A global review of the inferred meaning of woman centred care within midwifery professional standards |
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| Affiliation: | 1. Faculty of Health Southern Cross University, Australia;2. Senior Executive Member Health, Medibank Private, Australia;3. De Montford University, England;4. Vanderbilt University, Nashville, Tennessee, USA;1. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens backe 1, 413 46 Gothenburg, Sweden;2. Foundation for Research in Health Systems, Bangalore, Karnataka, India;3. Indian Institute of Public Health Gandhinagar, Gujarat, India;4. Institution for Health and Welfare, Dalarna University, Falun, Sweden;1. Department of OBGYN, Boston University School of Medicine, 771 Albany Street, Dowling 4, Boston, MA 02118, United States;2. Rural Health Equity Postdoctoral Program, University of Minnesota Rural Health Research Center, Division of Health Policy and Management, University of Minnesota School of Public Health, 2221 University Ave. SE #350, Minneapolis, MN 55414-3078, United States;3. Helen Varney Professor of Midwifery, Yale School of Nursing, 400 West Campus Drive, Room 22302, West Haven, CT 06516, United States;4. UAB School of Nursing, University of Alabama at Birmingham, 1701 University Blvde, Birmingham, AL 35294, United States;1. Department of Women’s Health and Health professions Karolinska University Hospital, Stockholm, Sweden;2. Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institute, Stockholm, Sweden;3. Department of Health Sciences, Faculty of Medicine, Lund University, Sweden;4. Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden;1. School of Nursing and Midwifery, College of Health Medicine and Wellbeing, University of Newcastle, Australia;2. Molly Wardaguga Research Centre, Charles Darwin University, 410 Ann St Level 11, East Tower, Brisbane, QLD 4000, Australia;1. SoNM Griffith University, 68 University Drive, Meadowbrook, Queensland 4131, Australia;2. Transforming Maternity Care Collaborative, Australia;1. School of Nursing and Midwifery, Griffith University, Logan Campus, Australia;2. First Peoples Health Unit, Griffith University, Gold Coast, Australia |
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| Abstract: | BackgroundAs an integral and guiding approach, woman centred care is well-grounded as the cornerstone of midwifery training and practice. A previous global review established that the concept, even though acknowledged as pivotal, has limited attention within the professional standards documents that underpin the discipline [1]. Whilst not detracting from the overall importance of woman centred care, it is further suggested that a broader meaning is generally being implied.ObjectiveWhether other related inferences and meanings of the actual term ‘woman centred care’ are also being utilised, has not yet been established. Therefore, this review of professional documents sought to investigate the occurrence of further depictions of the concept.MethodsWith an implied and inferred meaning of ‘woman centred care’ as the focus, a review and synthesis of narrative from a global sample of midwifery professional standards was conducted. The principles of meta-ethnography were utilised to develop a qualitative approach. Rather than the actual words ‘woman centred care’ further phrases implying or inferring the concept were sought. ‘A priori’ phrases were developed and narrative and examples were synthesised for each.FindingsStandards and governance documents were located from within Australia, the United Kingdom and New Zealand and a further 139 nations. Overall, the seven phrases, each considered as an inference to woman centred care, were all substantiated. As a proportion of all documents, these were collated with the outcomes being a woman’s right to choice (89%), being culturally sensitive (80.5%), a woman’s voice and right to be heard (78%), the woman as an individual (68%), universal human rights (40%), being holistic (39%) and being self-determined (17.5%).ConclusionThe outcomes of this review demonstrate that woman centred care may be a multidimensional concept. There were occurrences of all seven phrases across a broad scope of global professional midwifery documents, and each can be shown through its meaning to contribute something to an understanding of woman centred care. The creation of a universal meaning is recommended. |
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| Keywords: | Woman centred care Midwifery Midwifery standards Midwifery education Choice Self-determination Universal human rights Woman’s voice Cultural sensitivity Holistic Individual |
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