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CONFERENCE PROCEEDING
Implementing evidence-based and compassionate midwifery practice in pursuit of midwifery-led models of care: A strategic process model applied in the Kurdistan Region of Iraq (KRI)
1
City St. George's University of London, Global Maternal Health, Duhok- Iraq, Germany
Eur J Midwifery 2026;10(Supplement 1):A180
ABSTRACT
PURPOSE:
KEY MESSAGE
BACKGROUND:
KEY MESSAGE
METHODS:
Partnering with the Directorate of Health and hospital leadership, a 15-month implementation pilot was conducted at a KRI, public maternity hospital. Nine strategic steps, including staff surveys, multi-modal on-shift trainings and an empathy exercise were carried out with 18 nurses and midwives, to reduce manual ‘cleaning’ rates and assess effects on staff job satisfaction as a recognized obstetric disrespect and abuse contributor.
RESULTS:
Uterine ‘cleaning‘ rates declined from 100% to 3-5% and staff job satisfaction increased throughout the project. Increase in compassionate care was observed immediately after the empathy exercise, but lacked sustained effect. Challenges included de-implementation resistance, unreliable data, ineffective communication structures, cross-cultural differences, and cultural norms concerning disrespect and abuse. The strategic process model was useful but requires supplementation with Audit and Feedback and VCAT tools to sustain long-term change.
KEY MESSAGE
BACKGROUND:
KEY MESSAGE
METHODS:
Partnering with the Directorate of Health and hospital leadership, a 15-month implementation pilot was conducted at a KRI, public maternity hospital. Nine strategic steps, including staff surveys, multi-modal on-shift trainings and an empathy exercise were carried out with 18 nurses and midwives, to reduce manual ‘cleaning’ rates and assess effects on staff job satisfaction as a recognized obstetric disrespect and abuse contributor.
RESULTS:
Uterine ‘cleaning‘ rates declined from 100% to 3-5% and staff job satisfaction increased throughout the project. Increase in compassionate care was observed immediately after the empathy exercise, but lacked sustained effect. Challenges included de-implementation resistance, unreliable data, ineffective communication structures, cross-cultural differences, and cultural norms concerning disrespect and abuse. The strategic process model was useful but requires supplementation with Audit and Feedback and VCAT tools to sustain long-term change.
ACKNOWLEDGEMENTS
Pursuing full-scope MMoC, a structured implementation model may facilitate the transition from existing to evidence-based, compassionate care.
Labour and birth - evidence
FUNDING
Conclusion
This model can facilitate implementation of evidence-based, compassionate practice in pursuit of the full MMoC scope. A thorough, pre-project field analysis, engaging local implementation partners, adding Audit and Feedback, and VCAT to the model may positively increase implementation success. Moreover, women’s experience should be included in further research.
| eISSN: | 2585-2906 |
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