Jo Wills's research while affiliated with St George Hospital and other places

Publications (8)

Article
In 2001, a new model of midwifery care was established in the Birth Centre at St George Hospital, a metropolitan hospital in NSW. The new model was designed to encompass the principles and recommendations from numerous government reports and research. The model also build on the previous successful implementation of a team midwifery program (Homer...
Article
This paper describes a pilot antenatal education program intended to better prepare couples for the early weeks of lifestyle changes and parenting. Eight weeks after birth, data were collected by questionnaire from 19 couples who participated in a pilot program and from 14 couples who were enrolled in a routine hospital program. Women in the pilot...
Article
Full-text available
Identification of those leadership qualities which nurses believe led to their successful attainment of a nursing management position may help in understanding how to identify and foster leadership potential amongst nursing staff. This study asked nurse managers to indicate the important factors which influenced and facilitated their entry to manag...
Article
This paper describes a pilot antenatal education program intended to better prepare couples for the early weeks of lifestyle changes and parenting. Eight weeks after birth, data were collected by questionnaire from 19 couples who participated in a pilot program and from 14 couples who were enrolled in a routine hospital program. Women in the pilot...
Article
To determine a demographic profile, employment history and career plans of a sample of nursing unit managers (first-line managers) in New South Wales (NSW), Australia in 1999. To compare the profile of first-line nurse managers in 1999 with those in 1989. This study replicates another undertaken a decade earlier (see Duffield 1992). Tracking the ch...
Article
Full-text available
This paper reports the costs of providing a new model of maternity care compared to standard care in an Australian public hospital. The mean cost of providing care per woman was lower in the group who had the new model of care compared with standard care ($2,579 versus $3,483). Cost savings associated with new model of care were maintained even aft...
Article
Full-text available
To test whether a new community-based model of continuity of care provided by midwives and obstetricians improved maternal clinical outcomes, in particular a reduced caesarean section rate. Randomised controlled trial. A public teaching hospital in metropolitan Sydney, Australia. Sample 1089 women randomised to either the community-based model (n =...
Article
Objective To test whether a new community-based model of continuity of care provided by midwives and obstetricians improved maternal clinical outcomes, in particular a reduced caesarean section rate. Design Randomised controlled trial. Setting A public teaching hospital in metropolitan Sydney, Australia. Sample 1039 women randomised to either the c...

Citations

... • Parents-to-be wanted realistic, balanced information about life with a new baby and were particularly keen to learn practical baby care skills network (Svensson et al, 2006;Murphy Tighe, 2010). While there is some evidence that antenatal courses meet this need (Fabian et al, 2005;Schmied et al, 2002), this is not always the case (National Childbirth Trust, 2007). The extent to which participants in this study built support networks varied between groups; it is unclear whether this was due to personal characteristics or the format of the group and how it had been led. ...
... Current evidence comparing MMCs in Australia is largely from randomised controlled trials (RCTs) or cohort studies that compare only two MMCs, primarily using clinical records of outcomes [5]. Most evidence compares two specific publicly funded MMCs implemented within a specific birthing facility-Public Midwifery Continuity Care and Standard Public Care [8][9][10][11][12][13][14]. This evidence consistently reveals shorter hospital stays, higher rates of unassisted vaginal births and spontaneous onset of labour, and lower rates of caesarean births, epidurals, and episiotomies in Public Midwifery Continuity Care compared to Standard Public Care [5]. ...
... Midwife-led care facilitates birth, provides a better memory of the experience for the mothers, reduces or eliminates the need for medical intervention [5], decreases the number of maternal requested Caesarean Sections (CS) [6][7][8] and helps pregnant women form a strong bond with their midwives. Midwife-led care may also lead to improved maternal psychosocial outcomes [9][10][11], whereby pregnant women reported a stronger sense of emotional support, reassurance and were more in control during the midwives' antenatal care [12]. Midwives who offer continuity of care can also provide better support, information and guidance for the feeding of newborns [3,4,13,14]. ...
... There is a very small body of evidence that identifies variation in costs for different models of maternity care. These results were of a similar magnitude to those found in earlier studies comparing women receiving either caseload midwifery or standard public maternity care [15][16][17]. An additional study with First Peoples women found that costs were $703 less per woman receiving caseload midwifery care compared to standard public maternity care [18] (all reported costs were nominal and not adjusted for inflation). ...
... Recently, head nurses have been required to serve as leaders rather than simply managing nursing functions; they are tasked with creating positive change in the work environment and motivating and empowering nurses to achieve the best outcomes for clients, employees, and the organization. [23][24][25] Thus, leaders' empowering behaviors are logically an important element in creating a professional practice environment, decreasing nurses' burnout, and improving the quality of nursing care. Despite this, few studies have discussed these variables in Jordan. ...
... The literature continues to prompt debate, often using them interchangeably. Repeatedly the meanings are intertwined, although the literature clearly describes the need for both leaders and managers in nursing (Bednar, 2007;Casida & Pinto-Zipp, 2008;Donaher, Russell, Scoble & Chen, 2007;Duffield & Franks, 2001;Freed & Dawson, 2006;Marquis & Huston, 1992;Marquis & Huston, 2009;Moran, Duffield, Beutel, et al, 2002). Marquis and Huston (1994), Huston (2009) andNorthouse (2007) define the differences of leadership and management whilst recognising one part of the management function is to lead, or provide leadership to others. ...
... A modification of the transitional programme has been adapted for midwives (called a 'rotation' year) and sees new graduates working in a number of different settings and rotating every few months through areas such as labour and birth, the antenatal ward, antenatal clinic and postnatal wards. Several previous studies (Panettiere & Cadman 2002, Passant et al. 2003, Kensington 2006, Lennox et al. 2008, Davies & Mason 2009, Barry 2011, Davis et al. 2011, Hughes & Fraser 2011 have examined the experience of newly graduated midwives during the transition year, however, there is limited evidence about new graduate midwives who are initially placed within midwifery continuity of care models rather than in this rotational model. ...
... With such capital, midwifery clinics could provide a platform for the inclusion of the husband as a client of maternity care to encourage them to be attentive and supportive, not only the wellbeing of their wife but also the entire family. Parental-related programs proven to be effective are those that require the attendance of the couple, such as birth and breastfeeding preparation, prenatal, and postnatal yoga classes, 56 which could be offered in the community. The formalization of husband involvement in maternal health care may also start by adding content on the desirable role husbands play in the health of mothers to the maternal and child health book, generally provided at the first ANC visit. ...