Aspects of midwifery care 2: 'enhanced role' and social aspects

This is the second in a series of six papers presenting key findings from a national study that was undertaken to investigate the role and responsibilities of midwives and to identify and address continuing educational need. The background to the study and the titles of other papers in the series were outlined in the first paper. This paper focuses on two key aspects of the midwife’s role: ‘enhanced role’ activities and social and emotional care. The implications of the findings for practice and education are discussed.

Globalising knowledge

The technology enablers of Friedman’s Flat World have made enormous differences to knowledge creation and sharing. The disaggregation of supply chains has been followed by the partial disaggregation of knowledge supply chains as some knowledge producers set up innovation centres in various locations around the world. But there is considerable evidence that instead of a flat world distribution of knowledge production there are hubs of innovation and knowledge creation developing in a relatively limited number of locations around the world. This paper discusses this clustering effect and looks at some of the possible explanations. In particular it looks at the human and social aspects of knowledge creation and sharing that resist distance and are starting to be taken into account in the design of technological approaches to knowledge management.