Factors Influencing Midwifery Clinical Decision-making

Betty Kambeja Sakala

doi:10.21467/ias.7.1.28-32

Authors

Betty Kambeja Sakala University of Malawi, Kamuzu College of Nursing, Malawi, Africa

DOI:

https://doi.org/10.21467/ias.7.1.28-32

Abstract

Clinical decision-making is an important element in midwifery practice. Midwives are required to have a sound knowledge to manage complications during childbirth. Any misjudgement by a midwife may lead to adverse birth outcomes. The aim of this paper is to review factors that contribute to clinical decision-making of midwives. This was achieved by reviewing published research articles. Studies have shown that shortage of human and material resources, poor skill mix, absence of mentors and lack of autonomy are some of the contributing factors that may affect midwives’ decision-making.

Keywords:

Adverse birth outcomes, childbirth, clinical decision-making, mentors, midwifery, midwives

Downloads

Download data is not yet available.

References

J. Patterson, J. Skinner and M. Foureur,” Midwives׳ decision making about transfers for ‘slow’labour in rural New Zealand”, Midwifery, vol.31, no.6, pp. 606-612, Feb, 2015.

E. Jefford, K. Fahy and D.Sundin, “A review of the literature: midwifery decision-making and birth”, Women and Birth, vol.23, no.4, pp.127-134, Feb, 2010.

J. Tiffen, S.J.Corbridge and L. Slimmer, “Enhancing clinical decision making: development of a contiguous definition and conceptual framework”, Journal of Professional Nursing, vol. 30, no.5, pp.399-405. Sep/Oct, 2014.

M. Carolan, “The good midwife: commencing students’ views”, Midwifery, vol. 27, no.4, pp.503-508, Mar, 2011.

F. Jahanpour, F. Sharif, M, Salsali, M.H. Kaveh and L.M. Williams, “Clinical decision‐making in senior nursing students in Iran”, International journal of nursing practice, vol.16, no.6, pp.595-602, Jun, 2010.

N.Young, “An exploration of clinical decision-making among students and newly qualified midwives”, Midwifery, vol. 28, no.6, pp.824-830, Dec, 2012.

H. M. Johnsen, Å.Slettebø and M. Fossum, “Registered nurses' clinical reasoning in home healthcare clinical practice: A think-aloud study with protocol analysis”, Nurse education today, vol. 40, pp.95-100, May, 2016.

E. O’Donnell, B.Utz, D. Khonje and N. Van Den Broek, “At the right time, in the right way, with the right resources: perceptions of the quality of care provided during childbirth in Malawi”, BMC pregnancy and childbirth, vol14, no.1, pp.248, Jul, 2014.

S. Bradley, F. Kamwendo, E. Chipeta, W. Chimwaza, H. de Pinho and E. McAuliffe, “Too few staff, too many patients: a qualitative study of the impact on obstetric care providers and on quality of care in Malawi”, BMC pregnancy and childbirth, vol.15, no.1, pp.65, Mar, 2015.

T.A.Nippita, M. Porter, S.K. Seeho, J.M. Morris, and C.L. Roberts, “Variation in clinical decision-making for induction of labour: a qualitative study”, BMC pregnancy and childbirth, vol.17, no.1, pp.317, Sept, 2017.

A.Högeryd, M. Susanne, I. Berndtsson and E. Dahlborg Lyckhage, “Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet” International journal of Nursing and Midwifery, vol. 6, no.2, pp.16-23, Apr, 2014.

S. Porter, K. Crozier, M. Sinclair and W.G. Kernohan, “New midwifery? A qualitative analysis of midwives’ decision‐making strategies”, Journal of Advanced Nursing, vol. 60, no.5, pp.525-534, Aug, 2007.

D. A. Noseworthy, S.R. Phibbs and C.A. Benn, “Towards a relational model of decision-making in midwifery care”, Midwifery, vol. 29, no.7, pp. e42-e48,.Jun, .2013.

M. Maharmeh, J. Alasad, I. Salami, Z. Saleh and M. Darawad, “Clinical Decision-Making among Critical Care Nurses: A Qualitative Study”, Health, vol. 8, no.15, pp.1807, Dec, 2016.

T. Seright, “Clinical decision-making of rural novice nurses”, Rural and Remote Health, vol.11, no.3, pp.1726, Jul, 2011.

E. Jefford and K. Fahy, “'Midwives ׳ clinical reasoning during second stage labour:report on an interpretive study”, Midwifery, vol. 21, no.5, pp.519-525, Jan, 2015.

T. Muoni, “Decision-making, intuition, and the midwife: understanding Heuristics”, British Journal of Midwifery, vol.20, no.1, pp.52-56. Jan. 2012.

A. Brunstad, T. Giske and E. Hjälmhult, “How midwifery students experience learning conditions in labor wards”, Journal of Nursing Education and Practice, vol. 6, no. 4, pp.136, Apr, 2014.

A. L. Francke, M.C. Smit, A.J. de Veer and P. Mistiaen, “Factors influencing the implementation of clinical guidelines for health care professionals: a systematic meta-review” BMC medical informatics and decision making, vol. 8, no.1, pp.38, Sept, 2008

J. Rycroft‐Malone, M. Fontenla, K. Seers, and D. Bick, “Protocol‐based care: the standardisation of decision‐making”, Journal of Clinical Nursing, vol.18, no.10, pp.1490-1500, Apr, 2009.

S. Walker, S. Brett, A. McKay, S. Lambden, C. Vincent and N. Sevdalis, “Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): development and validation”, Resuscitation, vol. 82, no.7, pp.835-844, Mar, 2011.

P. Patrawalla, L.A. Eisen, A.Shiloh, B.J. Shah, O. Savenkov, W. Wise ... and D. Szyld, “ Development and validation of an assessment tool for competency in critical care ultrasound”, Journal of graduate medical education, vol.7, no.4, pp.567-573, Dec, 2015.

E. Jefford, J. Jomeen and C.R. Martin, “Determining the psychometric properties of the Enhancing Decision-making Assessment in Midwifery (EDAM) measure in a cross cultural context”, BMC Pregnancy and Childbirth, vol.16, pp. 95, 2016.

J.Cioffi, “Expanding the scope of decision-making research for nursing and midwifery practice”, International journal of nursing studies, vol.49, no.4, pp.481-489, Oct, 2012.