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Yourtime: The development and pilot of a perinatal mental wellbeing digital tool using a co-design approach (2023)
Journal Article
McKellar, L., Steen, M., Charlick, S., Andrew, J., Altieri, B., & Gwilt, I. (2023). Yourtime: The development and pilot of a perinatal mental wellbeing digital tool using a co-design approach. Applied Nursing Research, 73, Article 151714. https://doi.org/10.1016/j.apnr.2023.151714

Introduction Maternal anxiety and depression are major public health issues with prevalence as high as one in five women. There is a need to focus on preventative strategies to enable women to self-monitor their mental health status during pregnancy... Read More about Yourtime: The development and pilot of a perinatal mental wellbeing digital tool using a co-design approach.

Moral distress in midwifery practice: A Delphi study (2023)
Journal Article
Foster, W., McKellar, L., Fleet, J., & Sweet, L. (2023). Moral distress in midwifery practice: A Delphi study. Women and Birth, 36(5), e544-e555. https://doi.org/10.1016/j.wombi.2023.04.005

Background Moral distress is a psychological concept that describes the harm associated with actions or inactions that oppose an individuals’ moral beliefs. Moral distress is linked to moral compromise in the workplace that may negatively impact men... Read More about Moral distress in midwifery practice: A Delphi study.

The role of midwives in supporting the development of the mother-infant relationship: a scoping review (2023)
Journal Article
Stoodley, C., McKellar, L., Ziaian, T., Steen, M., Fereday, J., & Gwilt, I. (2023). The role of midwives in supporting the development of the mother-infant relationship: a scoping review. BMC Psychology, 11(1), 71. https://doi.org/10.1186/s40359-023-01092-8

Background: The mother-infant relationship is complex and dynamic, informing the psychological development of the infant through bonding and attachment. Positive early interactions influence the quality of this relationship. Midwives are well placed... Read More about The role of midwives in supporting the development of the mother-infant relationship: a scoping review.

Examining the transformation of midwifery education in Australia to inform future directions: an integrative review (2022)
Journal Article
McKellar, L., Graham, K., Sheehan, A., Fleet, J., Sidebotham, M., & Sweet, L. (2023). Examining the transformation of midwifery education in Australia to inform future directions: an integrative review. Women and Birth, 36(2), 155-166. https://doi.org/10.1016/j.wombi.2022.11.010

Background Integral to quality midwifery practice is the education of midwives. Like other countries, Australia faces ongoing challenges in delivering midwifery education programs. Reasons include escalating program costs, challenges in securing mea... Read More about Examining the transformation of midwifery education in Australia to inform future directions: an integrative review.

Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women’s experiences and birth outcomes (2022)
Journal Article
Adelson, P., Fleet, J., & McKellar, L. (2023). Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women’s experiences and birth outcomes. Women and Birth, 36(1), 80-88. https://doi.org/10.1016/j.wombi.2022.03.004

Introduction The ongoing closure of regional maternity services in Australia has significant consequences for women and communities. In South Australia, a regional midwifery model of care servicing five birthing sites was piloted with the aim of bri... Read More about Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women’s experiences and birth outcomes.

Exploring moral distress in Australian midwifery practice (2021)
Journal Article
Foster, W., McKellar, L., Fleet, J., & Sweet, L. (2022). Exploring moral distress in Australian midwifery practice. Women and Birth, 35(4), 349-359. https://doi.org/10.1016/j.wombi.2021.09.006

Problem Australian midwives are considering leaving the profession. Moral distress may be a contributing factor, yet there is limited research regarding the influence of moral distress on midwifery practice. Background Moral distress was first u... Read More about Exploring moral distress in Australian midwifery practice.

Moral distress in midwifery practice: A concept analysis (2021)
Journal Article
Foster, W., McKellar, L., Fleet, J., & Sweet, L. (2022). Moral distress in midwifery practice: A concept analysis. Nursing Ethics, 29(2), 364-383. https://doi.org/10.1177/09697330211023983

Research suggests that the incidence of moral distress experienced by health professionals is significant and increasing, yet the concept lacks clarity and remains largely misunderstood. Currently, there is limited understanding of moral distress in... Read More about Moral distress in midwifery practice: A concept analysis.

Using co-design to explore how midwives can support the emerging mother-infant relationship during the early postnatal period: Protocol for a mixed-method study (2021)
Journal Article
Stoodley, C., McKellar, L., Gwilt, I., Ziaian, T., Steen, M., & Fereday, J. (2021). Using co-design to explore how midwives can support the emerging mother-infant relationship during the early postnatal period: Protocol for a mixed-method study. JMIR Research Protocols, 10(6), https://doi.org/10.2196/29770

Background: The postnatal period can be a challenging time for women, with mothers experiencing a range of emotions. As a woman transitions to motherhood, she adjusts to a new sense of self and forms a new relationship with her infant. Becoming a mot... Read More about Using co-design to explore how midwives can support the emerging mother-infant relationship during the early postnatal period: Protocol for a mixed-method study.

Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia (2021)
Journal Article
Adelson, P., Yates, R., Fleet, J., & McKellar, L. (2021). Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia. BMC Health Services Research, 21, Article 368. https://doi.org/10.1186/s12913-021-06373-9

Background The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model of care was implemented in rural South Australia to provide midwifery continuity of... Read More about Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia.

Moving Beyond First Year: An Exploration of Staff and Student Experience (2021)
Journal Article
Birbeck, D., Mckellar, L., & Kenyon, K. (2021). Moving Beyond First Year: An Exploration of Staff and Student Experience. Student Success, 12(1), 82-92. https://doi.org/10.5204/ssj.1802

Transition pedagogy has had a major impact on the first year experience for higher education students in Australia. Similarly, there has been a significant focus on transitioning students from their final year of study to employment. Considerably few... Read More about Moving Beyond First Year: An Exploration of Staff and Student Experience.

Development and Validation of an Online Survey to Assess Perception of Diabetes Risk and Barriers and Facilitators to Weight Loss Following Gestational Diabetes (2021)
Journal Article
Gray, K. L., Grebenshchikova, M., O’Reilly, S. L., McKellar, L., Clifton, P. M., & Keogh, J. B. (2021). Development and Validation of an Online Survey to Assess Perception of Diabetes Risk and Barriers and Facilitators to Weight Loss Following Gestational Diabetes. International Journal of Environmental Research and Public Health, 18(2), Article 480. https://doi.org/10.3390/ijerph18020480

Our objective was to describe the development and validation of a survey investigating barriers to weight loss, perception of diabetes risk, and views of diet strategies following gestational diabetes (GDM). The survey underwent three stages of devel... Read More about Development and Validation of an Online Survey to Assess Perception of Diabetes Risk and Barriers and Facilitators to Weight Loss Following Gestational Diabetes.

Women’s Barriers to Weight Loss, Perception of Future Diabetes Risk and Opinions of Diet Strategies Following Gestational Diabetes: An Online Survey (2020)
Journal Article
Gray, K. L., McKellar, L., O’Reilly, S. L., Clifton, P. M., & Keogh, J. B. (2020). Women’s Barriers to Weight Loss, Perception of Future Diabetes Risk and Opinions of Diet Strategies Following Gestational Diabetes: An Online Survey. International Journal of Environmental Research and Public Health, 17(24), Article 9180. https://doi.org/10.3390/ijerph17249180

Weight loss after gestational diabetes (GDM) reduces the risk of type 2 diabetes (T2DM); however, weight loss remains challenging in this population. In order to explore perceptions of T2DM risk, barriers to weight loss, and views of diet strategies... Read More about Women’s Barriers to Weight Loss, Perception of Future Diabetes Risk and Opinions of Diet Strategies Following Gestational Diabetes: An Online Survey.

Midwifery-led care in South Australia: Looking back to move forward (2020)
Journal Article
McKellar, L., Newnham, E., Fleet, J., & 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., 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.