Giving midwives a voice - Qualitative perspectives of an 'empowering decision-making workshop'.

Journal of Clinical Nursing
Elaine JeffordBelinda Maier

Abstract

To establish midwives' perceptions of the value of workshops designed to empower their decision-making and leadership skills using validated midwifery clinical reasoning frameworks and appreciative inquiry methods. The medical lens of childbirth can disempower women and midwives. Midwives often face challenges navigating their role as autonomous practitioners and advocates for shared decision-making, particularly when there is tension between women's wishes, governance frameworks and organisational requirements. This can lead to 'Midwifery Abdication' and/or the midwifery voice being silenced. Appreciative inquiry, involving qualitative analysis of 31 midwives' personal reflections during 'Empowering Midwives' Decision-Making' workshops. Standards for reporting qualitative research (SRQR criteria) guided the preparation of this manuscript. Decision-making tools and 'appreciative' strategies can strengthen leadership attributes, enhance feelings of empowerment and deepen understanding. Reflecting on 'Midwifery Abdication' was perceived as confronting. Workshop activities offered understanding the reasons why 'Midwifery Abdication' may or may not occur. One overarching, key theme was identified: 'Finding my midwifery voice'. This...Continue Reading

References

Apr 13, 2011·Scandinavian Journal of Caring Sciences·Sigridur Halldorsdottir, Sigfridur Inga Karlsdottir
Dec 21, 2012·Women and Birth : Journal of the Australian College of Midwives·Kerreen Reiger, Karen Lane
Feb 19, 2013·Midwifery·Hannah Rice, Jane Warland
Sep 18, 2013·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Ingegerd HildingssonIngela Wiklund
Sep 9, 2015·Women and Birth : Journal of the Australian College of Midwives·Michelle GrayMargaret Barnes
Jun 15, 2016·International Journal of Nursing Studies·Sarah WatkinsCatriona Kennedy
Apr 1, 2017·Women and Birth : Journal of the Australian College of Midwives·Janice BassMary Sidebotham
Jul 13, 2019·Women and Birth : Journal of the Australian College of Midwives·Janice BassLinda Sweet
Oct 22, 2019·Journal of Clinical Nursing·Dianne BloxsomeDeborah Ireson

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