>This might open up a debate - is true autonomy ever going to be possible
>within models where midwives are employed? I wonder what people out there
>think? Would Australian midwives embrace self employment if they could be
>guarranteed per capita government funding?
Hi Nicky and all
I agree that true autonomy is difficult within an employed midwife model if
midwives believe the hospital has the authority to dictate their practice.
But is true autonomy what midwives want???? There are many examples even in
New Zealand where midwives are funded to be self employed autonomous
midwives and still choose to work in shared care arrangments with general
practitioners whom they call in to 'catch the baby'. I cannot understand
why unless it is a transitional period where women are learning the value
of the autonomous midwife and will eventually stop asking for both her
midwife and doctor to be present...or whether midwives are finding their
own feet and will eventually believe they have the skills to work
autonomously and will stop asking for the doctor to be present.
What do midwives truly want and believe? Do midwives want autonomy of
practice? Do midwives believe they are capable of autonomous practice? What
is so valuable about autonomy? Legally, midwives in Australia already have
the ability to be autonomous practitioners. Where are you autonomous
midwives???
autonomy/interdependent/collaborative/independent
what does it all mean???
I'm enjoying the debate and ideas!!
Cheers Maralyn
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