Midwives' perceptions of influences on their behaviour of woman-centered care : a qualitative study
Background: Placing the woman at the centre of midwifery care is a key recommendation for optimising Dutch midwifery care, although not fully utilised. Methods: Semi-structured interviews with ten Dutch midwives. The interviews were analysed using the Attitude, Social influence & self-Efficacy (ASE) model. Results: The research identified the following themes: Woman-centered care manifested in providing information, assessing needs, taking time, articulating a vision about woman-centered care and adhering to a physiological approach of pregnancy and birth and to care standards. Woman-centered care was perceived as care that is adapted to womens needs but it was not regarded as infinite. Midwives overall intention and attitude about woman-centered care was positive, although midwives often could not fulfil these intentions as a result of perceived barriers. Midwives personal boundaries, womens unrealistic wishes and logistic factors, such as time were barriers to provide woman-centered care. Personal factors, such as midwives personal outlook on life, influenced woman-centered care. Woman-centeredness was also influenced by the womans expression of her individual wishes or by the woman-centered care norm of colleague midwives. Not all midwives perceived that they had the abilities to provide woman-centered care. Being familiar with ones population and with woman-centered care were perceived as helpful. Midwives associated vocational characteristics with woman-centered care. Discussion/Conclusion: Woman-centered care behaviour is determined by various factors, predominantly showing a paradox between behaviour and attitude and intention. Woman-centered care therefore needs a philosophical underpinning to provide guidance for midwives.
Source (journal)
Frontiers in womens health
1 :2 (2016) , p. 20-26
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Creation 05.11.2018
Last edited 12.10.2020