1. The Midwifery Unit Network (MUNet): a community of practice
Lucia Rocca-Ihenacho, PhD, RM
Lecturer and NIHR Research Fellow, City University of London, UK

2. The team!

3. Aim of the MUNet
A community of people across Europe with an interest in supporting and promoting the development and growth of midwifery units (MUs), managed and staffed by midwives. 

4. Launch event 28th April 2016

6. Work streams of the MUNet EU group: ‘Stronger together’
NETWORKING
LEADERSHIP
TRAINING
CONSULTANCY
RESEARCH

8. Leadership Work in partnership with RCM, SCNs, CLAHRCs
Reference for service providers on issues related to midwifery units
Support the development of new Mus
Help service enhancement
Support to European partners

10. First MUNet European meeting London, April 2016

13. Training: MUNet Academy Enhancing safe, personalised care in midwifery led settings
Three workshops RCM accredited 1-Personalised care 2-Optimising birth outcomes in Midwifery-led settings 3-Skills and drills in Midwifery-led settings Maternity Safety Training Programme

14. Consultancy Support the development of new Mus
Enhancement of existing MUs
Active in England, Italy, Spain, Czech, Bulgaria

15. Research
NIHR & EU funding Knowledge Mobilisation Projects on barriers and facilitators for the implementation of MUs: England, Czech, Bulgaria, Spain, Italy

16. Dr Lucia Rocca-Ihenacho, PhD, RM
NIHR Knowledge Mobilisation Fellowship How can NICE recommendations on place of birth for women with uncomplicated pregnancies be implemented in practice?
Dr Lucia Rocca-Ihenacho, PhD, RM

17. Aims of the project
Develop , implement and evaluate a theoretically informed framework for implementing evidence based guidelines using birthplace as a case study.
Focus on implementation processes, including facilitators & barriers.
Increase midwifery-led settings birth towards a goal of 35% in 3 years

21. Modified PARIHS framework combined with COM-B Model SI = (E,C,I,F)
Facilitators
EVIDENCE
Research evidence to be implemented
Local evidence: clinical outcomes-audit/ routine data & service users’ experience, cost-effectiveness
Assessment
CONTEXT
Situational analysis
Culture & Leadership
Organisational characteristics
INDIVIDUAL
Assessment of targeted behaviours using
COM-B Model
Capability, Opportunity, Motivation Behaviour
FACILITATION
Enabling the implementation of The Pathway
Training activities: attitude, knowledge and skills
Embedding ownership
Organisational ‘buying in’
Barriers

22. Change is not a linear process!

23. Networking networking networking!
What next?
More research funding
Midwifery Units Standards
Midwifery Unit Academy
Networking networking networking!

24. (American College of Nurse Midwives)
Dr. Heidi Rinehart is an obstetrician-gynecologist who practices with midwives. She was interviewed by Amnesty International, a global organization that works to support human rights.
(American College of Nurse Midwives)

25. Grazie