Organisational culture in maternity care: a scoping review

Lucy Frith, Marlene Sinclair, Katri Vehviläinen-Julkunen, Katrien Beeckman, Christine Lotyved, Ans Luybens

Research output: Contribution to journalArticle

Abstract

Aim. To present the results of a scoping review of the research literature addressing the influence of organisational culture on the quality of maternity care.Background. Organisational culture is increasingly seen as key in both healthcare system operations and quality of care.Design. A scoping review using a modified version of Askey and O’Malley’s (2005) framework to identify: key concepts, gaps in the research and types and sources of evidence to inform practice, policy making and research. Research databases used were:PubMed, Med Medic, MEDPILOT, Medline, CINAHL, PsycINFO, Cochrane, Social Sciences Abstracts, Web of Knowledge and Scopus.Method. Development of a protocol specifying search terms and inclusion and exclusion criteria.Results. A total of 3521 papers were identified in the search. Following application of the inclusion criteria, 16 papers were eligible for full review. There was a focus on the organisational and cultural barriers to the practice of good maternity care.Most of the studies included consideration of how organisational culture could be influenced or changed and four of the studies evaluated some form of change of practice to find ways of enabling a ‘midwifery culture of practice’.Conclusion. This scoping review shows midwives and maternity nurses perceived organisational factors to be important determinants affecting practice. It highlights time pressures, procedural imperatives and professional conflicts to be the main organisational barriers to the practice of good maternity care.
LanguageEnglish
Pages16-22
JournalEvidence Based Midwifery
Volume12
Issue number1
Publication statusPublished - Mar 2014

Fingerprint

Organizational Culture
Quality of Health Care
Research
Nurse Midwives
Social Sciences
Policy Making
Midwifery
PubMed
Databases
Delivery of Health Care

Keywords

  • Organisational culture
  • organisational behaviour
  • maternity care
  • scoping review
  • evidence-based midwifery

Cite this

Frith, L., Sinclair, M., Vehviläinen-Julkunen, K., Beeckman, K., Lotyved, C., & Luybens, A. (2014). Organisational culture in maternity care: a scoping review. Evidence Based Midwifery, 12(1), 16-22.
Frith, Lucy ; Sinclair, Marlene ; Vehviläinen-Julkunen, Katri ; Beeckman, Katrien ; Lotyved, Christine ; Luybens, Ans. / Organisational culture in maternity care: a scoping review. In: Evidence Based Midwifery. 2014 ; Vol. 12, No. 1. pp. 16-22.
@article{d4082fb796ac479fa4ea2083a6f3136c,
title = "Organisational culture in maternity care: a scoping review",
abstract = "Aim. To present the results of a scoping review of the research literature addressing the influence of organisational culture on the quality of maternity care.Background. Organisational culture is increasingly seen as key in both healthcare system operations and quality of care.Design. A scoping review using a modified version of Askey and O’Malley’s (2005) framework to identify: key concepts, gaps in the research and types and sources of evidence to inform practice, policy making and research. Research databases used were:PubMed, Med Medic, MEDPILOT, Medline, CINAHL, PsycINFO, Cochrane, Social Sciences Abstracts, Web of Knowledge and Scopus.Method. Development of a protocol specifying search terms and inclusion and exclusion criteria.Results. A total of 3521 papers were identified in the search. Following application of the inclusion criteria, 16 papers were eligible for full review. There was a focus on the organisational and cultural barriers to the practice of good maternity care.Most of the studies included consideration of how organisational culture could be influenced or changed and four of the studies evaluated some form of change of practice to find ways of enabling a ‘midwifery culture of practice’.Conclusion. This scoping review shows midwives and maternity nurses perceived organisational factors to be important determinants affecting practice. It highlights time pressures, procedural imperatives and professional conflicts to be the main organisational barriers to the practice of good maternity care.",
keywords = "Organisational culture, organisational behaviour, maternity care, scoping review, evidence-based midwifery",
author = "Lucy Frith and Marlene Sinclair and Katri Vehvil{\"a}inen-Julkunen and Katrien Beeckman and Christine Lotyved and Ans Luybens",
note = "This paper is part of the EU COST Action IS0907: ‘Childbirth cultures, concerns, and consequences: creating a dynamic EU framework for optimal maternity care’ and was supported by the European Commission. Reference text: Allen S, Chiarella M, Homer C. (2010) Lessons learned from measuring safety culture: an Australian case study. Midwifery 26(5): 497-503. Anderson S, Allen P, Peckham S, Goodwin N. (2008) Asking the right questions: scoping studies in the commissioning of research on the organisation and delivery of health services. Health Research Policy and Systems 6: 7. Arksey H, O’Malley L. (2005) Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 8(1): 19-32. Braithwaite J, Hyde P, Pope C. (2010) Culture and climate in healthcare organisations. Palgrave Macmillian: Basingstoke. Braithwaite J, Westbrook MT, Iedema R, Mallock NA, Forsyth R, Zhang K. (2005) A tale of two hospitals: assessing cultural landscapes and compositions. Social Science & Medicine 60(5): 1149-62. Brien S, Lorenzetti DL, Lewis S, Kennedy J, Ghali WA. (2010) Overview of a formal scoping review on health system report cards. Implementation Science 5: 2. Brocklehurst P, Hardy P, Hollowell J, Linsell L, Macfarlane A, McCourt C, Stewart M. (2012) Perinatal and maternal outcomes by planned place of birth for healthy women with low-risk pregnancies: the Birthplace in England national prospective cohort study. BMJ 343(7840): d7400. Callen JL, Braithwaite J, Westbrook JI. (2007) Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems. Social Science & Medicine 65(3): 635-9. Carolan M, Hodnett E. (2007) ‘With woman’ philosophy: examining the evidence, asking question. Nursing Inquiry 14(2): 140-52. Collin J, Blais R, White D, Demers A, Desbiens F. (2000) Integration of midwives into the Quebec healthcare system. Canadian Journal of Public Health 91(1): I16-20. Collin JA, Fauser BC. (2005) Balancing the strengths of systematic and References 22 {\circledC} 2014 The Royal College of Midwives. Evidence Based Midwifery 12(1): 16-22 Frith L, Sinclair M, Vehvil{\"a}inen-Julkunen K, Beeckman K, Loytved C, Luyben A. (2014) Organisational culture in maternity care: a scoping review. Evidence Based Midwifery 12(1): 16-22 narrative reviews. Human Reproduction Update 11(2): 103-4. Cragin L, Kennedy HP. (2006) Linking obstetric and midwifery practice with optimal outcomes. Journal of Obstetric, Gynecologic, & Neonatal Nursing 5(6): 779-85. Currie G, Dingwall R, Kitchener M, Waring J. (2012) Let’s dance: organisation studies, medical sociology and health policy. Social Science and Medicine 74(3): 273-80. Daudt HML, van Mossel C, Scott SJ. (2013) Enhancing the scoping study methodology: a large, inter-professional team’s experiences with Arksey and O’Malley’s framework. BMC Medical Research Methodology 13: 48. Davis K, Drey N, Gould D. (2009) What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies 46(10): 1386-400. Davis S. (1984) Managing corporate culture. Ballinger: Cambridge. Davies H, Mannion R, Jacob R, Powell A, Marshall M. (2007) Exploring the relationship between senior management team culture and hospital performance. Medical Care Research and Review 64(1): 46-65. Davies H, Nutley S, Mannion R. (2000) Organisational culture and quality of health care. Quality in Health Care 9(2): 111-9. Debono D, Greenfield D, Travaglia JF, Long JC, Black D, Johnson J, Braithwaite J. (2013) Nurses’ workarounds in an acute healthcare setting: a scoping review. BMC Health Services Research 13: 175. Deery R, Hughes D. (2004) Supporting midwife-led care through action research: a tale of mess, muddle and birth balls. Evidence Based Midwifery 2(2): 52-8. de Vries R, Benoit C, van Teijlingen ER, Wrede S. (Eds.). (2001) Birth by design: pregnancy, maternity care and midwifery in North America and Europe. Routledge: New York. Downe S. (Ed.). (2008) Normal childbirth: evidence and debate (second edition). Churchill Livingstone: Oxford. Dykes F. (2005) A critical ethnographic study of encounters between midwives and breastfeeding women in postnatal wards in England. Midwifery 21(3): 241-52. Francis R. (2013) Report of the Mid Staffordshire NHS Foundation Trust public inquiry. HMSO: London. Gifford BD, Zammuto RF, Goodman EA. (2002) The relationship between hospital unit culture and nurses’ quality of work life. Journal of Healthcare Management 47(1): 13-25. Halliday SV. (2002) Barriers to customer-orientation: a case applied and explained. European Journal of Marketing 36(1-2): 136-58. Hastie C, Fahy K. (2011) Inter-professional collaboration in delivery suite: a qualitative study. Women & Birth: Journal of the Australian College of Midwives 24(2): 72-9. Hatch MJ. (2006) Organisational theory (second edition). Oxford University Press: Oxford. Hatem M, Sandall J, Devane D, Soltani H, Gates S. (2008) Midwifery-led versus other models of care for childbearing women. Cochrane Database Syst Rev 4: CD004667. Hrešanov{\'a} E. (2008) Kultury dvou porodnic: etnografick{\'a} studie. [The cultures of two maternity hospitals: an ethnographic study.] Z{\'a}padocesk{\'a} univerzita: Plzen: 216s. Hughes D, Deery R, Lovatt A. (2002) A critical ethnographic approach to facilitating cultural shift in midwifery. Midwifery 18(1): 43-52. Jacobs R, Mannion R, Davies HTO, Harrison S, Konteh F, Walshe K. (2013) The relationship between organisational culture and performance in acute hospitals. Social Science & Medicine 76(1): 115-25. Kennedy HP, Lyndon A. (2008) Tensions and teamwork in nursing and midwifery relationships. Journal of Obstetric, Gynecologic, & Neonatal Nursing 37(4): 426-35. Khokher P, Bourgeault I, Sainsaullieu I. (2009) Work culture within the hospital context in Canada: professional versus unit influences. Journal of Health Organisation and Management 23(3): 332-45. Kirkhan M. (1999) The culture of midwifery in the NHS in England. Journal of Advanced Nursing 30(3): 732-9. Lavender T, Chapple J. (2004) An exploration of midwives’ views of the current system of maternity care in England. Midwifery 20(4): 324-34. Leap N. (2009) Woman-centred or women-centred care: does it matter? British Journal of Midwifery 17(1): 12-6. Levac D, Colquhoun H, O’Brien KK. (2010) Scoping studies: advancing the methodology. Implementation Science 5: 69. Lindberg I, Christensson K, Ohrling K. (2005) Midwives’ experience of organisational and professional change. Midwifery 21(4): 355-64. Martin J. (2002) Organisational culture: mapping the terrain. Sage: Thousand Oaks. McKellar L, Pincombe J, Henderson A. (2009) Encountering the culture of midwifery practice on the postnatal ward during action research: An impediment to change. Women and Birth: Journal of the Australian College of Midwives 22(4): 112-8. Meyerson J. (1991) ‘Normal ambiguity’: a glimpse of occupational culture: In: Frost PJ, Moore LF, Louis MR, Lundberg CC, Martin J. (Eds.). Reframing organisational culture. Sage: London. Purewel S, van der Akker OBA. (2009) Systematic review of oocyte donation: investigating attitudes, motivations and experiences. Human Reproduction Update 15(5): 419-515. Scott-Findlay S, Estabrooks C. (2006) Mapping the organisational culture research in nursing: a literature review. Journal of Advanced Nursing 56(5): 498-513. Sheridan V. (2010) Organisational culture and routine midwifery practice on labour ward: implications for mother-baby contact. Evidence Based Midwifery 8(3): 76-84. Sleutel M, Schultz S, Wyble K. (2007) Nurses’ views of factors that help and hinder their intrapartum care. Journal of Obstetric, Gynecologic & Neonatal Nursing 36(3): 203-11. Smircich L. (1983) Concepts of culture and organisational analysis. Administrative Science Quarterly 28(3): 339-58. Tew M. (1998) Safer childbirth? A critical history of maternity care. Free Association Books: London/New York. Walker SB, Moore HD, Eaton A. (2004) North Queensland midwives’ experience with a team model of midwifery care. Australian Journal of Midwifery: Journal of the Australian College of Midwives 17(1): 17-22. Walsh D. (2006) Subverting the assembly-line: childbirth in a free-standing birth centre. Social Science & Medicine 62(6): 1330-40. Walsh D. (2007) A birth centre’s encounters with discourses of childbirth: how resistance led to innovation. Sociology of Health and Illness 29(2): 216-32. Wilson SM. (2000) An ethnography of midwifery work patterns during organisational redesign. Australian Health Review: A Publication of the Australian Hospital Association 23(1): 22-33.",
year = "2014",
month = "3",
language = "English",
volume = "12",
pages = "16--22",
journal = "Evidence Based Midwifery",
issn = "1479-4489",
number = "1",

}

Frith, L, Sinclair, M, Vehviläinen-Julkunen, K, Beeckman, K, Lotyved, C & Luybens, A 2014, 'Organisational culture in maternity care: a scoping review', Evidence Based Midwifery, vol. 12, no. 1, pp. 16-22.

Organisational culture in maternity care: a scoping review. / Frith, Lucy; Sinclair, Marlene; Vehviläinen-Julkunen, Katri; Beeckman, Katrien; Lotyved, Christine; Luybens, Ans.

In: Evidence Based Midwifery, Vol. 12, No. 1, 03.2014, p. 16-22.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Organisational culture in maternity care: a scoping review

AU - Frith, Lucy

AU - Sinclair, Marlene

AU - Vehviläinen-Julkunen, Katri

AU - Beeckman, Katrien

AU - Lotyved, Christine

AU - Luybens, Ans

N1 - This paper is part of the EU COST Action IS0907: ‘Childbirth cultures, concerns, and consequences: creating a dynamic EU framework for optimal maternity care’ and was supported by the European Commission. Reference text: Allen S, Chiarella M, Homer C. (2010) Lessons learned from measuring safety culture: an Australian case study. Midwifery 26(5): 497-503. Anderson S, Allen P, Peckham S, Goodwin N. (2008) Asking the right questions: scoping studies in the commissioning of research on the organisation and delivery of health services. Health Research Policy and Systems 6: 7. Arksey H, O’Malley L. (2005) Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 8(1): 19-32. Braithwaite J, Hyde P, Pope C. (2010) Culture and climate in healthcare organisations. Palgrave Macmillian: Basingstoke. Braithwaite J, Westbrook MT, Iedema R, Mallock NA, Forsyth R, Zhang K. (2005) A tale of two hospitals: assessing cultural landscapes and compositions. Social Science & Medicine 60(5): 1149-62. Brien S, Lorenzetti DL, Lewis S, Kennedy J, Ghali WA. (2010) Overview of a formal scoping review on health system report cards. Implementation Science 5: 2. Brocklehurst P, Hardy P, Hollowell J, Linsell L, Macfarlane A, McCourt C, Stewart M. (2012) Perinatal and maternal outcomes by planned place of birth for healthy women with low-risk pregnancies: the Birthplace in England national prospective cohort study. BMJ 343(7840): d7400. Callen JL, Braithwaite J, Westbrook JI. (2007) Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems. Social Science & Medicine 65(3): 635-9. Carolan M, Hodnett E. (2007) ‘With woman’ philosophy: examining the evidence, asking question. Nursing Inquiry 14(2): 140-52. Collin J, Blais R, White D, Demers A, Desbiens F. (2000) Integration of midwives into the Quebec healthcare system. Canadian Journal of Public Health 91(1): I16-20. Collin JA, Fauser BC. (2005) Balancing the strengths of systematic and References 22 © 2014 The Royal College of Midwives. Evidence Based Midwifery 12(1): 16-22 Frith L, Sinclair M, Vehviläinen-Julkunen K, Beeckman K, Loytved C, Luyben A. (2014) Organisational culture in maternity care: a scoping review. Evidence Based Midwifery 12(1): 16-22 narrative reviews. Human Reproduction Update 11(2): 103-4. Cragin L, Kennedy HP. (2006) Linking obstetric and midwifery practice with optimal outcomes. Journal of Obstetric, Gynecologic, & Neonatal Nursing 5(6): 779-85. Currie G, Dingwall R, Kitchener M, Waring J. (2012) Let’s dance: organisation studies, medical sociology and health policy. Social Science and Medicine 74(3): 273-80. Daudt HML, van Mossel C, Scott SJ. (2013) Enhancing the scoping study methodology: a large, inter-professional team’s experiences with Arksey and O’Malley’s framework. BMC Medical Research Methodology 13: 48. Davis K, Drey N, Gould D. (2009) What are scoping studies? A review of the nursing literature. International Journal of Nursing Studies 46(10): 1386-400. Davis S. (1984) Managing corporate culture. Ballinger: Cambridge. Davies H, Mannion R, Jacob R, Powell A, Marshall M. (2007) Exploring the relationship between senior management team culture and hospital performance. Medical Care Research and Review 64(1): 46-65. Davies H, Nutley S, Mannion R. (2000) Organisational culture and quality of health care. Quality in Health Care 9(2): 111-9. Debono D, Greenfield D, Travaglia JF, Long JC, Black D, Johnson J, Braithwaite J. (2013) Nurses’ workarounds in an acute healthcare setting: a scoping review. BMC Health Services Research 13: 175. Deery R, Hughes D. (2004) Supporting midwife-led care through action research: a tale of mess, muddle and birth balls. Evidence Based Midwifery 2(2): 52-8. de Vries R, Benoit C, van Teijlingen ER, Wrede S. (Eds.). (2001) Birth by design: pregnancy, maternity care and midwifery in North America and Europe. Routledge: New York. Downe S. (Ed.). (2008) Normal childbirth: evidence and debate (second edition). Churchill Livingstone: Oxford. Dykes F. (2005) A critical ethnographic study of encounters between midwives and breastfeeding women in postnatal wards in England. Midwifery 21(3): 241-52. Francis R. (2013) Report of the Mid Staffordshire NHS Foundation Trust public inquiry. HMSO: London. Gifford BD, Zammuto RF, Goodman EA. (2002) The relationship between hospital unit culture and nurses’ quality of work life. Journal of Healthcare Management 47(1): 13-25. Halliday SV. (2002) Barriers to customer-orientation: a case applied and explained. European Journal of Marketing 36(1-2): 136-58. Hastie C, Fahy K. (2011) Inter-professional collaboration in delivery suite: a qualitative study. Women & Birth: Journal of the Australian College of Midwives 24(2): 72-9. Hatch MJ. (2006) Organisational theory (second edition). Oxford University Press: Oxford. Hatem M, Sandall J, Devane D, Soltani H, Gates S. (2008) Midwifery-led versus other models of care for childbearing women. Cochrane Database Syst Rev 4: CD004667. Hrešanová E. (2008) Kultury dvou porodnic: etnografická studie. [The cultures of two maternity hospitals: an ethnographic study.] Západoceská univerzita: Plzen: 216s. Hughes D, Deery R, Lovatt A. (2002) A critical ethnographic approach to facilitating cultural shift in midwifery. Midwifery 18(1): 43-52. Jacobs R, Mannion R, Davies HTO, Harrison S, Konteh F, Walshe K. (2013) The relationship between organisational culture and performance in acute hospitals. Social Science & Medicine 76(1): 115-25. Kennedy HP, Lyndon A. (2008) Tensions and teamwork in nursing and midwifery relationships. Journal of Obstetric, Gynecologic, & Neonatal Nursing 37(4): 426-35. Khokher P, Bourgeault I, Sainsaullieu I. (2009) Work culture within the hospital context in Canada: professional versus unit influences. Journal of Health Organisation and Management 23(3): 332-45. Kirkhan M. (1999) The culture of midwifery in the NHS in England. Journal of Advanced Nursing 30(3): 732-9. Lavender T, Chapple J. (2004) An exploration of midwives’ views of the current system of maternity care in England. Midwifery 20(4): 324-34. Leap N. (2009) Woman-centred or women-centred care: does it matter? British Journal of Midwifery 17(1): 12-6. Levac D, Colquhoun H, O’Brien KK. (2010) Scoping studies: advancing the methodology. Implementation Science 5: 69. Lindberg I, Christensson K, Ohrling K. (2005) Midwives’ experience of organisational and professional change. Midwifery 21(4): 355-64. Martin J. (2002) Organisational culture: mapping the terrain. Sage: Thousand Oaks. McKellar L, Pincombe J, Henderson A. (2009) Encountering the culture of midwifery practice on the postnatal ward during action research: An impediment to change. Women and Birth: Journal of the Australian College of Midwives 22(4): 112-8. Meyerson J. (1991) ‘Normal ambiguity’: a glimpse of occupational culture: In: Frost PJ, Moore LF, Louis MR, Lundberg CC, Martin J. (Eds.). Reframing organisational culture. Sage: London. Purewel S, van der Akker OBA. (2009) Systematic review of oocyte donation: investigating attitudes, motivations and experiences. Human Reproduction Update 15(5): 419-515. Scott-Findlay S, Estabrooks C. (2006) Mapping the organisational culture research in nursing: a literature review. Journal of Advanced Nursing 56(5): 498-513. Sheridan V. (2010) Organisational culture and routine midwifery practice on labour ward: implications for mother-baby contact. Evidence Based Midwifery 8(3): 76-84. Sleutel M, Schultz S, Wyble K. (2007) Nurses’ views of factors that help and hinder their intrapartum care. Journal of Obstetric, Gynecologic & Neonatal Nursing 36(3): 203-11. Smircich L. (1983) Concepts of culture and organisational analysis. Administrative Science Quarterly 28(3): 339-58. Tew M. (1998) Safer childbirth? A critical history of maternity care. Free Association Books: London/New York. Walker SB, Moore HD, Eaton A. (2004) North Queensland midwives’ experience with a team model of midwifery care. Australian Journal of Midwifery: Journal of the Australian College of Midwives 17(1): 17-22. Walsh D. (2006) Subverting the assembly-line: childbirth in a free-standing birth centre. Social Science & Medicine 62(6): 1330-40. Walsh D. (2007) A birth centre’s encounters with discourses of childbirth: how resistance led to innovation. Sociology of Health and Illness 29(2): 216-32. Wilson SM. (2000) An ethnography of midwifery work patterns during organisational redesign. Australian Health Review: A Publication of the Australian Hospital Association 23(1): 22-33.

PY - 2014/3

Y1 - 2014/3

N2 - Aim. To present the results of a scoping review of the research literature addressing the influence of organisational culture on the quality of maternity care.Background. Organisational culture is increasingly seen as key in both healthcare system operations and quality of care.Design. A scoping review using a modified version of Askey and O’Malley’s (2005) framework to identify: key concepts, gaps in the research and types and sources of evidence to inform practice, policy making and research. Research databases used were:PubMed, Med Medic, MEDPILOT, Medline, CINAHL, PsycINFO, Cochrane, Social Sciences Abstracts, Web of Knowledge and Scopus.Method. Development of a protocol specifying search terms and inclusion and exclusion criteria.Results. A total of 3521 papers were identified in the search. Following application of the inclusion criteria, 16 papers were eligible for full review. There was a focus on the organisational and cultural barriers to the practice of good maternity care.Most of the studies included consideration of how organisational culture could be influenced or changed and four of the studies evaluated some form of change of practice to find ways of enabling a ‘midwifery culture of practice’.Conclusion. This scoping review shows midwives and maternity nurses perceived organisational factors to be important determinants affecting practice. It highlights time pressures, procedural imperatives and professional conflicts to be the main organisational barriers to the practice of good maternity care.

AB - Aim. To present the results of a scoping review of the research literature addressing the influence of organisational culture on the quality of maternity care.Background. Organisational culture is increasingly seen as key in both healthcare system operations and quality of care.Design. A scoping review using a modified version of Askey and O’Malley’s (2005) framework to identify: key concepts, gaps in the research and types and sources of evidence to inform practice, policy making and research. Research databases used were:PubMed, Med Medic, MEDPILOT, Medline, CINAHL, PsycINFO, Cochrane, Social Sciences Abstracts, Web of Knowledge and Scopus.Method. Development of a protocol specifying search terms and inclusion and exclusion criteria.Results. A total of 3521 papers were identified in the search. Following application of the inclusion criteria, 16 papers were eligible for full review. There was a focus on the organisational and cultural barriers to the practice of good maternity care.Most of the studies included consideration of how organisational culture could be influenced or changed and four of the studies evaluated some form of change of practice to find ways of enabling a ‘midwifery culture of practice’.Conclusion. This scoping review shows midwives and maternity nurses perceived organisational factors to be important determinants affecting practice. It highlights time pressures, procedural imperatives and professional conflicts to be the main organisational barriers to the practice of good maternity care.

KW - Organisational culture

KW - organisational behaviour

KW - maternity care

KW - scoping review

KW - evidence-based midwifery

M3 - Article

VL - 12

SP - 16

EP - 22

JO - Evidence Based Midwifery

T2 - Evidence Based Midwifery

JF - Evidence Based Midwifery

SN - 1479-4489

IS - 1

ER -

Frith L, Sinclair M, Vehviläinen-Julkunen K, Beeckman K, Lotyved C, Luybens A. Organisational culture in maternity care: a scoping review. Evidence Based Midwifery. 2014 Mar;12(1):16-22.