2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To understand midwives'' perspectives regarding the effect of
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a programme of activities aimed at reducing alcohol exposed pregnancies
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at two NHS Trusts in Greater Manchester. The programme included new
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protocols for screening, a referral pathway for specialist support and
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alcohol training for midwives. Design and participants: Semi-structured
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interviews were conducted with 6 midwives working in antenatal care at
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the two Trusts over the telephone and via video conferencing. A review
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of the literature provided insight into contemporary midwifery practice.
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The Theory of Planned Behaviour was used to inform the interview
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schedule design. Data analysis used a Framework Approach and drew on a
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priori themes from the literature review. Findings: Participating
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midwives described objective screening practice using a validated tool
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on multiple antenatal occasions and were confident to discuss alcohol.
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Participants were cognisant of local and national policies and
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guidelines. Discussing alcohol was viewed as important and part of the
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midwife''s role, beliefs which supported participants'' intention to
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practice in line with new protocols. Maternal underreporting and denial
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of alcohol consumption was a key barrier to providing effective care.
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Key conclusions and implications for practice: The professional practice
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of participants was more in keeping with the Chief Medical Officer''s
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recommendations than that reported in recent research from the UK and
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other high-income countries. However, from this small study it is not
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possible to attribute this directly to the local Reducing Alcohol
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Exposed Pregnancies programme. Training to prepare midwives to elicit
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more accurately details of maternal alcohol consumption may improve the
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efficacy of the programme. (c) 2022 The Authors. Published by Elsevier
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Ltd. This is an open access article under the CC BY-NC-ND license (
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http://creativecommons.org/licenses/by-nc-nd/4.0/ )'
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affiliation: 'Morrello, R (Corresponding Author), Univ Salford, Sch Hlth \& Soc, Salford
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M6 6PU, Lancs, England.
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Morrello, Ruth; Cook, Penny A.; Coffey, Margaret, Univ Salford, Sch Hlth \& Soc,
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Salford M6 6PU, Lancs, England.'
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article-number: '103335'
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author: Morrello, Ruth and Cook, Penny A. and Coffey, Margaret
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author-email: r.morrello@edu.salford.ac.uk
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author_list:
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- family: Morrello
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given: Ruth
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- family: Cook
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given: Penny A.
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- family: Coffey
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given: Margaret
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da: '2023-09-28'
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doi: 10.1016/j.midw.2022.103335
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earlyaccessdate: APR 2022
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eissn: 1532-3099
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files: []
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issn: 0266-6138
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journal: MIDWIFERY
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keywords: 'Alcohol; Pregnancy; Screening; Midwife; Brief intervention; Foetal
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alcohol spectrum disorder (FASD)'
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keywords-plus: 'BRIEF INTERVENTIONS; CONSUMPTION; PROFESSIONALS; INFORMATION;
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POPULATION; DISORDERS; INTERVIEW; DRINKING; BEHAVIOR; OUTCOMES'
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language: English
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month: JUL
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number-of-cited-references: '68'
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orcid-numbers: Coffey, Margaret/0000-0001-5837-5532
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papis_id: f8f5c0ee8475f7e46e73b692b6ee663a
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ref: Morrello2022nowbit
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times-cited: '1'
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title: '``Now, with a bit more knowledge, I understand why I''m asking those questions.″
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midwives'' perspectives on their role in the Greater Manchester health and social
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care partnership''s programme to reduce alcohol exposed pregnancies'
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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:000793591000003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '110'
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web-of-science-categories: Nursing
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year: '2022'
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