Celebrating International Midwives Day 5th May....all over the world

"Since that time, it has been celebrated every year on May 5 and over 50 nations recognize its importance. Midwifery care is needed internationally. Midwives fill a special role in maternity care by decreasing maternal and neonatal mortality rates."


…the Women of Afghanistan, Graduating. What a great achievement this is....

This site is worth looking at....A Celebration of Women World HUB @ Wheel of Women Leaders that Care I just love these pictures..... it epitomises some of the challenges of women through out the world.... and makes me realise how lucky we are in Australia...... lets work together to make it a better world.....

"Midwives honor mothers and babies, and they believe in the ability to birth without unnecessary intervention. Celebrating this day will bring more positive publicity to midwifery care that will entitle women to a larger selection of birth choices."

ANMC here to stay......

This is great news... and thank you to all those people who submitted letters, emails etc to their Member of Parliament to ensure that the ANMC did not disappear....
This was a huge error on the part of the profession not to have this body formalised years ago...another lesson learned..... Just to remind everyone the ANMC is a peak body established in 1992 to facilitate a national approach to nursing and midwifery regulation. The ANMC works with state and territory Nursing and Midwifery Regulatory Authorities (NMRA) in evolving standards for statutory nursing and midwifery regulation. These standards are flexible, effective and responsive to the health care requirements of the Australian population.

Tuesday, 27 April 2010
ANMC appointed as independent Accreditation body
The Australian Nursing and Midwifery Council (ANMC) welcomes the Australian Health Workforce Ministerial Council (AHWMC) decision to endorse a newly constituted ANMC as the independent accrediting body for nursing and midwifery. Read the full Media Release click here
Currently nursing and midwifery courses are accredited by the Nursing and Midwifery Regulatory Authorities in each of the states and territories. This decision brings nursing and midwifery in line with the other professions which already have independent accrediting bodies.

Here is an example of lobbying working for the right result.....

“This is the result of years of lobbying and work by those in the nursing and midwifery professions who are heartened to see this day has finally come” said Adjunct Associate Professor Moira Laverty.

Change happens slowly with persistent lobbying.....you have to have a vision, drive and passion and the world is your oyster...

I am so pleased, because this means all current codes stay the same for a few years....thank God for some common sense....

Having your say..... putting in submissions

The current state of play in WA is that Bill C has not gone through, what does that mean.... that means that WA will not be ready on the 1st of July for National Registration....we will probably be a month or two behind the rest of the country...Tasmania & SA are in the same boat as WA....

On 1 April 2010 The Australian Health Workforce Ministerial Council announced its approval of national health practitioner registration standards in regards to the National Registration and Accreditation Scheme for the Health Professions. The approval includes standards for scheduled medicines endorsements for suitably qualified and rural and isolated practice registered nurses (RNs). The proposed scheduled medicines endorsements for midwives, provided by the Nursing and Midwifery Board of Australia (the Board), has been delayed "pending the outcome of further priority discussions between the Board, and Commonwealth, State and Territory officials." For more information, read the 1 April 2010 Communique – Health Ministers Announce Approval of National Health Practitioner Registration Standards.

The latest documents sent for public consultation have been the Guidelines & Assessment Framework for the Recognition and Endorsement of Eligible Midwives from the Nursing and Midwifery Board of Australia and the National Guidance on collaborative Maternity Care from National Health and Medical Research Council.
The only way to have a voice is to be proactive and that means responding to these types of documents.....it is important to get as many people responding as possible because your comment count and helps to make new policies. The same applies to being politically active...this means lobbying your politicians for change.... At the end of the day it means that you need to spend some time writing about what you would like to see done.....it does take some effort on your part to create change.

Putting in submission is simple...it means you write what you would like to see changed about the policy and all submissions are published on the website and hopefully these comments are taken into consideration and some changes occur, that is if we are all on the same page for the change....for instance lets use one criteria from the Eligible midwife document.... the Board would like the 'eligible midwife' to have three years experience before they can practice independently.... in order to change this the submissions would have to all say 'where is the evidence for this criteria?' and that this is not acceptable because once you have finished your course as a midwife you are ready to practice as one.....you could argue that one year to gain experience as a graduate would be acceptable but not 3, or you could argue that once qualified you are ready to practice. The majority of comments would all have to say the same thing......However, you usually have to use a computer and email your response....but don't let that stop you....

I guess the proof will be in the pudding so to say..... when they release the next draft documents...... watch the blog or the websites to see when the submissions are published.... lets hope for the best.....

Coping with stress..... for Women

Life is forever busy.... and we fit so much into it, everyone I know is busier than ever, no matter who I am talking to the general conversation is that life is busy. When I was at a meeting during the week, three of my colleagues put their hand up to take on more work...because there was no one else to do it...now these people are already overworked or very busy...so why do we do it? why do we say YES when really it should be saying NO.
Taking time out is not as easy as you think, as there is no one to do your job, workloads are high....and there is so much to do within every aspect of life...family, friends, and self.

Yes we all need a degree of stress in our lives, it helps us learn and grow, however as I get older I am finding that I seem less able to handle as much stress and my body is now giving me physical signs of stress.... so lets look at what stress is and the symptoms ....
Stress is a normal fact of life, stress releases powerful neurochemicals and hormones that prepare us for action (to fight or flee). However it is how we manage it...
Because of the overabundance of stress in our modern lives, we usually think of stress as a negative experience, but from a biological point of view, stress can be a neutral, negative, or positive experience. In general, stress is related to both external and internal factors. External factors include your job, physical environment, relationships with others, home life, and any other situations, challenges, snags, and your own expectations you're faced with on a daily basis. Internal factors determine your body's ability to respond to, and deal with, the external stress-inducing factors. Internal factors which influence your ability to handle stress include the way you eat, so nutrition, overall health and fitness, your emotional well-being, and the amount of sleep and rest you get. For me sleep and rest are the last things on my list, followed closely by exercise..... I seem to be a night owl. Diet I try to do the right thing...however eating out and late are aspects that could be reviewed. As for work this is one of the biggest stressors...

The degree of stress in our lives depends upon individual factors such as our physical health, the quality of our interpersonal relationships, the number of commitments and responsibilities we carry, the degree of others' dependence upon us, expectations of us, the amount of support we receive from others, and the number of changes or traumatic events that have recently occurred in our lives.
There is now evidence that points to abnormal stress,responses as causing various diseases or conditions such as: migraine headaches, asthma, diabetes, fluctuating blood sugar levels, clinical depression,chronic anxiety states, high blood pressure, heart disease, and addictive disorders. I wonder if sex addiction comes in this category.....? A very important point is that stress can begin in the womb and recur throughout life....

When women experience stress, their behavior sometimes changes. Examples; of behavioral symptoms of stress in women: overeating or eating less, over sleeping or sleeping less, procrastinating, isolating one's self, increased use of alcohol and cigarettes, drug use, cynicism and or bitterness. One of the most common behaviour symptoms is irritability, followed by anger, mood swings, and weeping. Constant worrying is also shown by women under stress.


Relaxation:

So how do we manage stress; there are the standard strategies:look around to see what you can change and don't sweat the small stuff.....some tips:
avoid stressful situations, change how you react to stress, set priorities and goals, change how you see the situation, find relaxation techniques, find out what is most important to you, Relaxation Techniques, exercise, healthy diet....

Are you at risk of Burnout...do this simple Burnout self-test....my score was 46 which is "I am at risk if I am not careful"..... now there is a surprise..... It is hard to change the way you are used to working but when the warnings are present...it is time to sit up and take note.... so for me the first step is to hit the pavement and doing some walking..... second get some more sleep.... and third.... relaxation.... that's my first three steps...lets see how I go..

This website has some great ideas and strategies...Stress Management MindTools: have a look its worth a visit..

Governance, Processes, Committees and Transparency

Meetings, meetings and more meetings..... who would think that meetings can cause such diverse reactions...so many to keep people to keep happy, too many conflicts of interest and different points of view... how do you balance the equation... from the kids soccer / cricket committees to national boards all these delicate balances need to be considered...however you then put personal opinions, passion and stress in the equation you have a recipe for disaster... or a souffle that has exploded....

When things go astray it is important to fall back on the process or governance of the committee and often people do not fully understand these processes or they are not in place for members to follow.... clear boundaries, structures, documentation, job descriptions and polices need to be maintained so that everyone is clear about the process, so that when things go wrong or questions are asked there is a clear trail and process to follow... and for the membership to be fully informed..... so that transparency is obvious...

Good governance has 8 major characteristics. It is participatory, consensus oriented, accountable, transparent, responsive, effective and efficient, equitable and inclusive and follows the rule of law.

I have to say from when the children were playing junior soccer to my current involvement with committees not much has changed....we all do it because we love the cause, we have passion, its voluntary and we work very very hard to improve conditions....and get knocked from time to time... but at the end of the day healthy debate makes us think, changes processes to make them better and life goes on....and hopefully we still like each other at the end of the day..... we never grow with out communication.....so here's to good governace.....and many more meetings....

Who is the 'eligible midwife' - jumping through hoops

Well here it is the Nursing and Midwifery Board of Australia has released a draft of what 'eligible midwife' may look like.....

The Key points are as follows;
1. Current general registration as a midwife in Australia with no restrictions on practice - having as it does all the requirements for eligibility for registration under the Act.

2. Practice for at least three years across the continuum of midwifery care (ante-natal care, intrapartum care and post-partum care of women and their infants), within the previous 5 years.

3. participation in an additional 20 hours per year of continuing professional development relevant to the continuum of midwifery care.

4. successful completion of a NMBA approved professional midwifery practice review program for midwives working across the continuum of midwifery care.

5. compliance with the collaboration requirements for eligible midwives- that is the requirements for midwives to work collaboratively with other health professionals as outlined in regulation and national health policy instruments.

6. successful completion of an accredited and approved program of study determined by the Board to develop midwives' knowledge and skills in prescribing, or a program that is substantially equivalent to such an approved program of study (at midwifery post graduate level and designed around the flour components of prescribing - information gathering, clinical decision making, generation of medication order and monitoring the review.

As the model of care for eligible midwives is across the continuum of maternity care, eligibility is contingent upon all requirements being met..... therefore once a midwife has been endorsed as an eligible midwife; and authorised and provided with the necessary provider number by Medicare Australia: READ the full document Guidelines & Assessment framework for the recognition & endorsement of eligible midwives

2 Endorsement to practice as an eligible midwife (to read the full document click the hyperlink)

To be entitled to endorsement under section 98 of the National Law an applicant wishing to be identified as an eligible midwife must be able to meet all the requirements including being a currently registered midwife in Australia; being able to demonstrate through professional review of practice at least 3 years experience across the continuum of midwifery care within the 5 year period preceding the application, comply with the collaboration requirements for eligible midwives; and have an approved qualification to administer, obtain, possess, prescribe and supply scheduled medicines required for practice across that
continuum of midwifery care.

Wording to appear on the register
Endorsed as an eligible midwife working across the continuum of midwifery care and qualified to provide the associated services, order diagnostic investigations and administer, obtain, possess, prescribe and supply schedule 2,3,4 & 8 medicines in
accordance with relevant State and Territory legislation, required for midwifery practice.

If you wish to provide comments on this paper, please lodge a written submission in electronic form by email to natboards@dhs.vic.gov.au by close of business on Wednesday 27 April 2010.

My point of view is that a Midwife is a Midwife....and a Midwife should work across the continuum of maternity care....this in its self will make you an eligible midwife... but not according to the Government... we have to jump through all these hoops to be able to claim MBS & PBS..... in order to be a eligible midwife we have to be insured and complete everything stated above......

I will be putting in a submission to say that a midwife is a midwife once you have completed your course....no other country puts extra constraints on a midwife to make them so called 'eligible'..... if anything I could concede a year post registration... a graduate year before a midwife chooses to work in the community.... please anyone using maternity services can submit a comment to the NMBA... be proactive and have your say.....

lets see what transpires.......watch this space.......

RCNA offering freebee to student nurses.......

On reflection............It came to my attention when teaching the undergraduate nurses that the RCNA was offering free membership to student nurses.....now I pride myself on being pro-active and passing this enthusiasm onto the students... I thought what a great incentive for the students to have free membership to a professional body that offers them support, information, collegiality and professional support.... so I thought i would engage the students on a discussion about professional bodies and their usefulness and ask how many of the students had taken up the RCNA's offer of free membership.... to my surprise...not one of the 31 students had picked up on this fabulous offer.... this was a shock to me...when I asked them why...one said she didn't know what the RCNA had to offer her , 2 others said it was for a limited time and the rest just were not interested.... is this a sign of the times? or a societal problem... do our students get everything to easy...? or am I making a mountain out of a mole hill.... I don't think so. I think that this is apathy starting as a student....yes I know students have a lot of work...but so does everyone... or maybe it is that they really do not appreciate the benefits of belonging to a professional body... or is this the problem with nursing... how many doctors do you think would never consider belonging to their professional body? I wonder if they have this problem?
It begs the question, do nurses and student nurses really believe in the profession of 'nursing' and its professional body? what do you do to increase membership to professional bodies?