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Curtin, Mary
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Curtin, Mary
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Curtin, Mary
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- PublicationA meta-synthesis of the perspectives and experiences of healthcare professionals on the humanisation of childbirth using a meta-ethnographic approach(Centre for Reviews and Dissemination, University of York, 2020-04-01)
; ; ; Problem: The humanisation of childbirth has been identified as a practice of care focusing on the physical, psychological, and emotional wellbeing of women. Healthcare professionals (HCPs) are expected to understand and embed humanised practice when supporting women in childbirth. Aim: The aim of this paper is to present a meta-synthesis of the experiences and perspectives of HCPs regarding the humanisation of childbirth. Methods: A systematic search of the electronic databases CINAHL, Medline, PsychINFO, and SocINDEX were conducted in July 2020. Qualitative studies exploring HCPs’ experiences of humanisation in childbirth were eligible. Studies were synthesised using a meta-ethnographic approach. Findings: Fourteen studies involving 197 participants were included. Two third order interpretations were developed: ‘Women at the centre’ and ‘Professional Dissonance’. Two line of argument synthesis were identified: ‘invisible boundaries’ and ‘unconscious undermining’. Discussion: HCPs recognised that women required positive interactions which met both their emotional and physical needs. Human touch supported bonding between HCPs and women. HCPs understood humanisation as the reduction of unnecessary intervention and/or technology but had difficulties enacting this and often used disempowering language when discussing women’s choices. The management of pain and the presence of a companion were considered important by HCPs. Conclusion: This synthesis revealed that HCPs do understand the humanisation of childbirth but have difficulties in enacting it in practice. Women classified as high risk were identified as having specific needs such as increased emotional support. Further research is required for women classified as high risk who may require technology and/or interventions to maintain a safe birth.21 - PublicationPerineal Suturing Programme for Midwifery Students: An Evaluative Descriptive Study(2022-03-10)
; ; ; ; ; The ability to repair vaginal and perineal trauma is essential for midwifery practice (International Confederation of Midwives, 2019). These are mandatory clinical skills on midwifery registration education programmes in Ireland (NMBI 2016). In response to the COVID-19 pandemic, a new perineal suturing programme was developed, utilising a blended learning approach to facilitate students learning and practising suturing skills at home. Competence in these new skills was determined by video assessment. Students then progressed to a face-to-face simulation and assessment on perineal suturing task trainers in the clinical skills laboratory. This poster presents midwifery students’ views and experiences of this programme.14 - PublicationBook Review: Dynamic Positions in Birth: A fresh look at how women's bodies work in labour by Margaret JovittOverall, this is a great book which is easy to read and supports midwives with the evidence behind their decision making . The author’s passion for birth and position ing in labour and birth is clear and feels almost motivational at times. An excellent book for a midwife who wants to maintain professional reading or a midwife who wishes to gently remind themselves of the anatomy and physiology of the pelvis in order to support women to birth in the position that they want to.
336 - PublicationBook Review: The evolution of the human placenta by Michael L. Power and Jay Schulkin, Johns Hopkins University PressThe book discusses embryology at a high level and any practitioner reading this book would need to be up to date with their biological knowledge of the embryo in the very early stages of pregnancy. The combination of scientific language, the minimal use of pictures, a lack of glossary (including abbreviations) and the length of each chapter means that it can be difficult to follow. Added to this, the large amount of discussion that is dedicated to all placental animals and not just humans means that this book struggles to hold the interest of the reader for long periods.
195 - PublicationA Report of the Review of Undergraduate Nursing and Midwifery Curriculum leading to Registration in Ireland(University College Dublin. School of Nursing, Midwifery and Health Systems, 2024-05-29)
; ; ; ; ; ; ; ; ; ; This report presents the findings of a comprehensive review of the Undergraduate Nursing and Midwifery Curricula leading to Registration in Ireland (RUN ME) funded by the Nursing and Midwifery Board of Ireland (NMBI). The NMBI, as regulators publish standards and requirements to guide the design, development, delivery and evaluation of the nursing and midwifery registration education programmes. The last review of the nursing and midwifery education curriculum was in 2012, which led to the development of revised standards and requirements in 2016, which were subsequently updated in 2023. The health service has undergone significant reform since the last review of nursing and midwifery curriculum. The implementation of the Sláintecare policy to deliver healthcare as close to a person’s home as possible is evident, in particular with the noticeable emergence of community hubs nationally. The demographics of the population of Ireland and the healthcare workforce has also changed dramatically since that time. One third of nurses and midwives registered in Ireland are non-Irish (NMBI, 2022) and in 2021, 61% (n=3,021) of first-time registrants with NMBI identified as non-European Union citizens (NMBI, 2022). Nursing and midwifery combined remains the largest group of professionals in the workforce.193 - PublicationMidwives’, obstetricians’, and nurses’ perspectives of humanised care during pregnancy and childbirth for women classified as high risk in high income countries: A mixed methods systematic reviewWomen classified as ‘high risk’ or ‘complicated’ in pregnancy and childbirth have increased difficulty in accessing humanised care/humanisation in childbirth due to perceptions that this approach rejects the use of intervention and/or technology. Humanised care recognises the psychological and physical needs of women in pregnancy and birth. A mixed methods systematic review using a convergent segregated approach was undertaken using the Joanne Briggs Institute (JBI) methodology. The objective of the review was to identify the presence of humanisation for women with high risk pregnancy and/or childbirth in high income countries. Studies were included if they measured humanisation and/or explored the perspectives of midwives, obstetricians, or nurses on humanisation for women classified as having a high-risk or complicated pregnancy or childbirth in a high income country. Qualitative data were analysed using a meta-aggregative approach and a narrative synthesis was completed for the quantitative data. All studies were assessed for their methodological quality using the MMAT tool. Four databases were searched, and nineteen studies met the inclusion criteria. A total of 1617 participants from nine countries were included. Three qualitative findings were synthesised, and a narrative synthesis of quantitative data was completed. The integration of qualitative and quantitative data identified complimentary findings on: (i) the importance of developing a harmonised relationship with women; (ii) increased time counselling women on their choices; and (iii) fear of professional reputational damage if caring outside of protocols. Negotiating with women outside of protocols may have a wider impact on the professional than first thought. Understanding how healthcare professionals individualise care for women at risk in labour requires further investigation.
Scopus© Citations 1 14