Ep 106 Olivia Tierney on regional practice, COCE learning, and national policy

Ep 106  (http://ibit.ly/Re5V) Olivia Tierney on regional practice, COCE learning, and national policy

#PhDMidwives #research #midwifery #regionalmidwifery #COCE #policy #governance

research link t.ly/qze7R

A nursing student drawn to babies and family care doesn’t always end up writing policy, but that’s exactly where Olivia Tierney’s path led. We sit down with the Senior Midwifery Advisor at the Commonwealth Chief Nursing and Midwifery Office to map a career that spans MGP caseloads, tertiary units, regional hospitals under flood and fire, and the long arc of a PhD that changed how she sees student learning and continuity of care.

Olivia takes us inside the contrasts that shaped her practice: the intimacy of continuity models versus the shock of high-acuity tertiary care, the autonomy and breadth of regional shifts, and the logistics of transfers when roads close and distance is daily reality. She explains why continuity of care experience (COCE) lights a spark in students, how following women through pregnancy, birth and postnatal periods turns theory into grounded judgement, reflection, and confidence. Her research journey is frank and relatable: withdrawing, restarting, choosing supervisors who fit, sitting with uncertainty until the work clicks, and then using that evidence to improve how students learn across varied placements.

We also explore what it means to lead from policy. Olivia argues for midwives at every decision table, translating lived practice into better guidelines, workforce planning and equitable access, especially for regional and remote communities. She shares how endorsed midwife pathways, prescribing shifts and smarter placement design can reduce attrition and keep midwives in roles that match their philosophy and scope. Through it all, she keeps a link to research, ensuring national decisions are tested against evidence and the realities of care.

If you care about continuity, education that actually works, and policies that respect both women and the profession, you’ll find both clarity and courage here. Subscribe, share with a colleague who mentors students, and leave a review with one change you want to see in maternity care—what would keep more midwives thriving?

Chapters

• 0:00 Meet Olivia And Early Career
• 4:56 First Placements And MGP Discovery
• 10:06 Tertiary Shock And Early Births
• 15:46 Regional Life And Disasters
• 21:11 Advantages And Limits Of Regional Practice
• 27:06 Transfers, Service Levels, And Deserts
• 32:36 Stepping Into Education
• 37:26 Choosing And Restarting A PhD
• 44:26 COCE Focus And Student Equity
• 50:56 Shifting Mindsets In Midwifery Training
• 57:06 What Sustains Students And Graduates