Publications by authors named "Georgia Clancy"
Objectives: The COVID-19 pandemic has led to increased use of digital clinical consultations (phone or video calls) within UK maternity services. This project aimed to review the evidence on digital clinical consultations in maternity systems to illuminate how, for whom and in what contexts, they can be used to support safe, personalised and equitable care.
Design: A realist synthesis, drawing on diverse sources of evidence (2010-present) from OECD countries, alongside insights from knowledge user groups (representing healthcare providers and service users).
Article Synopsis
- - The COVID pandemic led to a rise in digital clinical consultations in midwifery and nursing, prompting a review to determine their safe and acceptable use in maternity care settings
- - The study's aims included developing an initial theory by engaging various stakeholders such as midwives and service users, focusing on questions around these digital consultations
- - Results showed limited existing evidence on digital consultations; however, stakeholder input helped create 13 initial theories and a framework, highlighting the need for more research in this area.
Problem: Choice has been a key aspect of maternity care policy in England since 1993, however a gap remains between the birthplaces women want and where they actually give birth.
Background: The latest maternity care policy in England acknowledges that women are not being given 'real choice' in their care and often being told what to do. This is problematic since unfulfilled preferences have been linked to negative childbirth experiences.
Introduction: One of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally used along maternity care pathways remain unclear. It is imperative that digital service innovations do not further exacerbate (and, ideally, should tackle) existing inequalities in service access and clinical outcomes. Using a realist approach, this project aims to synthesise the evidence around implementation of digital clinical consultations, seeking to illuminate how they can work to support safe, personalised and appropriate maternity care and to clarify when they might be most appropriately used, for whom, when, and in what contexts?
Methods And Analysis: The review will be conducted in four iterative phases, with embedded stakeholder involvement: (1) refining the review focus and generating initial programme theories, (2) exploring and developing the programme theories in light of evidence, (3) testing/refining the programme theories and (4) constructing actionable recommendations.
Objective: To explore women's and maternity care providers' experiences of birth, and the roles of (bio)medical and experiential knowledge therein.
Research Design/setting: In-depth qualitative interviews were undertaken with pregnant women and new mothers (n = 14) as well as with a range of maternity care providers working for the National Health Service (n = 6) and privately (n = 7).
Findings: Trust emerged as a key concept in women's and maternity care providers' narratives.