Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHarris, Fiona Margareten_UK
dc.contributor.authorvan Teijlingen, Edwinen_UK
dc.contributor.authorHundley, Vanoraen_UK
dc.contributor.authorFarmer, Janeen_UK
dc.contributor.authorBryers, Helenen_UK
dc.contributor.authorCaldow, Janen_UK
dc.contributor.authorIreland, Jillian Men_UK
dc.contributor.authorKiger, Aliceen_UK
dc.contributor.authorTucker, Janeten_UK
dc.description.abstractObjective: to explore and understand what it means to provide midwifery care in remote and rural Scotland. Design: qualitative interviews with 72 staff from 10 maternity units, analysed via a case study approach. Setting: remote and rural areas of Scotland. Participants: predominantly midwives, with some additional interviews with paramedics, general surgeons, anaesthetists and GPs. Findings: remote and rural maternity care includes a range of settings and models of care. However, the impact of rural geographies on decision-making and risk assessment is common to all settings. Making decisions and dealing with the implications of these decisions is, in many cases, done without on site specialist support. This has implications for the skills and competencies that are needed to practice midwifery in remote and rural settings. Where as most rural midwives reported that their skills in risk assessment and decisions to transfer were well developed and appropriate to practising in their particular settings, they perceived these decisions to be under scrutiny by urban-based colleagues and felt the need to stress their competence in the face of what they imagined to be stereotypes of rural incompetence. Conclusions: this study shows that skills in risk assessment and decision-making are central to high quality remote and rural midwifery care. However, linked to different perspectives on care, there is a risk that these skills can be undermined by contact with colleagues in large urban units, particularly when staff do not know each other well. There is a need to develop a professional understanding between midwives in different locations. Implications for practice: it is important for the good working relationships between urban and rural maternity units that all midwives understand the importance of contextual knowledge in both decisions to transfer from rural locations and the position of midwives in receiving units. Multiprofessional CPD courses have been effective in bringing together teams around obstetric emergencies; we suggest that a similar format may be required in considering issues of transfer.en_UK
dc.relationHarris FM, van Teijlingen E, Hundley V, Farmer J, Bryers H, Caldow J, Ireland JM, Kiger A & Tucker J (2011) The buck stops here: Midwives and maternity care in rural Scotland. Midwifery, 27 (3), pp. 301-307.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectRural maternity careen_UK
dc.subjectConstructing ruralityen_UK
dc.subjectEmbodied midwifery practiceen_UK
dc.subjectRural health services Scotlanden_UK
dc.subjectMaternal health services Scotlanden_UK
dc.titleThe buck stops here: Midwives and maternity care in rural Scotlanden_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Harris - The buck stops here etc.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Stirlingen_UK
dc.contributor.affiliationUHI Millennium Instituteen_UK
dc.contributor.affiliationNHS Highlanden_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationBournemouth Universityen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorHarris, Fiona Margaret|0000-0003-3258-5624en_UK
local.rioxx.authorvan Teijlingen, Edwin|en_UK
local.rioxx.authorHundley, Vanora|en_UK
local.rioxx.authorFarmer, Jane|en_UK
local.rioxx.authorBryers, Helen|en_UK
local.rioxx.authorCaldow, Jan|en_UK
local.rioxx.authorIreland, Jillian M|en_UK
local.rioxx.authorKiger, Alice|en_UK
local.rioxx.authorTucker, Janet|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameHarris - The buck stops here etc.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
Harris - The buck stops here etc.pdfFulltext - Published Version152.69 kBAdobe PDFUnder Embargo until 2999-12-18    Request a copy

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.