Midwives’ Attitudes to the Use of the Cardiotocograph Machine

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background. The literature would suggest that midwives’ attitudes towards the use of birth technology are mainly focused around issues of ‘trust and dependence’ yet there has been no published research to refute or substantiate these beliefs.Aim. This paper reports on an empirical study that aimed to identify midwives’ attitudes to technology usage in the labour ward and specifically the use of the cardiotocograph machine (CTG) for electronic foetal monitoring.Design. A postal survey was conducted and the questionnaire included a 25-item attitude scale, which was designed to assess attitudes towards the use of the CTG machine. All midwives (1086) on the United Kingdom Central Council register for Northern Ireland were surveyed. The data were factor analysed and compared using several categorical groupings including age, perceived skill, prior training with computers and trust in the machines.Results. The results indicate that midwives reject any notion of them being, or becoming, dependent on machines in their practice. However, midwives who trust machines are more disposed to their use and trust is affected by perceived competence.Conclusion. The paper concludes with a recommendation for the future education of midwives to develop and maintain competence based craft skills in natural birth as well as high-tech birth.
LanguageEnglish
Pages559-604
JournalJournal of Advanced Nursing
Volume35
Issue number4
DOIs
Publication statusPublished - 2001

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Midwifery
Parturition
Mental Competency
Cardiotocography
Technology
Northern Ireland
Education
Research

Keywords

  • midwives’ attitudes
  • electronic foetal monitoring
  • factor analysis

Cite this

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title = "Midwives’ Attitudes to the Use of the Cardiotocograph Machine",
abstract = "Background. The literature would suggest that midwives’ attitudes towards the use of birth technology are mainly focused around issues of ‘trust and dependence’ yet there has been no published research to refute or substantiate these beliefs.Aim. This paper reports on an empirical study that aimed to identify midwives’ attitudes to technology usage in the labour ward and specifically the use of the cardiotocograph machine (CTG) for electronic foetal monitoring.Design. A postal survey was conducted and the questionnaire included a 25-item attitude scale, which was designed to assess attitudes towards the use of the CTG machine. All midwives (1086) on the United Kingdom Central Council register for Northern Ireland were surveyed. The data were factor analysed and compared using several categorical groupings including age, perceived skill, prior training with computers and trust in the machines.Results. The results indicate that midwives reject any notion of them being, or becoming, dependent on machines in their practice. However, midwives who trust machines are more disposed to their use and trust is affected by perceived competence.Conclusion. The paper concludes with a recommendation for the future education of midwives to develop and maintain competence based craft skills in natural birth as well as high-tech birth.",
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author = "Marlene Sinclair",
note = "Reference text: Barclay L. & Jones L. (1996) Midwifery: Trends and Practice in Australia. Churchill-Livingstone, Melbourne.2Bates C. (1997) Care in normal labour: a feminist perspective. In Midwifery Practice: Core Topics 2 (Alexander J., Levy V. & Roth C. eds), Macmillan press, London, pp. 127–144.3Cowie J.L. & Floyd S.R. (1998) The art of midwifery: lost to technology? Australian College of Midwives Incorporated Journal 11, 20–24.CrossRef,PubMed,ChemPort4Dover D.L. & Gauge S.M. (1995) Fetal monitoring – midwifery attitudes. Midwifery 11, 18–27.CrossRef,PubMed,ChemPort,Web of Science{\circledR}5Fraser W.D., Turcot L., Krauss I., Brisson-Carrol G. Amniotomy for shortening spontaneous labour (Cochrane Review). In The Cochrane Library, Issue 2, 2001. Update Software, Oxford.6Hately W., Case J., Campbell S. (1995) Establishing the death of an embryo ultrasound: report of a public inquiry with recommendations. Ultrasound in Obstetrics and Gynaecology 5, 353–357. Direct Link:AbstractPDF(579K)7Hemminki E. & Merilainen J. (1996) Long term effects of caesarean sections: ectopic pregnancies and placental problems. American Journal of Obstetrics and Gynecology 174, 1569–1574.CrossRef,PubMed,ChemPort,Web of Science{\circledR}8Kerlinger F.N. (1986) Foundations of Behavioural Research. Holt, Reinhart & Winston, New York.9McConnell E.A. (1989) Technology-orientated patient care. Nursing World Journal 15, 1–3. 10Pedhazur E.J. & Schmelkin L.P. (1991) Measurement Design and Analysis. Lawrence Erlbaum Associates Inc., New Jersey.11Pelletier D. (1995) Diploma prepared nurses use of technological equipment in clinical practice. Journal of Advanced Nursing 21, 6–14.Direct Link:AbstractPDF(824K)References12Summers G.F. (1970) Attitude Measurement. Rand Mc Nally, Chicago.13UKCC (1999) Fitness for Practice. UKCC, London.14Youngman M.B., Oxtoby R., Monk J.D., Heywood J. (1978) Analysing Jobs. Gower Press, Farnborough.",
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Midwives’ Attitudes to the Use of the Cardiotocograph Machine. / Sinclair, Marlene.

In: Journal of Advanced Nursing, Vol. 35, No. 4, 2001, p. 559-604.

Research output: Contribution to journalArticle

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PY - 2001

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N2 - Background. The literature would suggest that midwives’ attitudes towards the use of birth technology are mainly focused around issues of ‘trust and dependence’ yet there has been no published research to refute or substantiate these beliefs.Aim. This paper reports on an empirical study that aimed to identify midwives’ attitudes to technology usage in the labour ward and specifically the use of the cardiotocograph machine (CTG) for electronic foetal monitoring.Design. A postal survey was conducted and the questionnaire included a 25-item attitude scale, which was designed to assess attitudes towards the use of the CTG machine. All midwives (1086) on the United Kingdom Central Council register for Northern Ireland were surveyed. The data were factor analysed and compared using several categorical groupings including age, perceived skill, prior training with computers and trust in the machines.Results. The results indicate that midwives reject any notion of them being, or becoming, dependent on machines in their practice. However, midwives who trust machines are more disposed to their use and trust is affected by perceived competence.Conclusion. The paper concludes with a recommendation for the future education of midwives to develop and maintain competence based craft skills in natural birth as well as high-tech birth.

AB - Background. The literature would suggest that midwives’ attitudes towards the use of birth technology are mainly focused around issues of ‘trust and dependence’ yet there has been no published research to refute or substantiate these beliefs.Aim. This paper reports on an empirical study that aimed to identify midwives’ attitudes to technology usage in the labour ward and specifically the use of the cardiotocograph machine (CTG) for electronic foetal monitoring.Design. A postal survey was conducted and the questionnaire included a 25-item attitude scale, which was designed to assess attitudes towards the use of the CTG machine. All midwives (1086) on the United Kingdom Central Council register for Northern Ireland were surveyed. The data were factor analysed and compared using several categorical groupings including age, perceived skill, prior training with computers and trust in the machines.Results. The results indicate that midwives reject any notion of them being, or becoming, dependent on machines in their practice. However, midwives who trust machines are more disposed to their use and trust is affected by perceived competence.Conclusion. The paper concludes with a recommendation for the future education of midwives to develop and maintain competence based craft skills in natural birth as well as high-tech birth.

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