scholarly journals Professional autonomy for midwives in the contemporary UK maternity system: part 2

2021 ◽  
Vol 29 (1) ◽  
pp. 19-25
Author(s):  
Ellie Sonmezer

In this article, professionalisation, the midwifery profession and professional autonomy are explored from a sociological perspective to answer whether it is possible for a midwife to achieve professional autonomy within the contemporary UK system. Within part 1, obstetric influences and frictions, government policy and guidelines, risk, litigation and increasing managerialisation were considered, highlighting the complexities of professional midwifery and the challenges it faces. In part 2, choice, service pressures, evidence-based care, consumerism, leadership and reflexive practice are considered in the context of professional autonomy and the intention of retaining women's choice as the core belief of the profession. A conceptual framework has been devised to enable this, utilising the concept ‘New Professional Midwifery’.

2020 ◽  
Vol 28 (12) ◽  
pp. 850-856
Author(s):  
Ellie Sonmezer

The history and professionalisation of midwifery has travelled through turbulent times to arrive at an opportunity for transformation in the contemporary UK maternity system. This professionalisation, the midwifery profession and professional autonomy are explored in this article from a sociological perspective, to answer the question of whether a midwife can achieve professional autonomy within the UK system. This is a two-part article. Part one has a strong focus on the historical context of midwifery, government policy and guidelines, risk, litigation and increasing managerialisation to frame the discussion in part two. The second part provides a discussion of autonomy, choice, managerialisation and reflexive practice, to create a conceptual framework utilising the concept New Professional Midwifery. This is to centralise a core belief in midwifery autonomy and women's choice facilitation. This paper is part one of two.


Breathe ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. 257-266 ◽  
Author(s):  
Alisha M. Johnson ◽  
Sheree M.S. Smith

Respiratory clinical guidelines provide clinicians with evidence-based guidance for practice. Clinical guidelines also provide an opportunity to identify the knowledge and technical and non-technical skills required by respiratory ward-based registered nurses. The aim of this review was to use a systematic process to establish the core technical and non-technical skills and knowledge identified in evidence-based clinical guidelines that enable the care of hospitalised adult respiratory patients.17 guidelines were identified in our systematic review. The quality assessment demonstrated variability in these guidelines. Common core knowledge and technical and non-technical skills were identified. These include pathophysiology, understanding of physiological measurements and monitoring, education, counselling, and ward and patient management.The knowledge and skills extracted from respiratory clinical guidelines may inform a curriculum for ward-based respiratory nursing to ensure optimal care of adult patients.


2017 ◽  
Vol 31 (3) ◽  
Author(s):  
Elizabeth Whitmore ◽  
Hind Al Hudib ◽  
J. Bradley Cousins ◽  
Lyn M. Shulha ◽  
Nathalie Gilbert

How do evaluators using collaborative approaches to evaluation (CAE) define success? This is the core question being asked in a further analysis of data from our previous work ( Cousins, Whitmore, & Shulha, 2013 ; Shulha et al., 2016) that developed a set of evidence-based principles to guide collaborative evaluation practice. Probing data from 320 responses to our (2012) survey, we examined what respondents considered “highly successful” and “less successful than hoped” in their collaborative evaluation projects. The results revealed that evaluation use, relationships, and information needs are key factors. We propose a conceptual framework as an aid to thinking about success in CAE.Comment les évaluateurs utilisant des approches collaboratives à l’évaluation définissent-ils le succès? Voici la question de base posée dans une analyse plus poussée de données tirées de travaux précédents (Cousins, Whitmore et Shulha, 2013; Shulha et al., 2016) qui ont permis d’élaborer un ensemble de principes scientifi quement fondés visant à orienter la pratique de l’évaluation collaborative. En examinant les données de 320 réponses à notre sondage (de 2012), nous nous sommes penchés sur ce que nos répondants ont jugé être des projets d’évaluation collaborative « très réussis » et « moins réussis qu’espéré ». Les résultats ont révélé que l’utilisation de l’évaluation, les relations et les besoins en information sont des facteurs clés. Nous proposons un cadre conceptuel pour penser le succès en matière d’approche collaborative en évaluation.


2013 ◽  
Vol 17 (4) ◽  
pp. 20-27 ◽  
Author(s):  
Jane Sumner,

This paper examine the traditional values of nursing i.e. caring, maintaining dignity, and self-respect, and why it is difficult for nurses to flourish in the era of Technical Rationality and fast-paced evidence-based practice. “The moral construct of caring in nursing as communication action” offers the theory on which to investigate human flourishing and the vulnerable nurse. Technical rationality and evidence-based practice do not allow for the humanness of those who are required to deliver evidence-based care. Jurgen Habermas’s (1995) premise is that all humans are vulnerable and in need of “considerateness.” Vulnerability occurs because an individual can only mature through communication, which exposes the core of self. Evidence suggests that many nurses are not happy in a technical, rational, evidence-based practice where their humanness is ignored or overlooked. When unhappy, nurses cannot flourish and the implications are worrying.


2010 ◽  
Author(s):  
Lauren Brookman-Frazee ◽  
Rachel A. Haine ◽  
Mary J. Baker-Ericzen ◽  
Ann F. Garland

Author(s):  
William Durch ◽  
Joris Larik ◽  
Richard Ponzio

Security and justice are both essential elements in humanity’s quest not only to survive but to thrive with dignity; neither is sustainable alone. Security is merely the appearance of order in a framework of structural violence unless tempered or leavened by concepts of justice that include human rights, human dignity, and other normative limits on the use of power. The pursuit of justice, whether at the personal, community, national, or international level can be crippled if not matched, in turn, by means to sustain security at each level. This complementarity of security and justice—despite their inherent tensions—is the core conceptual framework of the book. Achieving “just security,” we argue, is essential to the success of any global governance enterprise or architecture.


Author(s):  
Jonas Tallberg ◽  
Karin Bäckstrand ◽  
Jan Aart Scholte

Legitimacy is central for the capacity of global governance institutions to address problems such as climate change, trade protectionism, and human rights abuses. However, despite legitimacy’s importance for global governance, its workings remain poorly understood. That is the core concern of this volume, which engages with the overarching question: whether, why, how, and with what consequences global governance institutions gain, sustain, and lose legitimacy. This introductory chapter explains the rationale of the book, introduces its conceptual framework, reviews existing literature, and presents the key themes of the volume. It emphasizes in particular the volume’s sociological approach to legitimacy in global governance, its comparative scope, and its comprehensive treatment of the topic. Moreover, a specific effort is made to explain how each chapter moves beyond existing research in exploring the book’s three themes: (1) sources of legitimacy, (2) processes of legitimation and delegitimation, and (3) consequences of legitimacy.


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