Midwives Attitudes and the Development of an Integrated Care Pathway for Women Whose Pregnancy is Complicated by Substance Misuse
- Sadie Geraghty
- Gemma Evans
Substance misuse of illicit and licit substances in pregnancy is a serious public health concern, and is often associated with physical, psychological, emotional and financial costs to women, their families and the greater community.
To identify midwifery attitudes and the development of an integrated care pathway for women who misuse substances during pregnancy.
A mixed method research design will be used. The quantitative and qualitative component of the study will be conducted sequentially and will involve the use of questionnaires and focus group discussions.
The anticipated outcomes at the outset of the study include: Identification of midwives’ attitudes towards women whose pregnancy is complicated by substance misuse disorders, identification of education and administration support to improve the attitudes of midwives, development of an integrated care pathway for adequate care to be provided for women whose pregnancy is complicated by substance misuse, and identification of ways to improve the care of women identified with substance misuse disorders.
Health Beliefs and Folk Models of Illness in Middle Eastern Communities: A Family Centred Approach
Background: Understanding the health seeking behaviours and caring practices of Middle Eastern communities are usually grounded within a cultural context. Different practices and different meanings ascribed to them may exist within some groups or individuals within the same culture. Therefore, it is important to outline and understand the differences held by people within differing groups before initiating health services to a diverse population. This is particularly evident for Australian societies, where at least one in four young people are from a refugee or migrant background.
This project presents a conceptual model that encompasses families’ beliefs about the causes of illness and how beliefs among Middle Eastern communities are enacted in relation to treatment and self-management of acute and chronic illnesses across the lifespan.
Kleinman’s framework of explanatory models of illness care has been demonstrated to be a positive approach to assessing health beliefs. Using a family-centred approach to health care, a national and an international approach is proposed to establish a folk model for the Middle Eastern population. This project will build an initial knowledge base by this team and will lead to further nationally and internationally relevant research in this area. We aim to develop a theory about folk beliefs surrounding the causes of ill-health and general health care practices among specific ethnic communities in Western Australia. This model will enable us to identify and understand the health beliefs and care practices in relation to health and illness across parents, children and adolescents. We will specifically explore how these relate to care practices and to the treatment of acute and other chronic illness. International collaboration is a useful way to provide adequate and appropriate alliances to explore how beliefs are constructed and enacted within these families and across generations.
Findings will assist Australian healthcare professionals in developing cultural competency, increase their knowledge of health beliefs and practices from a diverse range of ethnicities, in addition to meeting the health needs of this growing population. The resulting model of care will: (1) provide direction for education that targets the use of unproven methods of healing associated with the use of folk medicine remedies; (2) provide the basis for incorporating folk and Western medicine approaches into plans of care; (3) present a number of opportunities for capacity building in health promotion; and (4) offer enhanced opportunities for practice partnerships with non-government Australian organisations and international institutions to develop health promotion practices in newborn care and nutrition, chronic illness management for children and adolescents, and offer standardised education programs for health promotion.