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Outputs (40)

Evaluation of a pilot online education program to develop midwives’ knowledge, skill and confidence in perinatal mental health in rural South Australia (2024)
Journal Article
McKellar, L., Martinez, L., De Sousa Machado, T., Eden, A., Stoodley, C., & Adelson, P. (2024). Evaluation of a pilot online education program to develop midwives’ knowledge, skill and confidence in perinatal mental health in rural South Australia. Wome

One in five women will experience perinatal anxiety and/or depression. In South Australia, a rural health service identified a high proportion of women with risk of perinatal mental health challenges and sought additional education for midwives. In r... Read More about Evaluation of a pilot online education program to develop midwives’ knowledge, skill and confidence in perinatal mental health in rural South Australia.

‘There is no other option’: Exploring health care providers' experiences implementing regional multisite midwifery model of care in South Australia (2023)
Journal Article
McKellar, L., Fleet, J., & Adelson, P. (2024). ‘There is no other option’: Exploring health care providers' experiences implementing regional multisite midwifery model of care in South Australia. Australian Journal of Rural Health, 32(1), 67-79. https

Introduction In the past 30 years, 60% of South Australia’s rural maternity units have closed. Evidence demonstrates midwifery models of care offer regional Australia sustainable birthing services. Five birthing sites within the York and Northern Re... Read More about ‘There is no other option’: Exploring health care providers' experiences implementing regional multisite midwifery model of care in South Australia.

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/

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

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.

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.

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 Rese

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/s

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 Gestation

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 Jour

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.

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.

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, Artic

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/10.101

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.2017.0

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.201

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/10.28945/34

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., 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. W

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.

Documenting risk: A comparison of policy and information pamphlets for using epidural or water in labour (2015)
Journal Article
Newnham, E. C., McKellar, L. V., & Pincombe, J. I. (2015). Documenting risk: A comparison of policy and information pamphlets for using epidural or water in labour. Women and Birth, 28(3), 221-227. https://doi.org/10.1016/j.wombi.2015.01.012

Background Approximately 30% of Australian women use epidural analgesia for pain relief in labour, and its use is increasing. While epidural analgesia is considered a safe option from an anaesthetic point of view, its use transfers a labouring woman... Read More about Documenting risk: A comparison of policy and information pamphlets for using epidural or water in labour.

Safe Arrivals: Responding to the Local Context in a Training Program for Birth Attendants in Cambodia (2014)
Journal Article
McKellar, L. V., & Taylor, K. (2014). Safe Arrivals: Responding to the Local Context in a Training Program for Birth Attendants in Cambodia. International Journal of Childbirth, 4(2), 77-85. https://doi.org/10.1891/2156-5287.4.2.77

The World Health Organization (WHO) recommends that every woman should have a skilled birth attendant (SBA) attend her birth; however, until this ideal is met, traditional birth attendants (TBA) continue to provide care to women, particularly in rura... Read More about Safe Arrivals: Responding to the Local Context in a Training Program for Birth Attendants in Cambodia.

Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? A review of the literature (2012)
Journal Article
Wood, H., McKellar, L. V., & Lightbody, M. (2013). Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? A review of the literature. Women and Birth, 26(2), 100-104. https://doi.org/10.1016/j.wombi.2012.10.001

Background Nausea and vomiting in pregnancy (NVP) is a normal, commonly experienced affliction of early pregnancy. Despite this, its impact on women's lives is not necessarily minimal. For some women, the implications of NVP are substantial with mul... Read More about Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? A review of the literature.