{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:20:38Z","timestamp":1765959638639},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,12,20]],"date-time":"2011-12-20T00:00:00Z","timestamp":1324339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:sec><jats:label \/><jats:p><jats:sc>green j.m., spiby h., hucknall c. &amp; richardson foster h. (2012) <\/jats:sc>Converting policy into care: women\u2019s satisfaction with the early labour telephone component of the All Wales Clinical Pathway for Normal Labour. <jats:italic>Journal of Advanced Nursing<\/jats:italic><jats:bold>68<\/jats:bold>(10), 2218\u20132228.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aims.\u2002<\/jats:bold> This article is a report of a study of women\u2019s experiences of, and satisfaction with, telephone communications within the All Wales Clinical Pathway for Normal Labour (\u2018the Pathway\u2019).<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> The Pathway was introduced throughout Wales over 2003\u20132004. Its philosophy emphasizes the desirability of a woman remaining at home until labour is established with assessment by telephone, in contrast to the more common scenario where the phone call is a precursor to admission and face\u2010to\u2010face assessment.<\/jats:p><jats:p><jats:bold>Methods.\u2002<\/jats:bold> In 2005\u20132006, telephone interviews were carried out with 46 low\u2010risk first\u2010time mothers in Wales. This was a mixed\u2010methods study with iterative quantitative and qualitative analysis, focusing on differences in the accounts of women with different levels of satisfaction.<\/jats:p><jats:p><jats:bold>Findings.\u2002<\/jats:bold> Women were not well prepared for the Pathway; however, satisfaction was more strongly related to interpersonal interactions with midwives. Dissatisfied women reported unclear advice, unmet needs, unaddressed anxieties and negative midwife manner. \u2018Very satisfied\u2019 women were distinguished by feeling welcome to attend the maternity unit and by the perceived adequacy of the advice given.<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> This study provides new knowledge about telephone interactions between first\u2010time mothers and midwives around labour onset. This is important in a changing healthcare context in which face\u2010to\u2010face interactions are likely to become less routine. Being made to feel welcome to attend the maternity unit might appear counter to the Pathway philosophy, but appeared to reduce women\u2019s anxieties about \u2018being allowed in\u2019 or getting to hospital in time, and gave them confidence to remain at home longer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1365-2648.2011.05906.x","type":"journal-article","created":{"date-parts":[[2011,12,21]],"date-time":"2011-12-21T04:01:35Z","timestamp":1324440095000},"page":"2218-2228","source":"Crossref","is-referenced-by-count":27,"title":["Converting policy into care: women\u2019s satisfaction with the early labour telephone component of the All Wales Clinical Pathway for Normal Labour"],"prefix":"10.1111","volume":"68","author":[{"given":"Josephine M.","family":"Green","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Spiby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Hucknall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Richardson Foster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,12,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1995.22020316.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00098-4"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2008.11.005"},{"key":"e_1_2_11_5_1","first-page":"4","article-title":"The pathway to normal labour","volume":"7","author":"Ferguson P.","year":"2004","journal-title":"The Practising Midwife"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2003.00253.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2009.00361.x"},{"issue":"5","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"S160","DOI":"10.1016\/S0002-9378(02)70189-0","article-title":"Pain and women\u2019s satisfaction with the experience of childbirth: a systematic review","volume":"186","author":"Hodnett E.D.","year":"2002","journal-title":"American Journal of Obstetrics & Gynecology"},{"key":"e_1_2_11_9_1","unstructured":"HunterB.(2007)The All Wales Clinical Pathway for Normal Labour: What are the Experiences of Midwives Doctors Managers and Mothers?Final Project Report: Institute of Health Research Swansea University September 2007."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2009.12.014"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00410.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773806298507"},{"key":"e_1_2_11_13_1","volume-title":"Delivered with Care: A National Survey of Women\u2019s Experience of Maternity Care 2010","author":"Redshaw M.","year":"2010"},{"key":"e_1_2_11_14_1","first-page":"62","volume-title":"Benefits and Hazards of the New Obstetrics","author":"Riley E.M.D.","year":"1977"},{"issue":"4","key":"e_1_2_11_15_1","first-page":"337","article-title":"Early labor in Dutch midwifery care","volume":"36","author":"Rijnders M.E.B.","year":"2009","journal-title":"Birth"},{"key":"e_1_2_11_16_1","volume-title":"Labouring to Better Effect: Studies of Services for Women in Early Labour. 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