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Using Evidence in Midwifery Practice - Literature Search

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This assignment is an assignment about using evidence in midwifery practice. In this assignment I have conducted a short literature search which is to understand why experiences of maternity services in England vary with ethnicity. This is a 2100 word assignment including references. Harvard refer...

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  • January 6, 2024
  • 12
  • 2021/2022
  • Essay
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Coursework cover sheet


Module Code MW1004

Module Name Using Evidence in Word Count (actual 2199
Midwifery Practice number of words in
main body of text)

Assessment Title Essay: Finding Evidence

Year / Intake Year 1- September 2020




Nature of submission Please tick
YES
First submission

Resubmission

Yellow sticker for a Student who has been diagnosed as having a Specific
Learning Difficulty. Please make sympathetic allowances for spelling and written
expression when marking this assessment.




*If you submit your work electronically you will receive email confirmation of submission

, Coursework Declaration Sheet

This declaration sheet will be retained in the office in case of queries. It confirms that you have read and
complied with the guidelines on plagiarism. For hard copy, attach this declaration sheet with your name on it, to
your coursework. (Administration staff will remove the declaration sheet before passing coursework to the
marker concerned AND after marking and moderation it will be placed back in the work so your work can be
identified for collection at the student help desk). For electronic submission, attach this form. There is no need to
sign it as submission of this form under your own name will be accepted in lieu of a signature.

Programme/Year Year 1 Module Code MW1004

Assessment Title Essay: Finding Evidence

Date of submission Deadline 01/04/21




Word count declaration

I certify that the word count declared is correct.




Plagiarism declaration

I certify that the coursework that I have submitted is my own unaided work and that I have read and
complied with the guidelines on plagiarism as set out in the student programme handbook. I understand
that the University may make use of plagiarism detection software (Turnitin) and that my work may
therefore be stored on a database which is accessible to other users of the same software.

Students should be aware that, where plagiarism is suspected, a formal investigation will be
carried out, and action may be taken under the University’s rules on Academic Misconduct. This
might result in sanctions ranging from mark deduction to withdrawal from the University.




*If you submit your work electronically, there is no need to sign the form. Submission of this form under your own
name will be accepted in lieu of a signature.

, Feedback and Result Form

Feedback is provided in relation to the assessment criteria (box on left) that were given to you with
the assessment specification.

The ‘comment’ box on the right identifies what you have done satisfactorily or well, what you need
to do to improve this mark and, where possible, how you should go about this. You may also
receive feedback through other mechanisms e.g. verbally or as a group.




Module name and code MW1004 Using Evidence in Midwifery Practice

Assessment Title Essay: Finding Evidence Date



Assessment Criteria Proportion Comment
of
Proportion of marks
mark
awarded
(optional)
Produce work which is 5%
logically structured, clearly
presented and uses
appropriate academic
language.

Ensure work is supported 5%
by relevant literature and
correct use of Harvard
referencing system.

Demonstrate clear 40%
understanding of
techniques for searching
literature.

Summarise and describe 30%
research findings.

Reflect on your own 20%
learning and development.

, Overall comment (referring also to the grade related criteria):




MARK

SANCTIONS (see page 5 for details) Sanction Awarded

Late submission per day for 4 days (-5 marks)

Exceeding the word limit will incur the following sanctions:
0-10% over word limit – no sanction
11-20% - minus 5 marks
21-40% - minus 10 marks
41-60% - minus 20 marks
Over 60% - to be resubmitted
Word count inaccurate or not disclosed (- 5 marks)

Failure to submit cover and/or coursework declaration sheet (-5 marks each)

Breach of confidentiality /Dangerous practice (0%)

FINAL MARK


Marker’s Name ……………………………………………………………………………………….


Marker’s Signature ……………………………………………………………………......................


Date …………………………..........................................................................................................

,Please copy and paste your submission on the next page.

, MW1004: A literature search to understand why experiences of maternity services in England vary
with ethnicity.

In the UK, one in every four births is to a foreign-born woman. The rate was 28.2% in 2016, the highest on
record, with maternal and perinatal mortality rates disproportionately higher for certain immigrant women
(Higginbottom et al., 2019). Previous research has found that these women have worse birth outcomes and
maternity care experience than White women, as well as encountering stereotyping and prejudice
(Henderson, Gao and Redshaw, 2013). According to a scoping study of how Black, Asian and minority
ethnic (BAME) pregnant women are at a higher risk of adverse birth outcomes in the UK, they are more
likely to have a pre-term birth, stillbirth, neonatal death, or a baby with a low birth weight (Garcia, Ali,
Papadopoulos and Randhawa, 2015). This strongly indicates the need for significant adjustments to current
maternity facilities to ensure that culturally competent facilities are offered to address the varied demands of
the UK's advanced population profiles (Garcia, Ali, Papadopoulos and Randhawa, 2015).

I have chosen this area of research because working with BAME patients during clinical placement has
allowed me to understand why ethnic patients have different experiences when accessing services
compared to others. I am interested in learning more about what women’s expectations are and how
different care can influence the outcome of the pregnancy. I have worked with many patients who due to
language barriers, are unable to understand what their midwives are talking about, specifically the South
Asian community. Knowing multiple languages has been quite advantageous as I was able to translate to
the patients when needed which eliminated communication barriers and improved experiences for patients.
Although there is a language line, I have noticed that some midwives do not use it when it is required which
is a cause for concern as this can lead to patients not understanding information regarding antenatal and
postnatal care and may end up consenting to things without understanding what they consented to. A
variety of factors can play a role in the vulnerability associated with ethnicity such as being born in a foreign
country, recent migration, difficulties with English, a higher chance of living in a deprived area with restricted
access to health and welfare services, and disparities in expectations which can affect one’s confidence
and ability to engage with the healthcare system (Jomeen and Redshaw, 2012). I would like to learn more
about what has been done and what plans there are to reduce the inequality gap when accessing maternity
services.

This essay will include techniques for conducting a literature search using different online platforms. An
academic literature search was carried out using EBSCOhost and OVID online. This was critical since
different sites involve a plethora of different databases, each of which produced different outcomes when I
entered my search terms. I chose these databases because they both offered an extensive collection of
high-quality medical, science, and scholarly databases. A variety of databases within these platforms were
selected including the Cochrane Central Register of Controlled Trials, Allied and Complementary Medicine
(AMED), Health Technology Assessment, NHS Economic Evaluation Database, Maternity and Infant Care
Database, OVID MEDLINE, OVID Nursing Database and HMIC Health Management Information
Consortium. Although I initially planned on using The Cochrane Database of Systematic Reviews too, I later
realised that although systematic reviews and meta-analysis are considered the best evidence for obtaining
a conclusive answer to a research question, there are some drawbacks associated with it such as research

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