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Your search keyword '"Cheyne, Helen"' showing total 3 results
Start Over Author "Cheyne, Helen" Publication Year Range Last 10 years Publisher bmj publishing group
3 results on '"Cheyne, Helen"'

1. Mapping factors that may influence attrition and retention of midwives: a scoping review protocol

Author

Moncrieff, Gill, Downe, Soo, Maxwell, Margaret, Cheyne, Helen, Moncrieff, Gill, Downe, Soo, Maxwell, Margaret, and Cheyne, Helen

Abstract

Introduction: An appropriately staffed midwifery workforce is essential for the provision of safe and high-quality maternity care. However, there is a global and national shortage of midwives. Understaffed maternity services are frequently identified as contributing to unsafe care provision and adverse outcomes for mothers and babies. While there is a need to recruit midwives through pre-registration midwifery programmes, this has significant resource implications, and is counteracted to a large extent by the high number of midwives leaving the workforce. It is increasingly recognised that there is a critical need to attend to retention in midwifery in order to develop and maintain safe staffing levels. The objective of this review is to collate and map factors that have been found to influence attrition and retention in midwifery. Methods and analysis: Joanna Briggs Institute guidance for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews will be used to guide the review process and reporting of the review. CINAHL, MEDLINE, PsycINFO and Scopus databases will be searched for relevant literature from date of inception to 21 July 2023. Research from high-income countries that explores factors that influence leaving intentions for midwives will be included. Literature from low-income and middle-income countries, and studies where nursing and midwifery data cannot be disaggregated will be excluded. Two reviewers will screen 20% of retrieved citations in duplicate, the first author will screen the remaining results. Data will be extracted using a preformed data extraction tool by the first author. Findings will be presented in narrative, tabular and graphical formats. Ethics and dissemination: The review will collate data from existing research, therefore ethics approval is not required. Findings will be published in journals, presented at conferences and will be translated into infographics and other

Published
2023

2. Is maternity care in Scotland equitable? Results of a national maternity care survey.

Author

Cheyne, Helen, Elders, Andrew, Hill, David, and Milburn, Emma

Abstract

Objective High-quality maternity care is key to long-term improvements in population health. However, even within developed welfare systems, some mothers and babies experience poorer care and outcomes. This study aimed to explore whether women's experiences of maternity care in Scotland differs by their physical or sociodemographic characteristics. Design Secondary analysis of the 2015 Scottish Maternity Care Experience Survey. The questionnaire was based on the Care Quality Commission English maternity survey. Setting National Health Service maternity care in Scotland. Participants The survey was distributed to 5025 women who gave birth in Scotland during February and March 2015 with 2036 respondents (41%). Main outcome measures The questionnaire explored aspects of care processes and interpersonal care experienced from the first antenatal contact (booking) to 6 weeks following the birth. The analysis investigated whether experiences were related to age, parity, deprivation, rurality, self-reported general health or presence of a health condition that limited daily activities. Analysis used mixed effect multilevel models incorporating logistic regression. Results There were associations between parity, age and deprivation with gestation at booking indicating that younger women, women from more deprived areas and multiparous women booked later. Women reporting generally poorer health were more likely to describe poorer care experiences in almost every domain including continuity, pain relief in labour, communication with staff, support and advice, involvement in decision making, confidence and trust and overall rating of care. Conclusions We found few differences in maternity care experience for women based on their physical or socioeconomic characteristics. Our findings indicate that maternity care in Scotland is generally equitable. However, the link between poorer general health after childbirth and poorer experience of maternity care is an important finding requiring further study. [ABSTRACT FROM AUTHOR]

Published
2019
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3. Cervical ripening at home or in-hospital—prospective cohort study and process evaluation (CHOICE) study: a protocol

Author

Maggie Reid, Mairi Harkness, Heather Richardson, Kathleen A Boyd, Neelam Heera, Gordon C. S. Smith, Amarnath Bhide, Dharmintra Pasupathy, Jane Huddleston, Neena Modi, John Norrie, Christine McCourt, Mairead Black, Cassandra Yuill, Fiona C. Denison, Dikshyanta Rana, Fiona Wee, Sarah J. Stock, Julia Sanders, Helen Cheyne, Stock, Sarah Jane [0000-0003-4308-856X], Wee, Fiona [0000-0001-9161-1955], Cheyne, Helen [0000-0001-5738-8390], Rana, Dikshyanta [0000-0001-9133-3094], Denison, Fiona [0000-0003-0371-2014], and Apollo - University of Cambridge Repository

Subjects
medicine.medical_specialty, fetal medicine, State Medicine, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Obstetrics and Gynaecology, medicine, Humans, 030212 general & internal medicine, Prospective Studies, Prospective cohort study, Protocol (science), maternal medicine, 030219 obstetrics & reproductive medicine, obstetrics, Obstetrics, business.industry, Infant, Newborn, General Medicine, Hospitals, Observational Studies as Topic, Medicine, Female, RG, Process evaluation, business, Fetal medicine, Cervical Ripening
Abstract

IntroductionThe aim of the cervical ripening at home or in-hospital—prospective cohort study and process evaluation (CHOICE) study is to compare home versus in-hospital cervical ripening to determine whether home cervical ripening is safe (for the primary outcome of neonatal unit (NNU) admission), acceptable to women and cost-effective from the perspective of both women and the National Health Service (NHS).Methods and analysisWe will perform a prospective multicentre observational cohort study with an internal pilot phase. We will obtain data from electronic health records from at least 14 maternity units offering only in-hospital cervical ripening and 12 offering dinoprostone home cervical ripening. We will also conduct a cost-effectiveness analysis and a mixed methods study to evaluate processes and women/partner experiences. Our primary sample size is 8533 women with singleton pregnancies undergoing induction of labour (IOL) at 39+0 weeks’ gestation or more. To achieve this and contextualise our findings, we will collect data relating to a cohort of approximately 41 000 women undergoing IOL after 37 weeks. We will use mixed effects logistic regression for the non-inferiority comparison of NNU admission and propensity score matched adjustment to control for treatment indication bias. The economic analysis will be undertaken from the perspective of the NHS and Personal Social Services (PSS) and the pregnant woman. It will include a within-study cost-effectiveness analysis and a lifetime cost–utility analysis to account for any long-term impacts of the cervical ripening strategies. Outcomes will be reported as incremental cost per NNU admission avoided and incremental cost per quality adjusted life year gained.Research ethics approval and disseminationCHOICE has been funded and approved by the National Institute of Healthcare Research Health Technology and Assessment, and the results will be disseminated via publication in peer-reviewed journals.Trial registration numberISRCTN32652461.

Published
2021

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