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Norwegian midwives' perception of the labour admission test.
Nordic Council of Ministers, Nordic School of Public Health NHV. Nordic School of Public Health NHV.
2007 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 23, no 1, 48-58 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To explore what information and knowledge the labour admission test is perceived to provide and what meaning the test carries in the daily work of practising midwives.

DESIGN: In-depth interviews transcribed verbatim and analysed using the grounded theory technique.

SETTING: Four different labour wards in Norway.

PARTICIPANTS: A theoretical sample of 12 practising midwives.

FINDINGS: The core category "experiencing contradictions" was identified during the analyses, indicating that the midwives found conflicting interests within themselves, or between themselves and others when using the labour admission test. They experienced contradictions between professional identity and the increasing use of technology, between feeling safe and feeling unsafe and between having power and being powerless.

KEY CONCLUSIONS: The labour admission traces could be difficult to interpret, especially for newly qualified midwives. Some midwives thought that a labour admission trace could protect them in case of litigation. The hierarchy of power in the labour ward influences the use and interpretation of the labour admission test. Some midwives felt their professional identity threatened and that midwives in general are losing their traditional skills because of the increasing use of obstetric technology.

IMPLICATIONS FOR PRACTICE: The findings of the present study should be taken into consideration when changing practice to not routinely perform the labour admission test. There is also a need for further research on what effect the increasing use of obstetric technology has on traditional midwifery skills.

Place, publisher, year, edition, pages
2007. Vol. 23, no 1, 48-58 p.
Keyword [en]
Cardiotocography, Labour Admission Test, Midwifery Practice
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3392DOI: 10.1016/j.midw.2005.10.003PubMedID: 16876922OAI: oai:DiVA.org:norden-3392DiVA: diva2:747920
Available from: 2014-09-17 Created: 2014-09-17 Last updated: 2014-10-09Bibliographically approved
In thesis
1. INNKOMST-CTG. En vurdering av testens prediktive verdier, reliabilitet og effekt: Betydning for jordmødre i deres daglige arbeid
Open this publication in new window or tab >>INNKOMST-CTG. En vurdering av testens prediktive verdier, reliabilitet og effekt: Betydning for jordmødre i deres daglige arbeid
2006 (Norwegian)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Göteborg: Nordic School of Public Health NHV Göteborg, Sweden, 2006. 93 p.
Series
NHV Reports and Doctor of Public Health-Theses, ISSN 0283-1961 ; Report 2006:3
Keyword
Cardiotocography, Labour, Admission Test, Screening, Inter-Observer Agreement, Systematic review, Midwifery Practice, Kardiotokografi, Inkomst-CTG, Screening, Prediktive Verdier, Inter-Observatør Enighet, Kappa, Jordemorpraksis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:norden:org:diva-3393 (URN)91-7997-149-0 (ISBN)
Public defence
2006-12-19, Nordic School of Public Health NHV, Göteborg, Sweden, 13:00 (Norwegian)
Opponent
Supervisors
Available from: 2014-09-18 Created: 2014-09-18 Last updated: 2014-09-18Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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More styles
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