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Midwifery Research - Science topic

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In nursing and midwifery research we often do survey studies. How can we justify that our nursing and midwifery research proposals are really research and not a quality improvement project?
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It can be a fine line in nursing and midwifery research as even service evaluation/QI projects will still need ethical permission to access your participants.
This link offers clear guidance:
We do qualitative nursing and midwifery research and use the rule of thumb that we are looking for new knowledge. This starts with how you frame your question (obvious i know) for example; 'What is the impact on decision-making of the clinical nurse specialist in XX speciality' or 'How do Midwives achieve confidence and competence in perineal assessment'. A QI question would look more like this: Do clinical nurse specialists in XX speciality increase the uptake of surgery?' or 'Evaluation of perineal assessment training among Midwives'.
If you can link with an academic department, they can guide you. But be aware, 'research' brings a lot of paperwork and restrictions!
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The definition of obstetric violence is “…the appropriation of the body and reproductive processes of women by health personnel, which is expressed as dehumanized treatment, an abuse of medication, and to convert the natural processes into pathological ones, bringing with it loss of autonomy and the ability to decide freely about their bodies and sexuality, negatively impacting the quality of life of women.” <br />
I'm working on obstetric violence. Does anyone know of any studies about this topic?
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I am a Midwifery lecturer and my country, South Africa, has a very high incidence of obstetric violence in the public health sector. The culture of speaking up on the part of women during antenatal care and labour is almost non-existent I find this topic to be very interesting and my next goal is to do some research on it..
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midwifery research
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The assumption some people have is that one intervention leads to another and therefore some midwives fail to continue facilitating normality even in the midst of complications. Some Trust have mobile fetal monitoring devices which can be useful to facilitate active births. In the absence of these, women can still be supported to assume certain positions next to their beds ie standing, rocking chair, gym ball, birthing stool etc to promote active births.
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I am currently undertaking my Public Health Masters and new to primary research.
Initially i wanted to do qualitative interviews to explore the barriers and enablers for midwiwives councelling and administering contraception within maternity services however i am unable to do interviews as they are people i work which would cause ethical and validity issues with my data.
I am able to use a gatekeeper at my work to enable anonomidity so am interesed in qualitative questionaires completed by the midwives but i am struggling to find my infomration about how to do this in books i have read.
Is it best to change my approach to quanitative and use yes/no or scales? I am just worries about my sample size as i only have about 30 staff members who i can ask as they are the only ones doing this job role that i want to explore.
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Qualitative research requires lot of interaction with study subjects through focus group discussions and with well prepared notes of discussion and synthesizing their opinion.Even their own experience can be quoted in discussions. Qualitative research requires very less of statistical applications. Even you can try with mixed research. Some part can be of quantitative research and a part of your study can have a qualitative research.
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I found only two researches yet from India and Nepal. Are there other researches from Srilanka, Bangladesh, Afghanistan?
1) David, K. V., Pricilla, R. A., Venkatesan, S., Rahman, S. P., Sy, G., & Vijayaselvi, R. (2012). Outcomes of deliveries in a midwife-run labour room located at an urban health centre: results of a 5-year retrospective study. The National Medical Journal of India, 25, 323-326.
2) Rana, T. G., Rajopadhyaya, R., Bajracharya, B., Karmacharya, M., & Osrin, D. (2003). Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal. Health Policy and Planning, 18(3), 330-337.
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Hi, 
You migth want to check the references list of Midwife-led Care Cochrane Sistematic Review 
Sandall et al 2916
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Midwifery self-administered attitude scale. 
To be administer in low income countries.
Not specific to homebirth or breastfeeding for example.
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The outcomes of research depend totally on the question that is being asked. Your question:Midwives attitude towards clients, is actually not a question.   It is a launching off point for a discussion, that might lead to a research question.
Real PhD work and beyond sometimes spend years making a research question. I think that should be the focus of your time for a while.   what are you interested in quantifying?  Is it quantifiable?  
judy
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This scale is used to describe the extent to which women feel in control during childbirth.
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I don't think that you need any permission. You can use this validated scale for your researc. Good luck from Trudy
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I am seeking a validated tool which can be applied to the Caribbean.
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That is a good point, Genevieve. I hope the tools to measure that have been offered in this topic have been helpful to you, Sydonnie.
If Maria wishes to start a new thread, I have some further references to offer about best practice.
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I'm writing my thesis about the biological mother in the adoption triad, and it is very difficult to find anything about this population.
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hi delphine
iam just attaching a citation, which is similar to the question you had asked. hope your study is similar to the article below.
Mander, R. (1992), Seeking approval for research access: the gatekeeper's role in facilitating a study of the care of the relinquishing mother. Journal of Advanced Nursing, 17: 1460–1464. doi: 10.1111/j.1365-2648.1992.tb02818.x
its an old article.
i will be happy if you could elaborate on your area of care, and try to help you in search of literature.
i do hope that you approached a legal prosecutor (lawyer) who would help you in decision matters literature
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Having attended to 5 women with intrauterine fetal demise, 4 of them reported having had diarrhea either a day or two prior to the diagnosis that their expected baby had passed on. I would also like to know if there is anyone else who has had this observation or if there is any literature on this.
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Maternal illness, if severe, could be a cause of IUFD. Conversely, I wonder, but have no data, that prostaglandin release from inflammation/labor could lead to diarrhea.
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I research the history of midwifery and childbirth and how this subject is presented in science museums or medical museums. I have found no exhibitions about this specific theme yet. Any ideas are welcome.
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Hi, I think there is something in the museum for medicine in Zuerich. I have been there for years and they had quite a big section on that. It is worth a try.
Hope I could help a bit
Ursula
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As the UK population diversifies so are the foods that are available in supermarkets such as okra (ladies fingers), yams and plantain. Pregnant women are bombarded with advice from healthcare professionals including midwives, GPs, from the media, magazines on what is best. Quite often, the nutritional values of the less usual foods are not readily available at which point, advice from a family elder can be sought. This question is one that caused me some concern when I worked as a midwife many years ago in the West Midlands and London where I was privileged to care for women from many different countries with rich cultures and array of foods. Now as a lecturer, I teach cultural issues in midwifery and feel that this session would be incomplete without some discussions about foods and its nutritional values to pregnant women and their babies.
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Many thanks Mary, I look forward to reading the outcome of your studies.