Caseload Midwifery: A Critical Analysis of Evidence-based Practice.
Caseload midwifery is a style of care where a patient is assigned a primary midwife who will secure care from pregnancy, birth, and the days following the delivery (Southern Health, 2011). …
Any additional tests or care shall be ordered by the midwife, including the need to refer the patient to medical staff where necessary. The primary midwife is available on call and would be supported by caseload midwives where the primary is not available.
Caseload midwifery also seems to be synonymous with midwifery-managed care or one-on-one midwifery care (McCourt and Page, 1996; Farmer and Chipperfield, 1996). In different countries, midwifery care has been based on caseload and sustained care (Newman and Pearse, 2006). For countries like Australia and the UK where this type of care is often applied, caseload midwifery is a coordinated model for care within existing maternity services.
This study now seeks to present a critical literature review of caseload midwifery model compared with standard models of practice. To pursue such goals, various aspects and perspectives in midwifery caseload shall be covered, including clinical outcomes, patient perspectives, midwife perspectives, and efficacy of the model. The Kotter model of change will be considered especially as it covers the leadership elements which can help ensure the effective implementation of change in maternal and child care.
Discussion Clinical outcomes The available evidence from randomized controlled trials (Turnbull, et.al. 1996; Hatem, et.al. 2008) indicates how caseload midwifery is an option which helps decrease obstetric intervention (Hartz, et.al. 2011). It is also an intervention which helps ensure improved levels of satisfaction for women, with less unfavourable effects on mothers and their babies (Hartz, et.al. 2011). However, the randomized controlled trials on caseload midwifery including two comparative studies (Harvey, et.al. 1996; Pankhurst, 1997) did not specify differences in the style of delivery for the women under caseload management. Trends in other comparative cohort studies (Benjamin, et.al. 2001; Pankhurst, 1997) indicate that caseload midwifery may favourably impact on the outcomes of birth. However, no previous studies sought to evaluate the significance in the style of delivery. Comparative cohort studies and descriptive studies for caseload midwifery of care include low risk standards (Nixon, et.al. 2003; Johnson, et.al. 2005; Williams, et.al. 2005), including standards for women with low to moderate risks and women having high levels of risk (Nixon, et.al. 2003; Turnbull, et.al. 2009). There seems to be a contrast in the mode of birth outcomes in terms of comparative cohorts and descriptive Australian standards on caseload midwifery in terms of clinical trials and comparative cohort studies (Harvey, et.al. 1996; Pankhurst, 1997). The issue on why the contrast exists needs to be considered. Methodological differences would be under initial consideration. The levels of evidence relating to the efficacy of clinical remedies is hierarchical in nature with systematic reviews and some randomized controlled trials at the highest level of evidence (National Health and Medical Research Council, 2008). The Cochrane review of midwifery-centric against other interventions for ...
Cite this document
(“Caseload Midwifery: A Critical Analysis of Evidence-based Practice Essay”, n.d.)
Retrieved from https://studentshare.net/nursing/111592-caseload-midwifery-a-critical-analysis-of-evidence-based-practice
(Caseload Midwifery: A Critical Analysis of Evidence-Based Practice Essay)
“Caseload Midwifery: A Critical Analysis of Evidence-Based Practice Essay”, n.d. https://studentshare.net/nursing/111592-caseload-midwifery-a-critical-analysis-of-evidence-based-practice.
This being the case, it becomes necessary to understand what exactly Evidence based practice (EBP) is and why it is such an important contribution in the medical field. To start with evidence based practice is a resource intensive method that allows medical practitioners make decisions that help them promote healthcare using available evidence.
This essay addresses the barriers that exist against using evidence-based practice in the treatment of atrial fibrillation. It will also evaluate different strategies that can be used to develop the use of evidence-based practice among critical nurses who tend to older patients suffering from atrial fibrillation.
Furthermore, some interventions which reliable researches showed to have significant benefits have been largely ignored. By bringing together the results of research in a systematic way, appraising its quality in the light of question being asked synthesizing the results in an explicit way and making the knowledge base more accessible, it is hoped to foster a greater sensitivity to the evidence by researchers, policy makers, health practitioners and the public.
However, the use of the term "evidence based" had confused many practitioners. Several researches were done to clarify the term. Aside from misconceptions and misinterpretations, evidence based nursing practice is also plagued with debates and issues that need to be resolved.
Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes.
"Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach.
The paper investigates the methods and search strategy used, and whether the methods used can be replicated and applied in practice.
This paper critically analyses a research article on the healing rates of different pressure-relieving systems, which was
ed need for the increase in the number of Acute Care for the Elderly Units to allow for the provision of specialized quality care for this group of patients (Jaipaul & Rosenthal, 2009; British Geriatric Society, 2012).
With geriatric care being a key area of interest for me,
Thus, they ensure that the participants remain updated on any new occurrences during the research process.
Evidence-based practice is a critical approach to offer the unsurpassed quality care to patients as
Similarly, evidence-based practice (EBP) is more of a specific approach, which can be part of the EBT (Spitz et al., 2007). The EBP approach involves the concerned family members through the treatment process, engaging with direct communication with the patient through
It helps in improving the number of competitive nurses in the medical industry.
Evidence-based method is a system that increases the number of quality nurses in the nursing profession. In the modern world, there are many expectations for the nurses. The
2 Pages(500 words)Essay
GOT A TRICKY QUESTION? RECEIVE AN ANSWER FROM STUDENTS LIKE YOU!
Let us find you another Essay on topic Caseload Midwifery: A Critical Analysis of Evidence-based Practice for FREE!