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dc.contributorWong Shee, Annaen_US
dc.contributorRobertson, Carolynen_US
dc.contributorMcKenzie, AnneMarieen_US
dc.contributorFrawley, Natashaen_US
dc.contributorLodge, Julieen_US
dc.contributorVersace, Vincenten_US
dc.contributorCorboy, Deniseen_US
dc.contributorNagle, Cateen_US
dc.description.abstractIntroduction: Caesarean section rates in low risk primiparae, at a Victorian regional health service, have increased substantially over a 7-year period, are higher than the state averages for similar maternity care services, however, perinatal mortality rates are in the highest quartile for the state. The aim of this study was to explore clinicians’ views and experiences of using Project Primip, a new approach to caring for a low-risk primip in labour and birth. Methods: A mixed methods study was conducted at a regional Victorian maternity service employing a staff (obstetricians, midwives) survey based on the Theory of Planned Behaviour and focus groups. Survey questions were analysed using descriptive and regression analyses. Focus group questions were semi- structured and an inductive approach was used to identify emergent themes. Results: Survey (n=78) analysis identified two variables, self- efficacy (confidence in own ability to follow Project Primip) (p=0.03) and subjective norm (social pressure) (p <0.001), as significant predictors of intention to use Project Primip. Focus groups identified five themes as key influences on the successful implementation of the model and reducing interventions that were not clinically indicated: philosophy of care supporting safe, normal labour and birth; organisational support; effective staff collaboration; standardised clinical decision-making; and the regional health service environment. Discussion: These results suggest that the successful implementation of Project Primip may be enhanced when medical and midwifery staff feel capable and confident in using the model, and when staff perceive they have the approval and support of the organisation, their work colleagues, and peers.en_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2018-06-28T06:39:02Z No. of bitstreams: 1 Poster_Project Primip_FINAL.pdf: 103404 bytes, checksum: 9e37d33e63ec46d65fa47cb1cfc02d0c (MD5)en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2018-07-22T03:15:33Z (GMT) No. of bitstreams: 1 Poster_Project Primip_FINAL.pdf: 103404 bytes, checksum: 9e37d33e63ec46d65fa47cb1cfc02d0c (MD5)en
dc.description.provenanceMade available in DSpace on 2018-07-22T03:15:33Z (GMT). No. of bitstreams: 1 Poster_Project Primip_FINAL.pdf: 103404 bytes, checksum: 9e37d33e63ec46d65fa47cb1cfc02d0c (MD5) Previous issue date: 2017en
dc.titleImplementing Project Primip: a normal labour and birth model of care, in a regional Victorian maternity service.en_US
dc.bibliographicCitation.conferencedateOctober 29 - November 1en_US
dc.bibliographicCitation.conferencenameRoyal Australian and New Zealand College of Obstetricians and Gynaecologists 2017 Annual Scientific Meetingen_US
dc.bibliographicCitation.conferenceplaceAuckland, New Zealanden_US
dc.subject.healththesaurusLABOUR, OBSTETRICen_US
dc.subject.healththesaurusDECISION MAKINGen_US
dc.subject.healththesaurusCLINICAL DECISION MAKINGen_US
dc.subject.healththesaurusSURVEYS AND QUESTIONNAIRESen_US
dc.subject.healththesaurusFOCUS GROUPSen_US
dc.subject.healththesaurusVICTORIA, AUSTRALIAen_US
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