Suchergebnisse

Sociology for midwives / Sarah Earle and Sarah Church -- Sociology of midwifery / Edwin van Teijlingen -- Methods, methodology, and epistemology / Gayle Letherby -- Why policy matters / Alistair Hewison -- Emotion work and midwifery / Ruth Deery and Pamela Fisher -- Long term conditions and disability / Elaine Denny -- Meanings and experiences of risk in midwifery / Jayne Samples and Bob Heyman -- Midwives and loss / Deborah Davidson -- Fertility and reproductive technologies / Lorraine Culley and Nicky Hudson -- Marginality and social exclusion / Jo Murphy Lawless and Nadine Edwards -- Infant and young child feeding : culture and context / Fiona Dykes -- Commodification around birth / Mavis Kirkham -- Mental health and illness / Carol Kingdon -- Sustainability and midwifery practice / Lorna Davies

Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- Foreword -- Preface -- About the authors -- Authors' note -- 1 BIRTH CENTRES -- Background to the study -- Background and context -- References -- 2 THE RESEARCH STORY -- Aims of the research -- Anonymisation of the research site -- Negotiating ethical hoops -- Methodology -- References -- 3 THE STORY OF THE BIRTH CENTRE -- The early days -- Recruiting the midwives -- Widening cracks -- The road to closure -- Birth Centre figures -- References -- 4 THE DREAM JOB: NICHE PRACTICE IN MIDWIFERY -- Autonomy and freedom -- Shared philosophies -- The dream job: niche practice -- Niche practice versus the organisation -- References -- 5 OPPOSITION TO THE BIRTH CENTRE -- Alliance of the unwilling -- Midwifery opposition -- General practitioner opposition -- Obstetric consultant opposition -- Managerial opposition -- The role of midwifery managers -- Professional dissonance in midwifery management -- References -- 6 THE EXPERIENCE OF THE BIRTH CENTRE MIDWIVES -- Working in a fragile service -- Recruiting from 'outside' -- Isolation and frustration: pain and powerlessness at work -- Battle by attrition: the operationalisation of non-support -- References -- 7 SPIRALLING DOWNWARDS: INTERVENTIONS IN THE BIRTH CENTRE -- Integrating the Birth Centre -- Staffing by community midwives: working in an alien culture -- Staffing by community midwives: overload, fragmentation and burnout -- Closure by stealth: reducing continuity of care -- Closure by stealth: the loss of the 24-hour service -- Closure by stealth: the curtailment of postnatal care -- Closure by stealth: falling birth numbers -- References -- 8 THE WRITING ON THE WALL -- Doomed from the outset? -- A political and financial exercise? -- The impact of constant change of senior managers.

Although codes of conduct and ethics provide guidance, professionals have to exercise their own judgement in increasingly complex and demanding roles and work contexts when applying them to practice. At times, this can lead to conflict between personal, professional and interprofessional ethics due to the dynamics of the person-centred environment they function in. This interdisciplinary book draws on the perspectives of 40 authors from four continents to explore the dynamics of ethical dilemmas using theory, research and practice-based examples. Overall, the book will help to spearhead the debate about these ethical dilemmas, and ways of working with them, in an informed manner. It will make ideal reading for students, academics and professionals