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“Midwifery…It’s about the birth of humanity…” #zepherinalecture17

This is just a short post to summarise this year’s  hosted by the . What an inspiring day in midwifery it was.

Zepherina Veitch (1836-1894) was a midwife who put her energies into the cause of midwifery reform. I can identify with this, as my own work focuses largely on supporting the midwifery profession. As we improve….we make reforms. I whole heartedly want midwives to become leaders and agents of change for a better future. I just happen to believe that the midwifery profession will only reach it’s true potential once midwives are adequately supported in the workplace.

Much of the lecture given by the inspiring   was focused upon ‘the woman’s experience’. Whilst we all aspire to deliver the best experiences for the women we care for, I couldn’t help but add on these words to each phrase ‘and midwives too’…

cover image for caring to change reportBut then this document appeared.

Caring to change

How compassionate leadership can stimulate innovation in health care…

Here, we begin to see how compassion in the workplace can stimulate excellence in the healthcare services….If we care to change. Compassionate leadership turns into a compassionate workplace culture…

This lecture also focused on the development of humanised care in favour of medicalised care. A no brainer right?…Perhaps we can ‘humanise’ the workplace for midwives too?

After all….We need more midwives right?

But the pinnacle of this event was seeing the pinnard being handed from today with her final flourish and welcome to  …the new president of the Royal College of Midwives

Also…a huge congratulations go to Onya,   and – new fellows of the . 👏🏽👏🏽😀💜

But at the end of the day…I got to meet some of the most inspirational midwives…one of those being the wonderful  …I can certainly recommend next year’s  ..come along and be inspired!.. Because we all need a little positivity in our lives! You get it with midwifery….”It’s about the birth of humanity…” after all…

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaro; The Academic Midwife; This blog

Until next time…Look after yourselves and each other 💚💙💜❤

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Debunking Midwifery Myths

New article published here: Oh baby: seven things you probably didn’t know about midwives

…please share it widely!

dad with baby

As I am now coming to the end of my PhD (With lot’s of new and exciting things on the horizon I hope), I have been delving into the depths of the largest global online survey of midwives to date – the voices of over 2470 midwives in 93 countries!

Not only is this really an awesome and very important piece of work… it also holds some quite harrowing findings for our beloved midwifery profession. Yet this report also indicates that – if the voices of midwives are listened to, and if midwives are enabled to overcome gender inequalities and assume positions of leadership – quality of care can be improved for women and newborns globally. Wow….OK…we had better get to work then!

ALSO…

“Professionally, 89% of respondents reported that a clear understanding of what midwifery involves is critical for change to take place. Concerns were also expressed over the perceived devaluing of midwifery combined with the increasing medicalisation of birth.”

 

baby on blue

Professionally, the participants expressed concern about a lack of understanding of what “midwifery” is, the devaluing of the midwifery profession combined with the increasing medicalisation of birth, and the underlying weakness in midwifery education and regulation.

Now, I don’t claim to be able to fix the world in a day..but there was one thing that I thought I may be able to do from behind my PC. I could get an article published in @ConversationUK about the midwifery profession…perhaps I could even debunk some myths and set the record straight!…

I had my article published…please share it widely via the link below:

Oh baby: seven things you probably didn’t know about midwives

Now I was limited in this article. Limited in words and in how many points I was able to make in one article…editors need to keep their publications engaging!..and so yes…I did not manage to publish everything in this article as I would have liked to…and yes there are many many more myths about midwives that need to be debunked. But I am hoping that this will the a start of a new conversation.

Midwifery is defined as “skilled, knowledgeable and compassionate care for childbearing women, newborn infants and families across the continuum from pre-pregnancy, pregnancy, birth, postpartum and the early weeks of life” and it should be celebrated at every opportunity.

Let’s keep the conversation going around the importance of the midwifery profession. Midwives are crucial to the delivery of high quality maternal and newborn care and subsequent reductions in maternal and newborn mortality around the world. Yet they must be celebrated, respected and supported.

The core characteristics of midwifery include “optimising normal biological, psychological, social and cultural processes of reproduction and early life, timely prevention and management of complications, consultation with and referral to other services, respecting women’s individual circumstances and views, and working in partnership with women to strengthen women’s own capabilities to care for themselves and their families” – Can we start to spread the word on this now please?

baby on back

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaro; The Academic Midwife; This blog

Until next time…Look after yourselves and each other 💚💙💜❤

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Making Birth better: How research shapes practice #bbresearch17

Indulging in my passion for research, I am today reflecting on my time at  …an intimate conference made into a delightful day thanks to  & …More specifically …    &   …

I personally enjoyed this as a more intimate conference, where deeper conversations could get the brain working on what was really needed in maternity services and health research…Another reflection of the day can be seen on Steller here…

As you can see, we had a great line up for the day, and a fish and chip lunch no less!

Highlights for me include:

Stop sexualising breastfeeding!!!! The great presentation by

Learning about associated with at with

Learning so much about at with Prof. Soo Downe

Getting a wave from miles away from  across the miles sending & midwifery love to us all …..❤️

Powerful words from at …. how do we cope as midwives, & ensure excellence in maternity care?

And of course.. # learning all about making sure that blood goes to baby with  with ❤️

Learning about the barriers to identifying poor shared by prof at  with 🎓

Yet there were a couple of overarching themes that came from the day…including….

 

Thank you to everyone who came to see these wonderful presentations (including those who came to see my own presentation of course – you gave me lots to think about!)!…and thank you all for such an intimate and heartwarming day discussing my favorite topic…Research in Midwifery 😍…

 

And a last word from the Head of Midwifery at Hinchingbrooke  Hospital….(Heather Gallagher)…..

bbresearch

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaro; The Academic Midwife; This blog

Until next time…Look after yourselves and each other 💚💙💜❤

 

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A reflection on #internationaldayofthemidwife (#IDM2017)

International day of the midwife

Happy #internationaldayofthemidwife or () as it is indeed the 5th of May 2017. I wanted to do a quick reflection (and a little dance of happiness) about the fact that the focus of this year’s International Day of the Midwife is…

 “Midwives, Mothers and Families: Partners for Life!”

With messages coming from the International Confederation such as…”It is very important that midwives and mothers both acknowledge the reciprocity of their relationship” – Scarlett

Yes…..we work in PARTNERSHIP with women and their families!…mothers, families and midwives are all equal partners….this means that we can finally break the mold and state openly that we, as midwives can also be prioritised!…Fabulous!

I have often wondered whether terms such as ‘Patient comes first’ is really healthy…as it is terms like this which often infer that midwives come second at best. What do you think?

service and sacrifice

I have also been picking up on some other great messages, pictures and videos this ..such as…..

 

 

I have also been dipping in and out of the Virtual International Day of the Midwife conference sessions a FREE conference that happens online every year….I have presented my work at  () before, and it is such a great opportunity to get people together in one place from all over the world!

This year for  I have recorded a podcast ‘Made by midwives for midwives’. Hosted by London based midwives Anthonissa Moger and Kate Whatmough….  (The Midwifery Podcast: Os closed, go home.)..I will be sharing this in an upcoming blog post…but for now..I am off to enjoy the rest of …there is such positivity in the midwifery world today…Let’s keep the momentum going ❣🎓❣

 

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaro; The Academic Midwife; This blog

Until next time…Look after yourselves and each other 💚💙💜❤

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How to Structure a Research Paper

OK, there are many ways to structure a research paper, and I would urge everyone to follow the guidelines of which ever journal, school or university they are writing for. However, have you ever wondered how to structure a research paper? (A typical one anyway)!…Well I have put together one structure which you may find useful in your writing and planning (I certainly have).

Image result for writing

Introduction:

  • State what this paper going to do, say or explore
  • State why your topic or ‘problem’ is important – why should we care about it?
  • State what we already know about this issue, and what is yet to learn
  • What are you aiming to do with this work? If you are answering a problem, what are your research question(s)?

Background:

  • If the word count allows, give the reader a broader picture of your topic and what you are trying to highlight with the problem you have identified
  • What is the prevalence of your problem? – Give us some stats
  • What could be changed for the better? – Tell us what has already been tried

Methods:

  • Tell us exactly what you have done in order to get the results and findings of this study
  • Tell us where your study took place and in what context
  • State the type of study you chose to use, and why that particular design was appropriate in your case
  • Who did you include in your study? – Tell us about them
  • State how you recruited this sample of participants for your study in detail – How many? where? why?
  • Describe in detail the process you went through to gather your data
  • If you use an intervention, describe it in detail
  • Tell us whether or not there were any variables in this study, is there anything we should know about?
  • How did you collect or ‘extract’ data for this study? – Tell us, and be sure to mention any instruments or tools that were used in this data collection, and why they were chosen
  • State in detail how you analysed the data you collected

Results:

  • How did it all go? Tell us who responded, what your drop out rates where and how many participants took part overall
  • Describe those who did take part – were they men? women? old? young?… where were they from and what conditions did they have?
  • Go back to your research question – Tell us what key findings relate back to answering these questions and how
  • What else did you find out – Tell us the interesting bits, the correlations, the secondary findings which came out of your work

Discussion:

  • Give the reader a quick recap summary of your overall results/findings
  • Discuss what you found in relation to previous research – How do your findings differ from or confirm previous conclusions?
  • Discuss the implications of what you have found – what might change? and who might benefit from knowing?
  • Make sure you do not overstate your findings or exaggerate (I am guilty of this too)! – List the limitations and strengths of your study
  • Offer some thoughts on what research may come next

Conclusions:

If you have covered all of the points above, all you should need to do here is describe what your paper has done, and what is has added to the literature. Leave the reader with some closing thoughts and remarks, before declaring any conflicts of interest and/or funding sources.

Image result for you don't have to be great to start but you have to start to be great

Top academic writing tips:

  • Consider whether your work may be improved by applying a theory to underpin it
  • Think about which other frameworks and/or evidence may underpin your work
  • Consider using a reporting framework or guideline to strengthen the standard of reporting in your work (also….ensure that the framework is suited to the type of research you are doing) – See list here. 
  • How else might you ensure rigor in your research? – Use peer review, risk of bias and quality appraisal tools to check your work
  • Be proud of what you have achieved… always. You are always ahead of those who have yet to begin 💜🎓💜

Further reading:

Huth EJ. How to Write and Publish Papers in the Medical Sciences, 2nd edition. Baltimore, MD: Williams & Wilkins,1990.
Browner WS. Publishing and Presenting Clinical Research. Baltimore, MD: Lippincott, Williams & Wilkins, 1999.
Devers KJ , Frankel RM. Getting qualitative research published. Educ Health 2001; 14: 109–117.
Docherty M, Smith R. The case for structuring the discussion of scientific papers. Br Med J 1999; 318: 1224–1225.
Perneger, T V, Hudelson P M; Writing a research article: advice to beginners. Int J Qual Health Care 2004; 16 (3): 191-192. doi: 10.1093/intqhc/mzh053
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If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaro; The Academic Midwife; This blog

Until next time…Look after yourselves and each other 💚💙💜❤

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Resilience: Showing strength in the face of adversity #usmsconf17

Here are a few pictures and thoughts shared from the @ussumidwifery ‏ conference ‘Resilience: Showing strength in the face of adversity ‘… Thank you to everyone who came to see the great speakers at this conference. It was a great honour to present my work alongside some of the wonderful researchers listed on this programme…Having spoken at many conferences, I can also say that these student midwives really know how to look after their guests….Thank you  and ..❤🎓😍

Taken from The knitted midwife’s blog: ‘The Royal College of Midwives has highlighted that the UK is still short of 3500 midwives.  This is an update to the published report here.  The update to the report can be seen here. Whilst this is an improvement on the 5000 midwives needed three years ago, this chronic shortage adds to the pressures that midwives are facing every day in their working environment.  Additionally there is a ‘retirement time bomb’ as over a third of the current midwifery workforce is aged 50 or over.’…these knitted midwives represent the midwives missing from the workforce.

All of the speakers at this conference were indeed inspiring, but one message seemed to remain strong throughout…

”BUILD a tribe – don’t wait to find one’ – Prof Mavis Kirkham

Reminds me of the #Findyourflock story last year

We also had  from tell us to “find our tribe”

😊💛

One of the most inspiring parts of the day was seeing student midwife Hannah Cook get a standing ovation at … the future of midwifery is bright…..She will be re presenting her talk at this year’s  awards conference….If you can….get there!

✨

I too feel as if being a midwife is what I am…I also feel that it is written through me like a piece of rock. It is my professional identity. But having resilience as a midwife is not about ‘toughening up’ as  puts it…..

I am not even sure if resilience is the right word for what we are talking about here… Resilience is not a magic pill!

💊💉🌡

The most interesting conversations of the day in my opinion were around the ethics of caring for midwives, and bullying. There is still so much more to do….and I still see uncaring behaviors taking place. Are we an insecure profession?…trying that much harder to prove ourselves?…or are we embittered by another pill too difficult to swallow?…one this is for sure…

Image result for wrong is wrong quotes

This day gave me the chance to meet with and listen to some of my research heroes…Thank you to everyone who engaged in my presentation and to those who continue to engage as my work as it continues…

#usmsconf17

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaro; The Academic Midwife; This blog

Until next time…Look after yourselves and each other 💚💙💜❤

 

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How do you decide which type of review to use? a guide to beat the literature reviewing blues…

Recently, I have been in search of the perfect methodology for reviewing the literature. So many options…benefits, limitations and choices…I found it really hard to choose the right one.. Which reviewing methodology would Goldilocks choose? which one is just right for you?.. After all of my searching, I thought it my be useful to make a listed guide to what I have found…
So… first of all, what is a literature review?…as always, the academic community will debate around this subject… but feel free to browse my  ‘Guide to Literature Reviewing for Student Midwives & Student Nurses’ here

Perceived strengths.  The literature review method seeks to identify what has been accomplished previously, allowing for consolidation, for building on previous work, for summation, for avoiding duplication and for identifying omissions or gaps.

Perceived weaknesses.  Literature reviews lack an explicit intent to maximise scope or analyse data collected. Any conclusions they may reach are therefore open to bias from the potential to omit, perhaps inadvertently, significant sections of the literature or by not questioning the validity of statements made. Additionally, authors may only select literature that supports their world view, lending undue credence to a preferred hypothesis.

Grant, Maria J., and Andrew Booth. “A typology of reviews: an analysis of 14 review types and associated methodologies.” Health Information & Libraries Journal 26.2 (2009): 91-108.

But there are many types of literature review that can do much more than simply review the literature…so how do you know which one to choose?

discovery

In order to decide which type of review to use, you will need to decide what you are trying to do, find out, or achieve.

Trying to develop a new concept? theory? or model?

Then you may want to explore the use of a critical literature review methodology. This methodology allows you to demonstrate how you have not only extensively researched a topic, but that you can critically evaluate the literature and take new conclusions and interpretations from it. You can then present these new interpretations as a new hypothesis or model… sounds good right?

Search

Not systematic – You are searching to find the most relevant stuff.

Appraisal

No need to evaluate quality -You are looking for literature which is fit for purpose.

Synthesis

Usually narrative, but you can be creative with this.

Analysis

Needs to arrive at a new conceptual theory or hypothesis of some kind.

Cautions

Every conclusion you draw will be subjective – Others may not be able to repeat your process

Looking to identify gaps in research?

Then you may want to conduct a mapping review of the literature. This methodology allows you to map out and categorise the existing literature on a topic. From this you can identify what other kinds of reviews or research need doing, as you identify gaps in the literature.

Search

Can be systematic, but searching is usually bound by time constraints, so this can be determined in line with your scope.

Appraisal

No need to evaluate quality

Synthesis

Use tables and graphics

Analysis

Quantify the research found and outline study types – suggest areas of future research.

Cautions

Can be overly descriptive, try to characterise studies on more than the basis of study design

Want to combine statistical data to provide more precise results?

In this case you may consider doing a the meta-analysis (A type of analysis done within a literature review – so really, this is one component of or add on to a systematic review).

Search

Thorough, comprehensive, systematic – Can use funnel plot

Appraisal

Use quality appraisal to guide inclusion/exclusion and/or sensitivity analyses

Synthesis

Use tables, graphics and narrative

Analysis

Analyses measures of effect numerically

Cautions

Your review can only be as good as the included studies allow..also, there is little value in comparing very diverse study types.

Want to combine quantitative with qualitative?

If you want to explore a complex problem using both qualitative and quantitative literature, then a mixed-methods review is for you…

Search

Your strategy must capture both quantitative and qualitative research

Appraisal

Need to use an appraisal tool appropriate for both qualitative, quantitative and/or mixed-methods research

Synthesis

Use tables, graphics and narrative – Present qualitative and quantitative results separately

Analysis

Look for correlations, gaps in the literature and draw conclusions based on combined findings.

Cautions

Theoretical and methodological challenges in bringing together qualitative and quantitative studies

Need to assess what is already known about a topic?

A rapid review is for you.

Search

Determined by time constraints

Appraisal

Formal quality appraisal required

Synthesis

Use tables and narrative

Analysis

Look for directions of effect, and quality and quantity of the literature

Cautions

Doing things quickly…you always run the risk of bias and mistakes are more easily made

Want to know the size and scope of available research?

A Scoping review is for you..

Search

You may want to perform your search as a research in progress

Appraisal

No formal quality appraisal is required

Synthesis

Use tables and narrative.. you can also use commentary

Analysis

Look for directions for future research – Use this to form new research questions.

Cautions

This is not usually a final output…rather a means to an end

Want to address really current matters?

When you want to offer new perspectives on a current issue or point out a new area for further research, you may consider conducting a state-of-the-art review.

Search

Comprehensive and current

Appraisal

No formal quality appraisal is required

Synthesis

Use tables and narrative

Analysis

Present a current state of knowledge and list priorities for future research

Cautions

Beware of subject experts’ particularly idiosyncratic and personal perspectives on current and future priorities.

Want to systematically search for, appraise and synthesis research evidence?

If you are looking to do more than a just review or systematize the literature, then a systematic literature review is for you.

Search

Comprehensive exhaustive and systematic

Appraisal

Formal quality appraisal is required – This can be used to exclude research of poor quality

Synthesis

Use tables and narrative

Analysis

Present recommendations for future research based on what is known, what remains unknown, and what we are still unsure about…The review should answer a broad research question.

Cautions

Adhere to reporting guidelines for a strong output.

Want to create an accessible and usable document in relation to a broad issue?

If you would like to highlight reviews that address interventions and their results in relation to a broad issue, then an umbrella review is for you.

Search

Only searches for component reviews

Appraisal

Formal quality appraisal  for reviews is required

Synthesis

Use tables, graphics and narrative

Analysis

Present recommendations for future research based on what is known, what remains unknown, and what we are still unsure about…The review should consolidate all that is known about one broad issue.

Cautions

Requires the pre-existence of the narrower component reviews

Want to know what works, for whom, in what circumstances . . . and why?

If you want to unpack the mechanism(s) of how and why complex interventions thrive or fail, in particular setting(s), then the realist review methodology is for you!

Search

Highly detailed and systematic

Appraisal

Justify how judgments were made

Synthesis

Use tables, graphics and narrative – include information on the constructs analysed and describe the analytic process.

Analysis

Present the key findings with a specific focus on theory building and testing

Cautions

Ensure that the RAMESES (Realist And MEta-narrative Evidence Syntheses: Evolving Standards) guidelines and standards are adhered to for a strong output.

workings

So…have we made a decision, are we sitting comfortably? are we ready to begin?…Let me know how you get on, and please share any additionally methodologies I may have missed.
Until next times, take care of yourselves…and each other 🌟🎓🌟