Document Detail

Norwegian midwives' perception of the labour admission test.
MedLine Citation:
PMID:  16876922     Owner:  NLM     Status:  MEDLINE    
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.
Ellen Blix; Lennart S Ohlund
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-07-31
Journal Detail:
Title:  Midwifery     Volume:  23     ISSN:  0266-6138     ISO Abbreviation:  Midwifery     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-13     Completed Date:  2007-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  48-58     Citation Subset:  N    
Department of Obstetrics and Gynaecology, Hammerfest Hospital, N-9600 Hammerfest, Norway, and Nordic School of Public Health, Nya Varvet, Gothenburg, Sweden.
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MeSH Terms
Clinical Competence*
Labor Onset
Maternal Health Services / organization & administration
Middle Aged
Midwifery / organization & administration*
Nurse's Role*
Nurse-Patient Relations
Obstetrics and Gynecology Department, Hospital
Patient Admission*
Professional Autonomy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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