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Sustainability and resilience in midwifery: a discussion paper.

Crowther, Susan; Hunter, Billie; McAra-Couper, Judith; Warren, Lucie; Gilkison, Andrea; Hunter, Marion; Fielder, Anna; Kirkham, Mavis


Susan Crowther

Billie Hunter

Judith McAra-Couper

Lucie Warren

Andrea Gilkison

Marion Hunter

Anna Fielder

Mavis Kirkham


Sustainability and resilience are concepts which have recently come into use in the midwifery workforce literature (Wakelin & Skinner, 2007; Sullivan, Lock & Homer, 2011, Yoshida & Sandall, 2013). These notions have appeared within the literature around sustainable organisations (Kossek et al., 2014). This discussion paper aims to explore their relevance and usefulness within midwifery. The intention of this paper is not to provide a concept analysis or a systematic review of the literature but provide a comparative analysis of two distinct studies conducted by the authors. A comparative analysis compares and contrasts studies and highlights commonalities and points of difference that were not clearly seen before (Rihoux and Ragin, 2009). This paper draws on primary research conducted by the authors who explored sustainability and resilience within midwifery practice in New Zealand and the United Kingdom respectively. Comparative analysis of 5 these notions and the themes which emerged from these studies, offers insights and consideration of their utility for investigating the wellbeing of the midwifery workforce. Our discussion encompasses both the sustainability and resilience of the individual, and the sustainability and resilience of midwifery practice as a whole. We will refer to these studies as the New Zealand (NZ) sustainability study and the United Kingdom (UK) resilience study.

Journal Article Type Article
Publication Date Jun 8, 2016
Journal Midwifery
Print ISSN 0266-6138
Electronic ISSN 1532-3099
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 40
Pages 40-48
Institution Citation CROWTHER, S., HUNTER, B., MCARA-COUPER, J., WARREN, L., GILKISON, A., HUNTER, M., FIELDER, A. and KIRKHAM, M. 2016. Sustainability and resilience in midwifery: a discussion paper. Midwifery [online], 40, pages 40-48. Available from:
Keywords Midwifery; Sustainability Resilience New Zealand; United Kingdom; Relationships; Models of care


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