearing women. Aim To explore and describe childbearing women’s experiences of receiving maternity care during the COVID-19 pandemic in Austr...
Article
Full-text available
Background Woman-centred care is recognised as a fundamental construct of midwifery practice yet to date, there has been no validated tool available to measure it. This study aims to develop and test a self-report tool to measure woman-centred care in midwives. Methods A staged approach was used for tool development including deductive methods to...
Article
Problem Excessive gestational weight gain in women who are overweight or obese puts them at risk of poor short- and long-term outcomes for maternal and neonatal health. Several interventions have been trialled to encourage women who are overweight or obese to limit gestational weight gain during pregnancy. Aim The aim of this review was to analyse...
Article
Background: High infant mortality remains a global health problem, particularly in less developed countries. Indonesia has one of the highest infant mortality rates in Southeast Asia. Known factors relate to documented medical conditions and do not necessarily explain their origin. Aim: To identify and explore factors that contribute to infant m...
Article
Background In Australia, the provision of maternity care during the COVID-19 pandemic was significantly altered to limit transmission of the virus. Many hospitals limited face-to-face appointments to only the pregnant woman and restricted the number of support people present during labour, birth, and postnatal visits to one person. How these restri...
Article
Full-text available
Introduction The global COVID-19 pandemic has radically changed the way health care is delivered in many countries around the world. Evidence on the experience of those receiving or providing maternity care is important to guide practice through this challenging time. Methods A cross-sectional study was conducted in Australia. Five key stakeholder...
Article
Problem The COVID-19 pandemic has required rapid and radical changes to the way maternity care is provided in many nations across the world. Background Midwives provide care to childbearing women across the continuum and are key members of the maternity workforce in Australia. Aim To explore and describe midwives’ experiences of providing materni...
Article
s Background: Continuity of Care Experiences are a mandated component of Australian midwifery programs leading to registration. Despite research evidence of the benefits of Continuity of Care Experiences for student learning and for women, there is limited evidence on the personal impact of this experience to students. Additionally, there is limite...
Article
Background : Substantial public health measures occurred in Australian society during the COVID-19 pandemic to reduce the risk of community transmission. Little was known about the impact of these changes on childbearing women. Aim : To describe childbearing women's experiences of becoming a mother during the COVID-19 pandemic in Australia. Metho...
Article
Background: The COVID-19 pandemic meant rapid changes to Australian maternity services. All maternity services have undertaken significant changes in relation to policies, service delivery and practices and increased use of personal protective equipment. Aims: The aim of this study was to explore and describe doctors' experiences of providing ma...
Article
Background There are fifteen publicly-funded homebirth programs currently operating in Australia. Suitability for these programs is determined by a series of inclusion and exclusion criteria. Aim The aim of this scoping review is to identify common inclusion and exclusion criteria for publicly-funded homebirth programs and other related factors th...
Article
Full-text available
The impact of COVID-19 on midwifery students is anticipated to be multi-faceted. Our aim was to explore Australian midwifery students’ experiences of providing maternity care during the COVID-19 pandemic. In a cross-sectional study 147 students were recruited through social media. Data were collected through an online survey and semi-structured int...
Article
Storytelling is one method of arts-based learning. The pedagogy of arts-based learning integrates the arts into another topic to enhance learning. Nursing students’ experiences of clinical placement are often complex. Students may benefit not only from cognitive thinking, but also creative reflection. This integrative literature review explores sto...
Article
Full-text available
Background Ensuring women receive optimal breastfeeding support is of key importance to the health of mothers and their infants. Early discharge within 24 h of birth is increasingly common across Australia, and the practice of postnatal home visiting varies between settings. The reduction in length of stay without expansion of home visits reduces m...
Article
Background Caseload continuity of care models of midwifery are associated with benefits for both mothers and babies. For midwifery staff, caseload models offer flexibility, supportive work partnerships, and one-to-one care with women. However, most caseload models require midwives to be employed 0.7 full-time equivalent or more. Aim To evaluate th...
Article
Full-text available
Background Childhood Human Immunodeficiency Virus (HIV) infection occurs almost exclusively via mother to child transmission (MTCT) during pregnancy, birth, or through breastfeeding. Recent studies have shown that male involvement (MI) in antenatal care (ANC) and HIV testing, including couples voluntary counselling and testing (CVCT), increases the...
Article
Problem: Obesity is a major public health problem and is rising in prevalence in child-bearing women. The complications of pregnancy in women with obesity are well documented. Pregnant women with obesity require different maternity care considerations to normal weight women. How women respond to the care of health professionals, determines how lik...
Preprint
Full-text available
Introduction The global COVID-19 pandemic has radically changed the way health care is delivered in many countries around the world. Evidence on the experience of those receiving or providing maternity care is important to guide practice through this challenging time. Methods A cross-sectional study was conducted in Australia. Five key stakeholder...
Preprint
Full-text available
Objective To report on the findings of a survey of sonographer skill‐teaching practices in Australia using the SonoSTePs tool. Method A cross‐sectional survey of all qualified sonographers registered with the Australian Sonographer Accreditation Registry. Results The 528 responses showed the use of a two‐step skill‐teaching approach to teach scan...
Article
Full-text available
Objective To report the qualitative findings of the inaugural survey of sonographer skill‐teaching practices in Australia using the SonoSTePs tool. Method A national cross‐sectional survey of all qualified sonographers registered with the Australian Sonographer Accreditation Registry. A mix of quantitative and qualitative data was collected. This...
Article
Background Global recommendations are that mothers exclusively breastfeed their infants for the first six months of life to achieve optimal growth, development, and health outcomes. When infants are unable to feed at the breast, giving expressed breastmilk is the preferred alternative. Mothers who exclusively express breastmilk are poorly supported...
Article
Background In 2010, the Nursing and Midwifery Board of Australia introduced a new registration standard: Endorsement for scheduled medicines for midwives. The endorsement enables midwives to provide women with Medicare-rebatable care, prescribe relevant medications, and order relevant Medicare-rebatable diagnostics. Translating endorsement educatio...
Article
Health professionals are required to reflect on practice to evaluate and improve care in rapidly changing health care environments. This study explored the professional development needs of educators facilitating development of reflective capacity in midwifery students using the Bass Model of Holistic Reflection. Thirteen midwifery academics at two...
Article
Health professionals are required to reflect on practice to evaluate and improve care in rapidly changing health care environments. This study explored the professional development needs of educators facilitating development of reflective capacity in midwifery students using the XXXX Model of Holistic Reflection. Thirteen midwifery academics at two...
Article
Full-text available
Background: Developing critical thinking in health care education is pivotal in student development and patient outcomes. Gamification and learning through play within health care education is rising in popularity and may assist to develop problem-solving and critical thinking skills. Aim: To develop and enhance students' capacity to rapidly recal...
Article
Full-text available
Background: The World Health Organization recommends that infants be exclusively breastfed until the age of six months. Breastfeeding is generally understood to mean the provision of human breastmilk to the infant by direct feeding at the breast, and interventions aimed at supporting exclusive breastfeeding are therefore targeted at this activity....
Article
Background: Restriction of food and fluids during labour increases women's discomfort, anxiety and stress which are associated with obstruction of the normal process of labour. Whilst research evidence and clinical guidelines recommend that normal uncomplicated labouring women should not be limited in their oral intake during labour, some midwives...
Article
Background: Domestic violence is a global health concern. Nurses and midwives must respond to those who experience domestic violence, although many are not prepared to do this. The World Health Organization recommend that domestic violence content be included in all pre-registration training as a matter of urgency. Objectives: To examine self-re...
Article
Background: There is an increasing number of mothers expressing their breastmilk, which presents new issues for infant feeding. A primary concern is handling, storage, and warming of expressed breastmilk. Methods: A scoping review was undertaken to explore online guidelines for handling and storage of expressed human breastmilk which are readily...
Article
Background: The Australian Midwifery Standards Assessment Tool (AMSAT) was developed against the Competency Standards for the Midwife in 2017 to enable consistent assessment of midwifery student performance in practice-based settings. The AMSAT requires revision and re-validation as the competency standards have now been superseded by the Midwife...
Article
Background: Continuity of midwifery care is the best maternity care model for women at any risk level, and there is a global imperative to improve access to midwifery-led care. However, diverse perspectives about how best to prepare graduates for working in midwifery continuity of care models persist. The continuity of care experience standard in...
Article
This article explores how work-based interprofessional education (IPE) influences collaborative practice in rural health services in Australia. Using a qualitative case study design, three rural hospitals were the focal point of the project. Marginal participant observations (98 hours) and semistructured interviews (n = 59) were undertaken. Partici...
Article
Nurses and midwives have a professional responsibility to identify and provide effective care to those experiencing domestic violence. Pre-registration preparation may develop this capability. In order to inform curriculum development, this study explored Australian nursing and midwifery students’ attitudes and beliefs about domestic violence. Data...
Article
h2> Introduction If a paramedic moves interstate in Australia, they are often required to undertake a local state-specific internship in the state or territory they are moving to. The small differences in roles undertaken between the states and territories are not sufficient to explain this requirement. In order to better understand this expectat...
Article
Background: Reflective practice is a core professional competency and the hallmark of an autonomous, evidence-based midwife practitioner committed to lifelong learning. Despite this professional imperative little is currently known about how the development of reflective capacity is facilitated with midwifery students. Aim: This study aimed to d...
Article
Full-text available
Background The most recent World Health Organization (WHO) guidelines on Human Immunodeficiency Virus (HIV) and infant feeding promotes exclusive breastfeeding (EBF) in resource limited settings for the prevention of mother to child transmission (PMTCT) of HIV. Literature reveals poor uptake of WHO feeding guidelines, with mixed feeding being a reg...