Sure is. If you don't hear from clare in a few days, let me know and I'll
call her.
joy
_____
From: Lainchbury, Anne [mailto:[log in to unmask]]
Sent: Wednesday, 25 May 2005 10:32 AM
To: [log in to unmask]
Subject: Re: staffing of freestanding mat. units
Thankyou very much Joy- this is a great resource isn't it!
Anne
-----Original Message-----
From: Caseload midwifery [mailto:[log in to unmask]] On Behalf
Of Johnston
Sent: Wednesday, 25 May 2005 10:23 AM
To: [log in to unmask]
Subject: Re: staffing of freestanding mat. units
Anne I have put a cc to Clare Lane, a midwife who has done some work there
in recent years. Clare will be able to reply off the list.
Joy
_____
From: Lainchbury, Anne [mailto:[log in to unmask]]
Sent: Wednesday, 25 May 2005 10:11 AM
To: [log in to unmask]
Subject: Re: staffing of freestanding mat. units
Thankyou Joy and Joan- do you happen to know of anyone who world be able to
tell me a bit more of how it did work?
Anne
-----Original Message-----
From: Caseload midwifery [mailto:[log in to unmask]] On Behalf
Of Johnston
Sent: Wednesday, 25 May 2005 10:02 AM
To: [log in to unmask]
Subject: Re: staffing of freestanding mat. units
That's correct Joan.
I haven't been directly involved with the Hawthorn Birth Centre and don't
know the fine details of its history. It was open only when in use, but was
not a midwife managed unit, as it was owned and supervised by Dr Bruce
Sutherland who set it up. Bruce has retired and as far as I know there are
no births happening there now.
Joy Johnston
_____
From: Joan O'Neill [mailto:[log in to unmask]]
Sent: Wednesday, 25 May 2005 9:21 AM
To: [log in to unmask]
Subject: Re: staffing of freestanding mat. units
The Hawthorn Birth Centre in Melbourne (not sure if it is still a happening
thing) operated under similar circumstances. Joy Johnson may know - she
subscribes to this list or contact me directly & I can give you her email
address.
Regards,
Joan
_____
Joan O'Neill, Senior Project Officer, Maternity Services Team
Level 9
Tel: 03 9616 1328
Programs Branch, Metropolitan Health & Aged Care
589 Collins Street
Mobile: 0407 042 162
Department of Human Services
Melbourne Vic 3000
Email: <mailto:[log in to unmask]> [log in to unmask]
http://www.health.vic.gov.au/maternitycare
Shannon Norberg <[log in to unmask]>
Sent by: Caseload midwifery <[log in to unmask]>
25/05/2005 03:34 AM
Please respond to Caseload midwifery
To: [log in to unmask]
cc: (bcc: Joan O'Neill/HeadOffice/DHS)
Subject: Re: staffing of freestanding mat. units
Hi Anne,
The birth centre I trained at in Seattle, Washington operates on a similar
model to what you described. The midwives will come in for a birth after
hours and stay until the family goes home but otherwise the centre is closed
when clinic is not happening. Here is the website:
www.birthcenter.com <http://www.birthcenter.com/>
Shannon Norberg, RM
Vancouver, BC
----- Original Message -----
From: Lainchbury, Anne <mailto:[log in to unmask]>
To: [log in to unmask]
Sent: Tuesday, May 24, 2005 1:05 AM
Subject: Re: staffing of freestanding mat. units
Hello everyone
I'm hoping someone will be able to help with this search-
Does anyone know of a birth centre/ freestanding midwifery unit that does
not operate on a 24hr basis- ie is only staffed for labour/ birth and then a
few hours of postnatal care? I would be grateful for any info regarding the
existence of these models and how they work in a practical sense.
Thankyou
Anne Lainchbury
Midwifery Group Practice Manager
Wollongong Hospital
Australia
-----Original Message-----
From: Caseload midwifery [mailto:[log in to unmask]] On Behalf
Of Jane sandall
Sent: Monday, 18 April 2005 10:05 PM
To: [log in to unmask]
Subject: Re: Burnout??
Denis
In a nutshell, team midwifery (sharing a team caseload) increases the
possibility of burnout because control over work is low, sense of
achievement is low because of lack of continuity, on-call is stressful
because this model dehumanises women and midwives, and midwives get called a
lot more.
Caseload (where a midwife sees a woman through over her childbearing
episode) and this does not mean continuous on call increases continuity, job
satisfaction and control over work.
I think the confusion has arisen because of lack of clarity between team and
caseload in policy, practice and research.
I also think that it has been assumed that caseload midwifery which offers
continuity to women over their childbearing episode can only be delivred by
midwives who are oncall 24 hours a day which is unrealistic for the majority
of people. In addition, caseloads have been too big and midwives have been
asked to take on additional responsibilities. As a result the baby has been
thrown out with the bathwater.
The outcomes of small scale evaluations of caseload midwifery are promising
and we are interested in how far important it is to be on call all the time
and we have a programme of work with a number of studies looking at this.
I have one plea for anyone looking at burnout. Burnout has been described by
Maslach and Jackson (1986) and latterly by Schaufeli and Buunk (1996) as a
syndrome of emotional exhaustion, depersonalisation and diminished personal
accomplishment, which occurs among individuals who work with people.
Emotional exhaustion involves individuals feeling they are no longer able to
give of themselves at a psychological level. Depersonalisation refers to the
development of negative, cynical attitudes and feelings about one's clients.
Reduced personal accomplishment is the tendency to evaluate oneself
negatively, particularly in relation to one's work with clients. The costs
of burnout among health professionals are large both to employing
institutions, to patients and to the professionals themselves. Occupational
burnout was measured in my study with an adapted version of the Maslach
Burnout Inventory (Maslach and Jackson 1986) and psychological health was
measured by the GHQ 12 (Goldberg 1992). In the Maslach Burnout Inventory,
staff were asked in a series of 22 statements, if each statement applied
never (score 0), a few times a year (1), once a month or less (2), a few
times a month (3), once a week (4), a few times a week (5), every day (6).
The MBI has been validated in a large number of occupational groups in the
USA, Britain, Europe and South Africa and has been used to assess burnout
in midwives in the USA and the Netherlands. The inventory measures three
dimensions of burnout. Respondents who are burnt out score highly on the
emotional exhaustion (9 items) and depersonalisation (5 items) scales and
have a low score on the personal accomplishment (8 items) scale. Respondents
who are burnt out score highly on the emotional exhaustion (9 items, score 0
- 63) and depersonalisation (5 items, score 0 - 30) scales and have a low
score on the personal accomplishment (8 items, score 0 - 48) scale. The
advantages of this measure is that you can analyse what factors are related
to people with high burnout lelels and what factors are related to those
with high levels of accomplishment. It is important to remember that these
are not mutually exclusive. A midwife could score high on emotional
exhaustion and also on high levels of achievment if s/he had been up all
night at a home birth for example. This potential along with ease of
completion makes this measure an excellent tool to measure burnout. I am
looking for funding to do a follow-up of the initial sample of 166 midwives
from the midwifery workforce in the UK, as very little cohort research has
been done in this area to see what happens to those midwives who score high
and low on this measure.
It is really very important that the same measure is used in evaluations, so
that comparisons can take place and I wish all evaluations of new ways of
working would routinely use it.
If anyone is interested in using it and would like advice, then do contact
me.
The detailed paper on this which reports the findings of this research:
Sandall,J. (1998) Occupational burnout in midwives: new ways of working and
the relationship between organisational factors and psychological health and
wellbeing, Risk, Decision & Policy, 3, 3:213-232
and
Sandall,J. (1998) Midwifery work, family life and well-being: a study of
occupational change, Unpublished Doctoral Thesis, Department of Sociology,
University of Surrey.
bw
Jane Sandall
----- Original Message -----
From: <mailto:[log in to unmask]> Denis Walsh
To: <mailto:[log in to unmask]>
[log in to unmask]
Sent: Thursday, April 14, 2005 10:23 PM
Subject: Burnout??
Hi,
I am new to the list and had involvement in a caseload scheme in Leicester.
As I meet midwives and discuss models of care, I constantly keep hearing the
mantra that caseload midwifery leads to burnout though my memory of Jane's
research is that was not the case. Anyone out there able to shed light on
whether there is any research on this?
Denis Walsh
Independent Midwifery Lecturer
Senior Lecturer in Midwifery, UCLAN
Aus address:
25 Lynelle St
Sunnybank Hills
Q'ld 4109, Australia
Tel (07)32732892
Mob: 0421447612
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