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Related Experiment Videos

Australian midwives' experiences of implementing practice change.

Sara Bayes1, Elaine Juggins1, Lisa Whitehead1

  • 1Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia.

Midwifery
|December 22, 2018
PubMed
Summary

Midwives face numerous barriers at multiple levels when implementing evidence-based practice changes. These obstacles often delay or prevent the integration of best evidence into midwifery care.

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Area of Science:

  • Healthcare Practice Innovation
  • Evidence-Based Midwifery

Background:

  • Translating evidence into healthcare practice is challenging.
  • Attempts to implement reliable evidence often fail.

Purpose of the Study:

  • To investigate midwives' experiences leading practice change initiatives.
  • To understand barriers to evidence-based practice in midwifery.

Main Methods:

  • Glaserian Grounded Theory methodology.
  • Study conducted in Australian midwifery contexts.
  • Participants included midwives leading practice change.

Main Results:

  • Sixteen Australian midwife change leaders participated.
  • Core problem identified: 'So many barriers on so many levels'.
Keywords:
Evidence Based PracticeMaternal Health ServicesMidwiferyOrganizational InnovationQualitative Research

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  • All participants encountered significant obstacles during implementation.

    • Conclusions:

    • Despite some support, most practice change efforts faced multi-level obstacles.
    • Integration of best evidence into practice was often slow or stalled.
    • Findings inform strategies to expedite sustained practice innovation in midwifery.