Julie Fleet

Dr Julie Fleet

Senior Lecturer

School of Nursing and Midwifery

College of Health

Available For Media Comment.

Julie Fleet is a Senior Lecturer for the Bachelor of Midwifery at UniSA. She is an active member of the Australian College of Midwives, and the Rosemary Bryant AO Research Centre.  Julie is an experienced clinical researcher specialising in women's health and midwifery care. Her research and teaching interests include maternal and neonatal health, normal birth and breastfeeding, experiential learning and clinical education.

Year Citation
2025 Stoodley, C., McKellar, L., Fleet, J. A., Fereday, J., Steen, M., Ziaian, T., & Gwilt, I. (2025). Building Bonds: Pre and post evaluation of an education program for midwives to support the early mother-infant relationship. Nurse Education in Practice, 88(104513), 10 pages.
DOI
2024 Fleet, J. A., Adelson, P., McKellar, L., & Steen, M. (2024). Antenatal education incorporating complementary medicine techniques for labour and birth to reduce the rates of epidural in primiparous women: A randomised control trial. Midwifery, 139(104170), 8 pages.
DOI Scopus5 WoS5 Europe PMC3
2024 Foster, W., McKellar, L., Fleet, J. A., Creedy, D., & Sweet, L. (2024). The barometer of moral distress in midwifery: A pilot study. Women and Birth, 37(3), 8 pages.
DOI Scopus2 WoS1 Europe PMC1
2024 Whitworth, K., Donnellan-Fernandez, R., & Fleet, J. A. (2024). Digital transformation of antenatal education: A descriptive exploratory study of women's experiences of online antenatal education. Women and Birth, 37(1), 188-196.
DOI Scopus8 WoS7 Europe PMC4
2024 Whitworth, K., Donnellan-Fernandez, R., & Fleet, J. A. (2024). Women's experiences of online antenatal education: An integrative literature review. Journal of Advanced Nursing, 80(5), 1761-1775.
DOI Scopus11 WoS8 Europe PMC7
2024 McKellar, L., Fleet, J. A., & Adelson, P. (2024). ‘There is no other option’: Exploring health care providers' experiences implementing regional multisite midwifery model of care in South Australia. Australian Journal of Rural Health, 32(1), 67-79.
DOI Scopus3 WoS3 Europe PMC3
2023 Diaz, M. P., Brown, A. E., Fleet, J. A., & Steen, M. (2023). What women want: A reflexive thematic analysis of the healthcare experiences of women with female genital mutilation/cutting in South Australia. Women and Birth, 36(6), e652-e660.
DOI Scopus1 WoS1 Europe PMC1
2023 Foster, M. W., McKellar, L., Fleet, J. A., & Sweet, L. (2023). Moral distress in midwifery practice: A Delphi study. Women and Birth, 36(5), e544-e555.
DOI Scopus5 WoS1 Europe PMC1
2023 Diaz, M. M. P., Brown, A. E., Fleet, J. A., & Steen, M. (2023). Effectiveness of female genital mutilation/cutting education for health professionals: An integrative review. Nurse Education in Practice, 69(article no. 103621), 13 pages.
DOI Scopus3 WoS3 Europe PMC1
2023 Eden, A., Cominos, N., & Fleet, J. A. (2023). Agency in change: Learning experiences of international midwifery students in South Australia. Women and Birth, 36(2), 143-150.
DOI Scopus2 WoS2
2023 McKellar, L., Graham, K., Sheehan, A., Fleet, J. A., Sidebotham, M., & Sweet, L. (2023). Examining the transformation of midwifery education in Australia to inform future directions: An integrative review. Women and Birth, 36(2), 155-166.
DOI Scopus15 WoS14 Europe PMC10
2023 Adelson, P., Fleet, J. A., & McKellar, L. (2023). Evaluation of a regional midwifery caseload model of care integrated across five birthing sites in South Australia: Women's experiences and birth outcomes. Women and Birth, 36(1), 80-88.
DOI Scopus7 WoS8 Europe PMC4
2022 Foster, W., McKellar, L., Fleet, J. A., & Sweet, L. (2022). Exploring moral distress in Australian midwifery practice. Women and Birth, 35(4), 349-359.
DOI Scopus20 WoS19 Europe PMC18
2022 Foster, W., McKellar, L., Fleet, J., & Sweet, L. (2022). Moral distress in midwifery practice: A concept analysis. Nursing Ethics, 29(2), 364-383.
DOI Scopus20 WoS18 Europe PMC9
2021 McKellar, L., Newnham, E., Fleet, J. A., & Adelson, P. (2021). Midwifery-led care in South Australia: Looking back to move forward. Women and Birth, 34(5), e537-e545.
DOI Scopus4 WoS4 Europe PMC3
2021 Adelson, P., Yates, R., Fleet, J. A., & McKellar, L. (2021). Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia. BMC Health Services Research, 21(1), 6 pages.
DOI Scopus19 WoS17 Europe PMC12
2021 Adelson, P., Fleet, J. A., McKellar, L., & Eckert, M. (2021). Two decades of Birth Centre and midwifery-led care in South Australia, 1998–2016. Women and Birth, 34(1), e84-e91.
DOI Scopus1 WoS1
2021 Fleet, J., Sok, C., Randall, E. R., & Cyna, A. M. (2021). Subcutaneous fentanyl for labour analgesia: a retrospective case note review. International Journal of Obstetric Anesthesia, 45, 138-141.
DOI
2021 Eden, A., Fleet, J. A., & Cominos, N. (2021). The learning experiences of international students in nursing and midwifery programs: a literature review. Nurse Education in Practice, 52(103027), 1-8.
DOI Scopus22 WoS19 Europe PMC13
2021 Diaz, M. P., Steen, M., Brown, A., Fleet, J. A., & Williams, J. (2021). Female genital mutilation/cutting education for midwives and nurses as informed by women's experiences: protocol for an exploratory sequential mixed methods study. JMIR Research Protocols, 10(10, article no. e32911), 1-12.
DOI Scopus6 WoS4 Europe PMC4
2021 Othman, S. M. E., Fleet, J. A., Steen, M., & Jayasekara, R. (2021). Midwives' views and experiences of providing healthy eating advice to pregnant women: A qualitative content analysis of semi-structured interviews. Frontiers of Nursing, 7(4), 345-358.
DOI Scopus3
2021 Othman, S. M. E., Steen, M., & Fleet, J. A. (2021). A sequential explanatory mixed methods study design: an example of how to integrate data in a midwifery research project. Journal of Nursing Education and Practice, 11(2), 75-89.
DOI
2020 Cutajar, L., Steen, M., Fleet, J. A., & Cyna, A. M. (2020). Language used during antenatal education for labour and birth: a literature review. MIDIRS Midwifery Digest, 30(3), 307-318.
2020 Othman, S. M. E., Steen, M., Fleet, J. A., & Jayasekara, R. (2020). Healthy eating in pregnancy, education for midwives: A pre-post intervention study. European Journal of Midwifery, 4(May), 11 pages.
DOI Scopus11 WoS9 Europe PMC9
2020 Cutajar, L., Miu, M., Fleet, J. -A., Cyna, A., & Steen, M. (2020). Antenatal education for childbirth: Labour and birth. European Journal of Midwifery, 4(April), 1-9.
DOI Scopus18 WoS12 Europe PMC10
2020 Cutajar, L., Steen, M., Fleet, J. A., & Cyna, A. M. (2020). Language used during antenatal education for labour and birth: A literature review. Evidence Based Midwifery, 18(3), 27-38.
Scopus1
2020 Kennedy, K., Adelson, P., Fleet, J., Steen, M., McKellar, L., Eckert, M., & Peters, M. D. J. (2020). Shared decision aids in pregnancy care: A scoping review. Midwifery, 81(102589), 102589.
DOI Scopus30 WoS31 Europe PMC22
2020 Fleet, J. A., Belan, I., Gordon, A. L., & Cyna, A. M. (2020). Fentanyl concentration in maternal and umbilical cord plasma following intranasal or subcutaneous administration in labour. International Journal of Obstetric Anesthesia, 42, 34-38.
DOI Scopus8 WoS7 Europe PMC5
2020 Levett, K. M., Lord, S. J., Dahlen, H. G., Smith, C. A., Girosi, F., Downe, S., . . . Askie, L. (2020). The AEDUCATE Collaboration. Comprehensive antenatal education birth preparation programmes to reduce the rates of caesarean section in nulliparous women. Protocol for an individual participant data prospective meta-analysis. BMJ Open, 10(9), 11 pages.
DOI Scopus10 WoS7 Europe PMC5
2020 Stoodley, C., McKellar, L., Steen, M., & Fleet, J. (2020). Simulation in midwifery education: A descriptive explorative study exploring students’ knowledge, confidence and skills in the care of the preterm neonate. Nurse Education in Practice, 42(article no. 102635), 7 pages.
DOI Scopus14 WoS10 Europe PMC7
2020 Sweet, L., Fleet, J., Bull, A., Downer, T., Fox, D., Bowman, R., . . . Henderson, A. (2020). Development and validation of the Australian Midwifery Standards Assessment Tool (AMSAT) to the Australian Midwife Standards for Practice 2018. Women and Birth, 33(2), 135-144.
DOI Scopus14 WoS11 Europe PMC8
2019 Clohessy, N., McKellar, L., & Fleet, J. (2019). Bounce back- bounce forward: Midwifery students experience of resilience. Nurse Education in Practice, 37, 22-28.
DOI Scopus22 WoS13 Europe PMC11
2019 Gibson, K., Al Naji, A., Fleet, J., Steen, M., Esterman, A., Chahl, J., . . . Morris, S. (2019). Non-contact heart and respiratory rate monitoring of preterm infants based on a computer vision system: a method comparison study. Pediatric research, 86(6), 738-741.
DOI Scopus37 WoS32 Europe PMC22
2019 Gibson, K., Al-Naji, A., Fleet, J. A., Steen, M., Chahl, J., Huynh, J., & Morris, S. (2019). Noncontact heart and respiratory rate monitoring of preterm infants based on a computer vision system: Protocol for a method comparison study. Jmir Research Protocols, 8(8), 8 pages.
DOI Scopus2 WoS2 Europe PMC2
2019 Clohessy, N., McKellar, L., & Fleet, J. (2019). Understanding resilience in the context of midwifery: A concept analysis. Evidence Based Midwifery, 17(1), 10-18.
Scopus6
2018 Othman, S., Jayasekara, R., Steen, M., & Fleet, J. (2018). An exploration of the methodology used in a study to examine the effectiveness of education and training in providing nutritional advice to pregnant women: Systematic review protocol. Evidence Based Midwifery, 16(2), 50-54.
Scopus2
2018 Othman, S., Jayasekara, R., Steen, M., & Fleet, J. (2018). A systematic review for exploring the effectiveness of healthy eating education programmes for improving midwives’ levels of knowledge and confidence in promoting healthy eating in pregnant women. Evidence Based Midwifery, 16(3), 84-93.
Scopus8
2018 Othman, S. M. E., Steen, M. P., Jayasekara, R., & Fleet, J. A. (2018). A healthy eating education program for midwives to investigate and explore their knowledge, understanding, and confidence to support pregnant women to eat healthily: Protocol for a mixed-methods study. Jmir Research Protocols, 20(5), 10 pages.
DOI Scopus3 WoS2 Europe PMC3
2018 Fleet, J., Belan, I., Jones, M., & Cyna, A. (2018). Intrapartum fentanyl use and drug transfer to the fetus: an impact study. WOMEN AND BIRTH, 31, S50.
DOI
2018 McKellar, L., Fleet, J., Vernon, R., Graham, M. K., & Cooper, M. (2018). Comparison of three clinical facilitation models for midwifery students undertaking clinical placement in south Australia. Nurse Education in Practice, 32, 64-71.
DOI Scopus16 WoS15 Europe PMC11
2018 McKellar, L., Fleet, J., & Dove, S. (2018). It's more than just luck: A qualitative exploration of breastfeeding in rural Australia. Women and Birth, 31(3), 177-183.
DOI Scopus7 WoS6 Europe PMC5
2017 Fleet, J. A., Jones, M., & Belan, I. (2017). The influence of intrapartum opioid use on breastfeeding experience at 6 weeks post partum: a secondary analysis. Midwifery, 50, 106-109.
DOI Scopus16 WoS14 Europe PMC14
2017 Fleet, J. A., Jones, M., & Belan, I. (2017). Taking the alternative route: women's experience of intranasal fentanyl, subcutaneous fentanyl or intramuscular pethidine for labour analgesia. Midwifery, 53, 15-19.
DOI Scopus11 WoS9 Europe PMC10
2015 Fleet, J., Belan, I., Jones, M., Ullah, S., & Cyna, A. (2015). A comparison of fentanyl with pethidine for pain relief during childbirth: a randomised controlled trial. BJOG, 122(7), 983-992.
DOI Scopus38 WoS31 Europe PMC26
2014 Fleet, J., Jones, M., & Belan, I. (2014). Subcutaneous administration of fentanyl in childbirth: an observational study on the clinical effectiveness of fentanyl for mother and neonate. Midwifery, 30(1), 36-42.
DOI Scopus13 WoS12 Europe PMC12
2011 Fleet, J., Jones, M., & Belan, I. (2011). Non-axial administration of fentanyl in childbirth: a review of the efficacy and safety of fentanyl for mother and neonate. Midwifery, 27(1), e106-e113.
DOI Scopus6 WoS7 Europe PMC5

Year Citation
2024 Foster, W., McKellar, L., Sweet, L., & Fleet, J. A. (2024). Introducing the Barometer of Moral Distress in Midwifery to determine levels of moral distress in Australian midwives. In WOMEN AND BIRTH Vol. 37 (pp. 14-15). ELSEVIER.
DOI
2024 McKellar, L., Fleet, J. -A., & Adelson, P. (2024). Midwives' evaluation of working in a rural midwifery model of care: Satisfying and sustainable. In WOMEN AND BIRTH Vol. 37 (pp. 24). ELSEVIER.
DOI
2024 Foster, W., McKellar, L., Sweet, L., & Fleet, J. -A. (2024). Exploring moral distress with Australian midwives. In WOMEN AND BIRTH Vol. 37 (pp. 45-46). ELSEVIER.
DOI
2023 Mckellar, L., Graham, K., Sheehan, A., Fleet, J. -A., Sidebotham, M., & Sweet, L. (2023). Examining the transformation of midwifery education in Australia to inform future directions: an integrative literature review. In WOMEN AND BIRTH Vol. 36 (pp. S1-S2). ELSEVIER.
DOI
2023 Fleet, J. -A., Adelson, P., Mckellar, L., & Steen, M. (2023). Antenatal education incorporating complementary medicine techniques to reduce birth interventions: A randomised control trial. In WOMEN AND BIRTH Vol. 36 (pp. S16). ELSEVIER.
DOI
2023 Adelson, P., Fleet, J. -A., & Mckellar, L. (2023). Committing to the Change: Rolling out Midwifery Group Practice in Regional South Australia. In WOMEN AND BIRTH Vol. 36 (pp. S3). ELSEVIER.
DOI
2023 Diaz, M., Fleet, J. -A., Brown, A., & Steen, M. (2023). What women want: A reflexive thematic analysis of how women with female genital mutilation/cutting experience health services in South Australia. In WOMEN AND BIRTH Vol. 36 (pp. S31). ELSEVIER.
DOI
2019 Sweet, L., Fox, D., Downer, T., Henderson, A., Fleet, J., Johns, K., . . . Bazargan, M. (2019). Sharing experiences: Using AMSAT to assess midwifery student performance. In WOMEN AND BIRTH Vol. 32 (pp. S42). ELSEVIER.
DOI
2019 Sweet, L., Henderson, A., Fleet, J., Graham, K., Fox, D., Bowman, R., . . . Bazargan, M. (2019). Australian midwifery standards assessment tool: Revalidation to the midwife standards for practice 2018. In WOMEN AND BIRTH Vol. 32 (pp. S18). ELSEVIER.
DOI
2018 Adelson, P., McKellar, L., Fleet, J., & Eckert, M. (2018). Twenty years of midwifery-led care in South Australia: looking back to move us forward. In WOMEN AND BIRTH Vol. 31 (pp. S24). ELSEVIER SCIENCE BV.
DOI
2017 Kempster, C., McKellar, L., Steen, M., & Fleet, J. (2017). Simulation in midwifery education: A descriptive explorative study exploring students' knowledge, confidence and skills in the care of the preterm neonate. In WOMEN AND BIRTH Vol. 30 (pp. 13). ELSEVIER SCIENCE BV.
DOI WoS1
2017 Fleet, J., Belan, I., Jones, M., & Cyna, A. (2017). Implementing the evidence: Intranasal and subcutaneous fentanyl for labour analgesia. In WOMEN AND BIRTH Vol. 30 (pp. 7). ELSEVIER SCIENCE BV.
DOI
2015 McKellar, L., Dove, S., Mayfield, R., & Fleet, J. (2015). Improving breastfeeding initiation and duration in the mid north of South Australia. In WOMEN AND BIRTH Vol. 28 (pp. S22-S23). ELSEVIER SCIENCE BV.
DOI
2013 Fleet, J. (2013). Obstetric analgesia: A comparison of intranasally or subcutaneously administered fentanyl with intramuscularly administered pethidine during childbirth. In WOMEN AND BIRTH Vol. 26 (pp. S6). ELSEVIER SCIENCE BV.
DOI

Year Citation
2021 Diaz, M. P., Steen, M., Brown, A., Fleet, J. -A., & Williams, J. (2021). Female Genital Mutilation/Cutting Education for Midwives and Nurses as Informed by Women’s Experiences: Protocol for an Exploratory Sequential Mixed Methods Study (Preprint).
DOI

Courses I teach

  • NURS 1074 Evidence Based Midwifery (2025)

Programs I'm associated with

  • IBMW - Bachelor of Midwifery

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