Decision making for midwifery practice

  • What are the factors influence midwifery practice?

    The environment. Maternal factors. Fetal / neonatal considerations. Plan of care. Staffing levels, skill mix and workload. Multidisciplinary team working and support..

  • What is clinical decision-making in the care of the woman in labour?

    Clinical decision-making for IOL is based on an obstetrician's perception of risk of adverse perinatal outcomes in the pregnancy, their care relationship with the woman, how they involved the woman in decision-making, and resource availability..

  • What is decision-making in midwifery?

    Midwives are expected to follow standard practice and to use their own judgement, but also to consider the needs, preferences, and values of women giving birth..

  • What is shared decision making in midwifery?

    In shared decision making, you and your doctor or midwife bring your perspectives to the discussion.
    Your doctor or midwife brings information and evidence about the benefits and disadvantages of different choices.
    You bring your values, goals, culture and circumstances..

  • Clinical decision-making for IOL is based on an obstetrician's perception of risk of adverse perinatal outcomes in the pregnancy, their care relationship with the woman, how they involved the woman in decision-making, and resource availability.
  • Critical thinking, positive role modelling, and leadership development are fundamental components of safe and effective midwifery practice in all contexts.
  • The midwifery model of care is based on the five key principles of continuity of care, informed choice, community-based, choice of birth setting and evidence-informed practice.
Oct 6, 2017Theoretically, evidence based decision-making rests on three pillars: clinical evidence, the expertise of the professional, and the values of 
Decision making in midwifery is a complex process that shapes and underpins clinical practice and determines, to a large extent, the quality of care.
Midwives as decision-makers They do this by using their knowledge and skills to choose between alternatives as they endeavour to make decisions in the best interests of women. The quality of decision-making directly affects the quality of care (Jefford, 2012).

Do midwives and obstetricians have different philosophies of care?

When midwives and obstetricians had different philosophies of care and different practice styles, their collaborative efforts were challenged.
Midwives’ clinical decision-making is a more varied and complex process than the EBM framework suggests.

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Do midwives work within one practice?

Midwives working within one practice aim for continuity of care for pregnant women.
However, individual midwives may differ from their colleagues in their clinical decision-making in particular situations.
Midwives’ response to within-practice variation is to make general agreements and/or to discuss individual cases.

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Does intuitive thinking influence midwifery decision making?

Using a case study of a decision made in clinical practice around amniotomy, this article explores the role of the intuitive thinking system in midwifery decision making, and highlights the importance of involving women in the decision making process.
MeSH terms .

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Sources of Knowledge

Midwives indicated that they initially gathered their professional knowledge, the ground for clinical decision-making, during their midwifery education.
They also pointed to their preceptors as important role models.
Midwives updated their basic competencies in different ways: by reading the national midwifery journal, by attending continuing educa.

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What is decision making in midwifery?

Abstract Decision making in midwifery is a complex process that shapes and underpins clinical practice and determines, to a large extent, the quality of care.
Effective decision making and professional accountability are central to clinical governance, and being able.to justify all decisions is a professional and legal requirement.


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