title: 'She knows how we feel': Australian Aboriginal and Torres Strait Islander childbearing women's experience of Continuity of Care with an Australian Aboriginal and Torres Strait Islander midwifery student.
abstract: BACKGROUND
  Marked differences exist between the maternal and neonatal outcomes of Australian Aboriginal and Torres Strait Islander women and their babies compared with the outcomes for other Australian women and their babies. Australian government policies underline the need to increase the number of practising Aboriginal and Torres Strait Islander midwives and nurses as a strategy for delivering culturally appropriate healthcare to improve health outcomes for Aboriginal and Torres Strait Islander families. Additional challenges are experienced by Aboriginal and/or Torres Strait Islander midwifery students providing Continuity of Care (COC) to Australian Aboriginal and/or Torres Strait Islander childbearing women. One such example is the challenge presented due to the close connections and relationships that exist within some Aboriginal and/or Torres Strait Islander cultures in terms of the maintenance of a professional relationship, in particular, the maintenance of professional boundaries. Whilst there is a growing body of evidence on the benefits to women of continuity of midwifery care models, little is known about the experiences of Aboriginal and Torres Strait Islander women who receive COC from Aboriginal and Torres Strait Islander midwifery students.
  
  
  OBJECTIVE
  To explore the experiences of Australian Aboriginal and Torres Strait Islander childbearing women who participated in a Continuity of Care journey with an Aboriginal and/or Torres Strait Islander Bachelor of Midwifery student.
  
  
  METHODS
  Exploratory, descriptive study using semi-structured interviews informed by an Indigenous Research Methodology.
  
  
  RESULTS
  Thematic analysis identified four major themes: (i) communicating our way, (ii) the role of relationships, (iii) support and assistance and (iv) challenges of the system. The findings illustrated the benefits Aboriginal women experience as a result of having Aboriginal and/or Torres Strait Islander midwifery students provide Continuity of Care.
  
  
  CONCLUSIONS
  Increasing the number of Australian Aboriginal and/or Torres Strait Islander midwives is essential to improving health outcomes for Australian Aboriginal and Torres Strait Islander childbearing women and their families. Caseload midwifery models with Aboriginal and Torres Strait Islander midwives across Australia are needed. Health services, in partnership with Universities and Aboriginal and Torres Strait Islander communities, have a vital role to play in the development and expansion of these models.
authors.affiliation: School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia; Maternity and Family Unit, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Queensland 4131, Australia. Electronic address: jenny.m.kelly@griffith.edu.au.
authors.forename: Jenny
authors.initials: J
authors.lastname: Kelly
authors.affiliation: School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia; Maternity and Family Unit, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Queensland 4131, Australia; Townsville Hospital and Health Service, 100 Angus Smith Drive, Douglas, Queensland 4814, Australia. Electronic address: r.west@griffith.edu.au.
authors.forename: Roianne
authors.initials: R
authors.lastname: West
authors.affiliation: School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia; Maternity and Family Unit, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Queensland 4131, Australia. Electronic address: j.gamble@griffith.edu.au.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gamble
authors.affiliation: School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia; Maternity and Family Unit, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Queensland 4131, Australia. Electronic address: m.sidebotham@griffith.edu.au.
authors.forename: Mary
authors.initials: M
authors.lastname: Sidebotham
authors.affiliation: Townsville Hospital and Health Service, 100 Angus Smith Drive, Douglas, Queensland 4814, Australia. Electronic address: vicki.carson@health.qld.gov.au.
authors.forename: Vicki
authors.initials: V
authors.lastname: Carson
authors.affiliation: School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia; Maternity and Family Unit, Centre for Health Practice Innovation (HPI), Griffith Health Institute, Griffith University, Queensland 4131, Australia.
authors.forename: Elaine
authors.initials: E
authors.lastname: Duffy
mesh_terms: D000328:Adult; D001315:Australia; D003266:Continuity of Patient Care; D003466:Cultural Characteristics; D054521:Cultural Competency; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000458:organization & administration / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D008427:Maternal Health Services; D009721:Nurse Midwives; D017060:Patient Satisfaction / Q000208:ethnology*; D011247:Pregnancy; D036301:Qualitative Research; D011787:Quality of Health Care; D012959:Socioeconomic Factors; D000078329:Workforce; D000095283:Australian Aboriginal and Torres Strait Islander Peoples
keywords: Aboriginal; Continuity of Care; Midwifery; Torres Strait Islander