|
Title
|
|
|
|
Dutch midwives' views on and experiences with woman-centred care : a Q-methodology study
|
|
|
Author
|
|
|
|
|
|
|
Abstract
|
|
|
|
| Background Woman-centred care is a philosophy for midwifery care management of the childbearing woman. There is no mutually recognised internalised way in midwifery to provide woman-centred care. Objective To reveal midwives distinct perspectives about woman-centred care. Methods A Q-methodology study amongst 48 Dutch community-based midwives who rank-ordered 39 statements on woman-centred care, followed by semi-structured interviews to motivate their ranking. By-person factor analysis was used to derive latent views, representing midwives (factors) with similar attitudes towards woman-centred care. The qualitative data was used to aid interpretation of the factors. Results Four distinct factors emerged: (1) the humane midwife, containing two twinning factors: (1+) The philosophical midwife, who is the womans companion during childbearing in being an authentic individual human being; (1−) the human-rights midwife, who is the womans advocate for achieving autonomy and self-determination regarding care during the childbearing period. (2) The quality-of-care midwife, who regards good perinatal health outcomes, responsive care and positive maternal experiences as benchmarks for the quality of woman-centred care. (3) The job-crafting midwife, who focuses on self-organisation while seeking balance between the childbearing woman, herself as a professional and an individual and as a colleague. Conclusion/Implications Each factor represented specific perspectives feeding into woman-centred practice. Although the humane midwife seems to represent the dominant and preferable perspective of woman-centred care, awareness and exploration of and reflection on the thoughts patterns represented by the four different perspectives, should be considered in education and professional development of (student)midwives of be(com)ing a woman-centred midwife. |
|
|
|
Language
|
|
|
|
English
|
|
|
Source (journal)
|
|
|
|
Women and Birth
|
|
|
Publication
|
|
|
|
2019
|
|
|
ISSN
|
|
|
|
1871-5192
|
|
|
DOI
|
|
|
|
10.1016/J.WOMBI.2019.01.003
|
|
|
Volume/pages
|
|
|
|
32
:6
(2019)
, p. E567-E575
|
|
|
ISI
|
|
|
|
000497954700010
|
|
|
Pubmed ID
|
|
|
|
30685135
|
|
|
Full text (Publisher's DOI)
|
|
|
|
|
|
|
Full text (open access)
|
|
|
|
|
|
|
Full text (publisher's version - intranet only)
|
|
|
|
|
|