2023-09-28 14:46:10 +00:00
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abstract: 'Problem: The majority of South Australian pregnant women who smoke do
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not quit during pregnancy. Addi-tionally, the prevalence of smoking is
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higher among pregnant women living in socially disadvantaged
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areas.Background: Understanding challenges in midwives'' provision of
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smoking cessation care can elucidate oppor-tunities to facilitate
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women''s smoking cessation.Aim: We aimed to understand midwives''
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perspectives on current practices, perceived barriers and facilitators
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to delivery of smoking cessation care, and potential improvements to
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models of smoking cessation care.Methods: An exploratory qualitative
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research methodology and thematic analysis was used to understand the
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perspectives of midwives in five focus groups. Findings: Four themes
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were generated from the data on how midwives perceived their ability to
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provide smoking cessation care: Tensions between providing smoking
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cessation care and maternal care; Organisational barriers in the
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delivery of smoking cessation care; Scepticism and doubt in the
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provision of smoking cessation care; and Opportunities to enable
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midwives'' ability to provide smoking cessation care.Discussion: A
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combination of interpersonal, organisational and individual barriers
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impeded on midwives'' ca-pacities to approach, follow-up and prioritise
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smoking cessation care. Working with women living with disad-vantage and
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high rates of smoking, the midwife''s role was challenging as it balanced
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delivering smoking cessation care without jeopardising antenatal
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care.Conclusion: Providing midwives with resources and skills may
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alleviate the sense of futility that surrounds smoking cessation care.
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Provision of routine training and education could also improve
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understandings of the current practice guidelines.'
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affiliation: 'Smithers, LG (Corresponding Author), Univ Wollongong, Sch Hlth \& Soc,
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Wollongong, NSW 2500, Australia.
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Kalamkarian, Anna; Hoon, Elizabeth; Chittleborough, Catherine R.; Lynch, John W.;
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Smithers, Lisa G., Univ Adelaide, Sch Publ Hlth, Adelaide, SA 5005, Australia.
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Hoon, Elizabeth, Univ Adelaide, Discipline Gen Practice, Adelaide, SA 5005, Australia.
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Chittleborough, Catherine R.; Dekker, Gustaaf; Lynch, John W.; Smithers, Lisa G.,
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Univ Adelaide, Robinson Res Inst, Adelaide, SA 5005, Australia.
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Dekker, Gustaaf, Lyell McEwin Hosp, Dept Obstet \& Gynaecol, Adelaide, SA 5005,
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Australia.
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Dekker, Gustaaf, Univ Adelaide, Fac Hlth \& Med Sci, Adelaide Med Sch, Adelaide,
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SA 5005, Australia.
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Lynch, John W., Univ Bristol, Populat Hlth Sci, Bristol, England.
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Smithers, Lisa G., Univ Wollongong, Sch Hlth \& Soc, Wollongong, NSW 2500, Australia.'
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author: Kalamkarian, Anna and Hoon, Elizabeth and Chittleborough, Catherine R. and
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Dekker, Gustaaf and Lynch, John W. and Smithers, Lisa G.
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author-email: lsmithers@uow.edu.au
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author_list:
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- family: Kalamkarian
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given: Anna
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- family: Hoon
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given: Elizabeth
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- family: Chittleborough
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given: Catherine R.
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- family: Dekker
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given: Gustaaf
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- family: Lynch
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given: John W.
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- family: Smithers
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given: Lisa G.
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da: '2023-09-28'
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doi: 10.1016/j.wombi.2022.03.005
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earlyaccessdate: JAN 2023
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eissn: 1878-1799
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files: []
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issn: 1871-5192
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journal: WOMEN AND BIRTH
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keywords: 'Smoking cessation; Pregnancy; Midwifery; Australia; Qualitative
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research; Focus groups'
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keywords-plus: 'TOBACCO-SMOKE; WOMEN; INTERVENTIONS; EXPERIENCES; OPPORTUNITIES;
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GUIDELINES; SERVICES; EXPOSURE; SUPPORT'
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language: English
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month: FEB
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number: '1'
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number-of-cited-references: '37'
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orcid-numbers: Smithers, Lisa/0000-0002-6585-7836
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pages: 89-98
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papis_id: ab3777ab3e57c4c7267644d8a5f65401
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ref: Kalamkarian2023smokingcessation
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researcherid-numbers: Smithers, Lisa/D-1605-2009
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times-cited: '0'
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title: 'Smoking cessation care during pregnancy: A qualitative exploration of midwives''
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challenging role'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000925590500001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '3'
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volume: '36'
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web-of-science-categories: Nursing; Obstetrics \& Gynecology
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year: '2023'
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