All Outputs (43)

Midwifery-led care in South Australia: Looking back to move forward (2020)
Journal Article
McKellar, L., Newnham, E., Fleet, J.-A., & Adelson, P. (2021). Midwifery-led care in South Australia: Looking back to move forward. Women and Birth, 34(5), e537-e545. https://doi.org/10.1016/j.wombi.2020.10.011

Background
From the 1980s to the turn of the century, Australia saw an evolution of midwifery-led models of care, in part due to legislative reform and federal funding, but largely owing to the efforts of strong midwifery leaders and consumers who r... Read More about Midwifery-led care in South Australia: Looking back to move forward.

Identifying the priorities for midwifery education across Australia and New Zealand: A Delphi study (2020)
Journal Article
Sidebotham, M., McKellar, L., Walters, C., Gilkison, A., Davis, D., & Gamble, J. (2021). Identifying the priorities for midwifery education across Australia and New Zealand: A Delphi study. Women and Birth, 34(2), 136-144. https://doi.org/10.1016/j.wombi.2020.05.011

Problem
In countries where education programmes are assessed as meeting international standards there is limited knowledge about the challenges facing midwifery education.

Background/aim
The positive impact of quality midwifery education on mate... Read More about Identifying the priorities for midwifery education across Australia and New Zealand: A Delphi study.

Two decades of Birth Centre and midwifery-led care in South Australia, 1998–2016 (2020)
Journal Article
Adelson, P., Fleet, J.-A., McKellar, L., & Eckert, M. (2021). Two decades of Birth Centre and midwifery-led care in South Australia, 1998–2016. Women and Birth, 34(1), e84-e91. https://doi.org/10.1016/j.wombi.2020.05.005

Background
Birth Centres (BC) are underpinned by a philosophy of woman- centred care and were pivotal in growing models of midwifery-led care in South Australia (SA).

Aim
To describe BC utilisation and the growth of midwifery-led care in SA over... Read More about Two decades of Birth Centre and midwifery-led care in South Australia, 1998–2016.

A public e-survey to explore community understanding of the role of the midwife in Australia (2019)
Journal Article
McKellar, L., Brown, A., & Adelson, P. (2019). A public e-survey to explore community understanding of the role of the midwife in Australia. European Journal of Midwifery, 3, https://doi.org/10.18332/ejm/114226

Introduction:
There is compelling evidence that when a woman sees the same midwife there are better outcomes. Yet in Australia, access to midwifery continuity of care remains limited. There are a number of reasons for this but one barrier appears to... Read More about A public e-survey to explore community understanding of the role of the midwife in Australia.

Shared decision aids in pregnancy care: A scoping review (2019)
Journal Article
Kennedy, K., Adelson, P., Fleet, J., Steen, M., McKellar, L., Eckert, M., & Peters, M. D. J. (2020). Shared decision aids in pregnancy care: A scoping review. Midwifery, 81, Article 102589. https://doi.org/10.1016/j.midw.2019.102589

Background
Shared decision making in pregnancy, labour, and birth is vital to woman-centred care and despite strong evidence for the effectiveness of shared decision making in pregnancy care, practical uptake has been slow.

Design and Aim
This s... Read More about Shared decision aids in pregnancy care: A scoping review.

Simulation in midwifery education: A descriptive explorative study exploring students’ knowledge, confidence and skills in the care of the preterm neonate (2019)
Journal Article
Stoodley, C., McKellar, L., Steen, M., & Fleet, J. (2020). Simulation in midwifery education: A descriptive explorative study exploring students’ knowledge, confidence and skills in the care of the preterm neonate. Nurse Education in Practice, 42, Article 102635. https://doi.org/10.1016/j.nepr.2019.102635

Undergraduate midwifery programs across Australia have embedded simulation into their curriculum although there is limited but emerging evidence to support the use of simulation as an effective teaching strategy. The purpose of this study was to eval... Read More about Simulation in midwifery education: A descriptive explorative study exploring students’ knowledge, confidence and skills in the care of the preterm neonate.

Comparison of three clinical facilitation models for midwifery students undertaking clinical placement in south Australia (2018)
Journal Article
McKellar, L., Fleet, J., Vernon, R., Graham, K., & Cooper, M. (2018). Comparison of three clinical facilitation models for midwifery students undertaking clinical placement in south Australia. Nurse Education in Practice, 32, 64-71. https://doi.org/10.1016/j.nepr.2018.07.010

Clinical placement is a core feature of Australian midwifery education programs, with clinical supervision acknowledged as a key component for student success. The aim of this study was to evaluate the clinical facilitation models in South Australia,... Read More about Comparison of three clinical facilitation models for midwifery students undertaking clinical placement in south Australia.

The private journey: An interpretative phenomenological analysis of exclusive breastfeeding (2018)
Journal Article
Charlick, S. J., McKellar, L., Gordon, A. L., & Pincombe, J. (2019). The private journey: An interpretative phenomenological analysis of exclusive breastfeeding. Women and Birth, 32(1), e34-e42. https://doi.org/10.1016/j.wombi.2018.03.003

Background
Exclusive breast milk provides complete nutrition for a baby’s first six months of life. In Australia, breastfeeding initiation rates are high, however duration rates are low. Although numerous studies have explored the reasons behind low... Read More about The private journey: An interpretative phenomenological analysis of exclusive breastfeeding.

Exploring routine hospital antenatal care consultations — An ethnographic study (2017)
Journal Article
Wright, D., Pincombe, J., & McKellar, L. (2018). Exploring routine hospital antenatal care consultations — An ethnographic study. Women and Birth, 31(3), e162-e169. https://doi.org/10.1016/j.wombi.2017.09.010

Background
Listening to women as part of their antenatal care has been recognized as valuable in understanding the woman’s needs. Conversations as part of routine antenatal interactions offer ideal opportunities for women to express themselves and f... Read More about Exploring routine hospital antenatal care consultations — An ethnographic study.

It’s more than just luck: A qualitative exploration of breastfeeding in rural Australia (2017)
Journal Article
McKellar, L., Fleet, J., & Dove, S. (2018). It’s more than just luck: A qualitative exploration of breastfeeding in rural Australia. Women and Birth, 31(3), 177-183. https://doi.org/10.1016/j.wombi.2017.09.005

Problem
Despite significant public health benefits, breastfeeding for six months continues to be challenging for women.

Background
In the Mid North of South Australia, healthcare professionals were concerned that breastfeeding rates were lower t... Read More about It’s more than just luck: A qualitative exploration of breastfeeding in rural Australia.

‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography (2017)
Journal Article
Newnham, E., McKellar, L., & Pincombe, J. (2017). ‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography. Midwifery, 55, 53-59. https://doi.org/10.1016/j.midw.2017.09.003

Objective
to investigate the personal, social, cultural and institutional influences on women making decisions about using epidural analgesia in labour. In this article we discuss the findings that describe practices around the gaining of consent fo... Read More about ‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography.

Validation of the Australian Midwifery Standards Assessment Tool (AMSAT): A tool to assess midwifery competence (2017)
Journal Article
Sweet, L., Bazargan, M., McKellar, L., Gray, J., & Henderson, A. (2018). Validation of the Australian Midwifery Standards Assessment Tool (AMSAT): A tool to assess midwifery competence. Women and Birth, 31(1), 59-68. https://doi.org/10.1016/j.wombi.2017.06.017

Background
There is no current validated clinical assessment tool to measure the attainment of midwifery student competence in the midwifery practice setting. The lack of a valid assessment tool has led to a proliferation of tools and inconsistency... Read More about Validation of the Australian Midwifery Standards Assessment Tool (AMSAT): A tool to assess midwifery competence.

‘Determined to breastfeed’: A case study of exclusive breastfeeding using interpretative phenomenological analysis (2017)
Journal Article
Charlick, S. J., Fielder, A., Pincombe, J., & McKellar, L. (2017). ‘Determined to breastfeed’: A case study of exclusive breastfeeding using interpretative phenomenological analysis. Women and Birth, 30(4), 325-331. https://doi.org/10.1016/j.wombi.2017.01.002

Background
Given the significant benefits of breastfeeding, the World Health Organization (WHO) recommend exclusive breastfeeding for six months. Despite numerous strategies aimed at increasing the percentage of babies who are exclusively breastfed,... Read More about ‘Determined to breastfeed’: A case study of exclusive breastfeeding using interpretative phenomenological analysis.

Paradox of the institution: findings from a hospital labour ward ethnography (2017)
Journal Article
Newnham, E. C., McKellar, L. V., & Pincombe, J. I. (2017). Paradox of the institution: findings from a hospital labour ward ethnography. BMC Pregnancy and Childbirth, 17(1), Article 2. https://doi.org/10.1186/s12884-016-1193-4

Background
Interest in the influence of culture on birth practices is on the rise, and with it comes a sense of urgency to implement practices that aid the normalisation and humanisation of birth. This groundswell is occurring despite a broader cult... Read More about Paradox of the institution: findings from a hospital labour ward ethnography.

Making Sense of Participant Experiences: Interpretative Phenomenological Analysis in Midwifery Research (2016)
Journal Article
Charlick, S. J., Pincombe, J., McKellar, L., & Fielder, A. (2016). Making Sense of Participant Experiences: Interpretative Phenomenological Analysis in Midwifery Research. International Journal of Doctoral Studies, 11, 205-216. https://doi.org/10.28945/3486

Selecting the most appropriate methodology for research as a doctoral student is one of the most important yet difficult decisions. Not only should the methodology suit the research question, it is important that it resonates with the philosophy of o... Read More about Making Sense of Participant Experiences: Interpretative Phenomenological Analysis in Midwifery Research.

Influences on vaginal birth after caesarean section: A qualitative study of Taiwanese women (2016)
Journal Article
Chen, M.-M., McKellar, L., & Pincombe, J. (2017). Influences on vaginal birth after caesarean section: A qualitative study of Taiwanese women. Women and Birth, 30(2), e132-e139. https://doi.org/10.1016/j.wombi.2016.10.009

Background
Vaginal birth is a safe mode of birth for most women who have had a prior caesarean with a transverse incision. Despite the evidence, most Taiwanese women who have had a previous caesarean are rarely offered the opportunity to consider an... Read More about Influences on vaginal birth after caesarean section: A qualitative study of Taiwanese women.

A review of the literature to inform a best-practice clinical supervision model for midwifery students in Australia (2016)
Journal Article
McKellar, L., & Graham, K. (2017). A review of the literature to inform a best-practice clinical supervision model for midwifery students in Australia. Nurse Education in Practice, 24, 92-98. https://doi.org/10.1016/j.nepr.2016.05.002

Effective clinical supervision in midwifery programs leading to registration is essential to ensure that students can provide safe and competent woman centred care by the completion of their program. A number of different clinical supervision models... Read More about A review of the literature to inform a best-practice clinical supervision model for midwifery students in Australia.

Critical Medical Anthropology in Midwifery Research: A Framework for Ethnographic Analysis (2016)
Journal Article
Newnham, E. C., Pincombe, J. I., & McKellar, L. V. (2016). Critical Medical Anthropology in Midwifery Research: A Framework for Ethnographic Analysis. Global Qualitative Nursing Research, 3, https://doi.org/10.1177/2333393616675029

In this article, we discuss the use of critical medical anthropology (CMA) as a theoretical framework for research in the maternity care setting. With reference to the doctoral research of the first author, we argue for the relevance of using CMA for... Read More about Critical Medical Anthropology in Midwifery Research: A Framework for Ethnographic Analysis.

Evaluating a standardised clinical assessment tool for pre-registration midwifery students: A cross-sectional survey of midwifery students and midwives in Australia (2015)
Journal Article
Morrow, J., Biggs, L., Stelfox, S., Phillips, D., McKellar, L., & McLachlan, H. (2016). Evaluating a standardised clinical assessment tool for pre-registration midwifery students: A cross-sectional survey of midwifery students and midwives in Australia. Women and Birth, 29(1), 85-92. https://doi.org/10.1016/j.wombi.2015.09.001

Background
Assessment of clinical competence is a core component of midwifery education. Clinical assessment tools have been developed to help increase consistency and overcome subjectivity of assessment.

Aim
The study had two main aims. The fir... Read More about Evaluating a standardised clinical assessment tool for pre-registration midwifery students: A cross-sectional survey of midwifery students and midwives in Australia.

We're all in this together: Midwifery student peer mentoring (2015)
Journal Article
McKellar, L., & Kempster, C. (2017). We're all in this together: Midwifery student peer mentoring. Nurse Education in Practice, 24, 112-117. https://doi.org/10.1016/j.nepr.2015.08.014

Many higher education institutions have adopted mentoring programs for students as a means of providing support, improve learning and enhance the student experience. The aim of this project was to improve midwifery students experience by offering a p... Read More about We're all in this together: Midwifery student peer mentoring.