Perceptions of changing practice in the examination of the newborn, from holistic to opportunistic

This paper presents selective findings from a larger grounded theory study of midwifery and continuing professional development. A grounded theory approach was used to analyse data concerning what motivates midwives to undertake the examination of the newborn post-registration midwifery course and then to utilise their skills or not. Key issues identified in the study related to the midwives' views and perceptions. They found that practice is changing and they are moving away from the holistic perspective of examination of the newborn baby to opportunistic examinations. The midwives' perceptions are that there is a difference in the knowledge and training for midwives compared to paediatricians and although the National Screening Committee has set standards and competencies adhered to by Universities across the UK, from the data in this study midwives do not observe paediatricians using them in practice. The study findings suggest a change of culture and practice may be required by all practitioners who carry out the examination of the newborn