University of Technology Sydney

92925 Models of Midwifery Care

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2023 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Postgraduate

Result type: Grade and marks

There are course requisites for this subject. See access conditions.

Description

This subject enables midwives to critically evaluate the benefits, obstacles and developmental strategies associated with innovative maternity service provision in Australia and internationally, in both public and private health systems. A particular focus of inquiry is the multiple ways midwives work in partnership with women. This includes accessing and critiquing contemporary research findings that inform practice development, ethical decision-making, inter-professional collaboration and the implementation of cost-effective changes in maternity service provision. Students identify the personal and professional support and the practice development necessary to engender confidence in all those working to provide new models of maternity care. A framework that addresses the philosophical foundation of midwifery and the construction of midwifery knowledge underpins this subject.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Identify and critique the characteristics, the historical and cultural settings of, and place of midwifery care models in maternity service provision in Australia and in the international community.
B. Examine the political, economic and value systems that construct and constrain models of midwifery care.
C. Develop an understanding of change management processes that support the implementation and evaluation of models of midwifery care.
D. Develop a range of personal and professional resources that are required in order to develop, implement and evaluate midwifery and maternity care in the 21st century.

Contribution to the development of graduate attributes

Teaching and learning strategies
Mixed mode including face to face teaching over 2 intensive study days, e-learning and student support through UTSOnline.

Content (topics)

Selected readings throughout the semester will guide your learning journey. A two-day workshop will focuses on ‘sharing’ knowledge and understanding of midwifery models of care and will develop your practical application. Subject content includes but is not limited to;

  • Philosophical positioning around continuity of care
  • Woman-centred care and primary health
  • Characteristics and attributes of models, organisations and midwives
  • Creating change
  • Strategies for creating and supporting change
  • Collegial relationships and allegiances
  • Consumer activism as a tool for change
  • Developing sustainable models/avoiding burnout
  • Writing a proposal for designing, implementing and evaluating change
  • Searching the data bases for evidence
  • Reading the research literature critically

Assessment

Assessment task 1: 1A: Annotated Bibliography

Intent: This is designed to develop your understanding of the nature of models that have, and are, being used in organising maternity/midwifery care and the barriers to their implementation.
Weight: 15%
Criteria:
  • Provide full reference
  • Indicate background of authors
  • Indicate content of scope of text
  • Outline the main argument
  • Indicate the intended audience
  • Identify the research methods (where appropriate)
  • Identify any conclusion made by the authors
  • Discuss the reliability of the text
  • Highlight any special features of the text that were unique or helpful
  • Discuss the relevance or usefulness of the text for your research / assessment
  • Outline in what way the text relates to themes or concepts that you are interested in
  • State the strengths and limitation of the text
  • Present your review or reaction to the text
  • Presentation and referencing

Assessment task 2: 1B: Developing a proposal for a new model of midwifery care

Intent: This is designed to develop your understanding of the nature of models that have, and are, being used in organising maternity/midwifery care and the barriers to their implementation.
Weight: 55%
Length: 4000 words
Criteria:

Marking Criteria:

Cover Page - including title of project, the organisation, and your name

  1. Executive Summary (5 Marks)
    • Short summary (similar to abstract or synopsis) of the proposal (no more than one A4 page)
  2. Proposal (40 marks)
    1. Introduction
    2. Aim
      • State the aim & objectives of the proposal
    3. Background
      • Issues in current service delivery that will be addressed
      • How the project will positively influence health reform (address the identified problems)
      • Critical use of literature & research to support your arguments
    4. Proposed service delivery model
      • Describe the proposal model (what does it look like)
    5. Outline the implementation strategy
      • How the initiative would be implemented
      • Include organisational, industrial and educational issues that will need to be addressed
      • Consultation undertaken with affected parties
      • Any relevant research or inter-jurisdictional experience
      • Who will manage the project
      • Time frames
    6. Summary / Outline benefits of implementation of proposed model.
      • For example decreased average length of stay / improved safety and / or quality / outcomes for women / Improved staff satisfaction
    7. Funding / Budget
      • Cost the proposal and detail how funds are to be spent.
      • How will ongoing sustainability be ensured
    8. Risk assessment
      • Address risks associated with the proposal and how they will be managed
    9. Presentation, structure and style (10 marks)
      • Coherency / Fluency
      • Evidence of succinct writing / synthesis and critique of literature where appropriate
      • Logical sequencing of argument
      • Correct Spacing / Grammar / Spelling / Punctuation
      • Referencing
      • Consistently referenced / in text / end list
      • Effective use of resources

Assessment task 3: 1C: Evaluation Plan - presented as a Power Point

Intent: This is designed to develop your understanding of the nature of models that have, and are, being used in organising maternity/midwifery care and the barriers to their implementation.
Weight: 30%
Length: 10-15 slides
Criteria:

Marking Criteria:
Peer Assessment Criteria
SCORES: 1 = very poor, 2 = poor, 3 = satisfactory, 4 = good, 5 = very good

  • A Overall (Clear, attractive, holds attention, appropriate length)
  • B Content (clear, logical, identifiable meanings, easy to understand)
  • C Notes (provide explanation, add to meaning, make presentation clearer)

Evaluation Plan for New Model

  1. Slide Content: Evaluation Strategy (25 marks)
    • Introduction and significance of new model
    • Aim / objectives the evaluation
    • Design
    • Ethical considerations
    • Draft Budget & justification
    • Time frame
    • Coherency / Fluency for presentation
    • Logical sequencing of argument
    • Notes appropriately referenced + reference slide
    • Effective use of references
  2. Presentation (5 marks)
    • Title page
    • Overall - Clear, attractive, holds attention
    • Appropriate length
    • Correct Grammar / Spelling / Punctuation

Required texts

Homer, C., Brodie, P., & Leap, N. 2008, Midwifery continuity of care. A practice guide. Churchill Livingstone, Sydney.

Recommended texts

There is a list of books and articles in the ‘Subject Documents’ section of UTSOnline that may provide students with useful references to help in research assignments. A list of journals, websites and other online references are also provided on UTSOnline. Readings can also be found on the Digital Resource Register.

References

Davis, Floyd, R, Barclay, L, Daviss, B-A & Tritten, J. 2009, Birth models that work, London, University of California Press.

Campbell, R., & MacFarlane, A. 1996. Where to be born? The debate and the evidence. Oxford: National Perinatal Epidemiology Unit.

Hatem. M., Sandall, J., Devane, D., Soltani, H., & Gates S. 2008, Midwife-led versus other models of care for childbearing women. Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD004667. DOI: 10.1002/14651858.CD004667.pub2.

Kirkham, M. (Ed.). 2010, The midwife-mother relationship. Macmillan, Basingstoke.

NSW Health Department, 2003, Models of maternity service provision across NSW: progressing implementation of the NSW Framework for maternity services. NSW Health Department, Sydney.

Page, L. (Ed.). 1995, Effective group practice in midwifery: Working with women. London: Blackwell Science.

Page, L. (Ed.). 2006, New Midwifery: Science and sensitivity in practice. Churchill Livingstone, Edinburgh.

Other resources

UTS Student Centres

Building 10
Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Kuring-gai
Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Details for student centres: www.uts.edu.au/current-students/contacts/general-contacts
For other resources/information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health), the Health Student Guide (www.uts.edu.au/sites/default/files/uts-health-student-guide.pdf) and UTSOnline at: https://online.uts.edu.au/webapps/login/

Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.

HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at both City and Kuring-gai Libraries. Phone (02) 9514 9733

Please see www.uts.edu.au for additional information on other resources provided to students by UTS.