A choice of location for the birth of one's child, particularly private homes and freestanding birth centers, is becoming increasingly more available, born out of the necessity to meet a growing demand. Licensed Midwives typically provide care for birth in this setting. With the number of births occurring in homes or freestanding birth centers on the rise, the need for a smooth and efficient process for transferring to the hospital in the rare case of an emergency becomes apparent. The first step of this process is the Emergency Medical Services, universally known as 911. A review of current literature unearthed no studies exploring this emergency transfer experience, from the specific standpoint of interactions between attending midwives and EMS professionals and the transfer of care that occurs within this interface. A qualitative research study, employing one-to-one interviews for gathering data, was conducted to explore the emergency transfer experience of 14 midwives and EMS professionals. Interviews were transcribed and coded for recurrent themes using an immersion/crystallization approach. The results of this research emphasize the need for cross professional education, debriefing, and research to enable accurate development of future cross-training of both EMS and midwifery providers leading to a more effective transfer experience. The authors plan to implement phase two, an inter-disciplinary group member check, as a first action step to not only confirm the accuracy of the findings, but also begin implementing change towards the two professions working together as one team.
|Commitee:||Hsu, Clarissa, Martzen, Mark|
|Department:||Department of Midwifery|
|School Location:||United States -- Washington|
|Source:||MAI 53/05M(E), Masters Abstracts International|
|Subjects:||Medicine, Health sciences, Health care management|
|Keywords:||Emergency medical services, Home birth, Interdisciplinary, Midwives, Transfer|
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