Sustainable maternity services in remote and rural Scotland? A qualitative survey of staff views on required skills, competencies and training
Authors: Tucker, J., Hundley, V., Kiger, A., Bryers, H., Caldow, J., Farmer, J., Harris, F., Ireland, J. and Van Teijlingen, E.
Journal: Quality and Safety in Health Care
Volume: 14
Issue: 1
Pages: 34-40
ISSN: 1475-3898
DOI: 10.1136/qshc.2004.010561
Abstract:Objectives: To explore staff views on their roles, skills and training to deliver high quality and local intrapartum services in remote and rural settings against national recommendations. Design: Interview and postal survey. Setting: A stratified representative sample of remote and rural maternity units in Scotland (December 2002 to May 2003). Participants: Staff proportionally representative of professional groups involved in maternity care. Results: Staff interviews took place at 11 units (response rate 93%). A subsequent postal survey included the interview sample and staff in a further 11 units (response rate 78%). Medical specialisation, workforce issues, and proposed regulatory evaluation of competencies linked to throughput raised concerns about the sustainability and safety of services, particularly for "generalists" in rural maternity care teams and for medical cover in small district general hospitals with large rural catchments. Risk assessment and decision making to transfer were seen as central for effective rural practice and these were influenced by rural context. Staff self-reported competence and confidence varied according to procedure, but noted service change appeared to be underway ahead of their preparedness. Self-reported competence in managing obstetric emergencies was surprisingly high, with the caveat that they were not independently assessed in this study. Staff with access to video conference technology reported low actual use although there was enthusiasm about its potential use. Conclusions: Considerable uncertainties remain around staffing models and training to maintain maternity care team skills and competencies. Further research is required to test how this will impact on safety, appropriateness, and access and acceptability to rural communities.
Source: Scopus
Sustainable maternity services in remote and rural Scotland? A qualitative survey of staff views on required skills, competencies and training.
Authors: Tucker, J., Hundley, V., Kiger, A., Bryers, H., Caldow, J., Farmer, J., Harris, F., Ireland, J. and van Teijlingen, E.
Journal: Qual Saf Health Care
Volume: 14
Issue: 1
Pages: 34-40
ISSN: 1475-3898
DOI: 10.1136/qshc.2004.010561
Abstract:OBJECTIVES: To explore staff views on their roles, skills and training to deliver high quality and local intrapartum services in remote and rural settings against national recommendations. DESIGN: Interview and postal survey. SETTING: A stratified representative sample of remote and rural maternity units in Scotland (December 2002 to May 2003). PARTICIPANTS: Staff proportionally representative of professional groups involved in maternity care. RESULTS: Staff interviews took place at 11 units (response rate 93%). A subsequent postal survey included the interview sample and staff in a further 11 units (response rate 78%). Medical specialisation, workforce issues, and proposed regulatory evaluation of competencies linked to throughput raised concerns about the sustainability and safety of services, particularly for "generalists" in rural maternity care teams and for medical cover in small district general hospitals with large rural catchments. Risk assessment and decision making to transfer were seen as central for effective rural practice and these were influenced by rural context. Staff self-reported competence and confidence varied according to procedure, but noted service change appeared to be underway ahead of their preparedness. Self-reported competence in managing obstetric emergencies was surprisingly high, with the caveat that they were not independently assessed in this study. Staff with access to video conference technology reported low actual use although there was enthusiasm about its potential use. CONCLUSIONS: Considerable uncertainties remain around staffing models and training to maintain maternity care team skills and competencies. Further research is required to test how this will impact on safety, appropriateness, and access and acceptability to rural communities.
Source: PubMed
Sustainable maternity services in remote and rural Scotland? A qualitative survey of staff views on required skills, competencies and training
Authors: Tucker, J., Hundley, V., Kiger, A., Bryers, H., Caldow, J., Farmer, J., Harris, F., Ireland, J. and van Teijlingen, E.
Journal: QUALITY & SAFETY IN HEALTH CARE
Volume: 14
Issue: 1
Pages: 34-40
ISSN: 1475-3898
DOI: 10.1136/qshc.2004.010561
Source: Web of Science (Lite)
Sustainable maternity services in remote and rural Scotland? A qualitative survey of staff views on required skills, competencies and training
Authors: Tucker, J.S., Kiger, A., Hundley, V., Harris, F., Caldow, J.L., Farmer, J., Bryers, H., Ireland, J. and van Teijlingen, E.
Journal: Quality and Safety in Healthcare
Volume: 14
Pages: 34-40
ISSN: 1475-3898
DOI: 10.1136/qshc.2004.010561
Abstract:Objectives: To explore staff views on their roles, skills and training to deliver high quality and local intrapartum services in remote and rural settings against national recommendations.
Design: Interview and postal survey.
Setting: A stratified representative sample of remote and rural maternity units in Scotland (December 2002 to May 2003).
Participants: Staff proportionally representative of professional groups involved in maternity care.
Results: Staff interviews took place at 11 units (response rate 93%). A subsequent postal survey included the interview sample and staff in a further 11 units (response rate 78%). Medical specialisation, workforce issues, and proposed regulatory evaluation of competencies linked to throughput raised concerns about the sustainability and safety of services, particularly for “generalists” in rural maternity care teams and for medical cover in small district general hospitals with large rural catchments. Risk assessment and decision making to transfer were seen as central for effective rural practice and these were influenced by rural context. Staff self-reported competence and confidence varied according to procedure, but noted service change appeared to be underway ahead of their preparedness. Self-reported competence in managing obstetric emergencies was surprisingly high, with the caveat that they were not independently assessed in this study. Staff with access to video conference technology reported low actual use although there was enthusiasm about its potential use.
Conclusions: Considerable uncertainties remain around staffing models and training to maintain maternity care team skills and competencies. Further research is required to test how this will impact on safety, appropriateness, and access and acceptability to rural communities.
Source: Manual
Preferred by: Edwin van Teijlingen and Vanora Hundley
Sustainable maternity services in remote and rural Scotland? A qualitative survey of staff views on required skills, competencies and training.
Authors: Tucker, J., Hundley, V., Kiger, A., Bryers, H., Caldow, J., Farmer, J., Harris, F., Ireland, J. and van Teijlingen, E.
Journal: Quality & safety in health care
Volume: 14
Issue: 1
Pages: 34-40
eISSN: 1475-3901
ISSN: 1475-3898
DOI: 10.1136/qshc.2004.010561
Abstract:Objectives
To explore staff views on their roles, skills and training to deliver high quality and local intrapartum services in remote and rural settings against national recommendations.Design
Interview and postal survey.Setting
A stratified representative sample of remote and rural maternity units in Scotland (December 2002 to May 2003).Participants
Staff proportionally representative of professional groups involved in maternity care.Results
Staff interviews took place at 11 units (response rate 93%). A subsequent postal survey included the interview sample and staff in a further 11 units (response rate 78%). Medical specialisation, workforce issues, and proposed regulatory evaluation of competencies linked to throughput raised concerns about the sustainability and safety of services, particularly for "generalists" in rural maternity care teams and for medical cover in small district general hospitals with large rural catchments. Risk assessment and decision making to transfer were seen as central for effective rural practice and these were influenced by rural context. Staff self-reported competence and confidence varied according to procedure, but noted service change appeared to be underway ahead of their preparedness. Self-reported competence in managing obstetric emergencies was surprisingly high, with the caveat that they were not independently assessed in this study. Staff with access to video conference technology reported low actual use although there was enthusiasm about its potential use.Conclusions
Considerable uncertainties remain around staffing models and training to maintain maternity care team skills and competencies. Further research is required to test how this will impact on safety, appropriateness, and access and acceptability to rural communities.Source: Europe PubMed Central