Midwives' perceptions of women's mobile phone use and impact on care in birth suite.


Journal

Midwifery
ISSN: 1532-3099
Titre abrégé: Midwifery
Pays: Scotland
ID NLM: 8510930

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 12 04 2019
revised: 23 05 2019
accepted: 02 06 2019
pubmed: 18 6 2019
medline: 20 12 2019
entrez: 18 6 2019
Statut: ppublish

Résumé

Women's use of mobile phones while in birth suite has been recognised as a common occurrence. However, no evidence has been reported around midwives' perceptions of how women's mobile phone use impacts midwifery care in birth suite. To explore midwives' perceptions of women's mobile phone use and impact on care in the labour and birth environment. A qualitative descriptive study was undertaken. Transcriptions from focus groups were subjected to thematic analysis. Ten focus groups involving 63 Australian midwives were conducted. Four key themes and corresponding subthemes were identified: 'considering consent' which encompassed the subthemes 'establishing boundaries' and 'taken by surprise'; 'competing with the phone' encompassing 'missing the experience' and 'delaying care'; 'being with woman' encompassing 'affecting relationships' and 'not my right to deny'; and finally 'bringing others into the room' with subthemes of 'keeping in touch' and 'seeking a second opinion'. This is the first study to explore midwives perceptions of women's mobile phone use and the impact on a midwife's ability to provide care in birth suite. Findings suggest that women's mobile phone use can influence the relationship between the midwife and the woman and contributes to delays in providing care. Midwives shared how they experienced tensions around their right to grant permission for their image to be recorded. Finally, mobile phones have allowed others not present in the birth suite to access women and influence their decision making. It is widely recognised women are bringing their mobile phones into the labour and birth environment. Therefore, it is important we explore midwives perceptions around the tensions and concerns that exist, so they can be addressed.

Sections du résumé

BACKGROUND BACKGROUND
Women's use of mobile phones while in birth suite has been recognised as a common occurrence. However, no evidence has been reported around midwives' perceptions of how women's mobile phone use impacts midwifery care in birth suite.
OBJECTIVE OBJECTIVE
To explore midwives' perceptions of women's mobile phone use and impact on care in the labour and birth environment.
METHODS METHODS
A qualitative descriptive study was undertaken. Transcriptions from focus groups were subjected to thematic analysis.
FINDINGS RESULTS
Ten focus groups involving 63 Australian midwives were conducted. Four key themes and corresponding subthemes were identified: 'considering consent' which encompassed the subthemes 'establishing boundaries' and 'taken by surprise'; 'competing with the phone' encompassing 'missing the experience' and 'delaying care'; 'being with woman' encompassing 'affecting relationships' and 'not my right to deny'; and finally 'bringing others into the room' with subthemes of 'keeping in touch' and 'seeking a second opinion'.
CONCLUSIONS CONCLUSIONS
This is the first study to explore midwives perceptions of women's mobile phone use and the impact on a midwife's ability to provide care in birth suite. Findings suggest that women's mobile phone use can influence the relationship between the midwife and the woman and contributes to delays in providing care. Midwives shared how they experienced tensions around their right to grant permission for their image to be recorded. Finally, mobile phones have allowed others not present in the birth suite to access women and influence their decision making.
IMPLICATIONS FOR PRACTICE CONCLUSIONS
It is widely recognised women are bringing their mobile phones into the labour and birth environment. Therefore, it is important we explore midwives perceptions around the tensions and concerns that exist, so they can be addressed.

Identifiants

pubmed: 31207448
pii: S0266-6138(19)30125-1
doi: 10.1016/j.midw.2019.06.002
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

142-147

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Lucy Lewis (L)

School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia 6102, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Western Australia, 6009, Australia. Electronic address: Lucy.lewis@curtin.edu.au.

Courtney Barnes (C)

King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: Courtney.barnes@health.wa.gov.au.

Jacinta Allan (J)

King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: Jacinta.allan@health.wa.gov.au.

Lauren Roberts (L)

King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: Lauren.Roberts2@health.wa.gov.au.

Dianne Lube (D)

King Edward Memorial Hospital, Subiaco, Western Australia, Australia. Electronic address: Dianne.Lube@health.wa.gov.au.

Yvonne L Hauck (YL)

School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Perth, Western Australia 6102, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Western Australia, 6009, Australia. Electronic address: Y.hauck@curtin.edu.au.

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Classifications MeSH