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Care ethics framework for midwifery practice: A scoping review.

Kate Buchanan1, Elizabeth Newnham2, Deborah Ireson3

  • 1School of Nursing and Midwifery, 2498Edith Cowan University, Joondalup, WA, Australia; 3431The University of Notre Dame Australia, Fremantle, WA, Australia.

Nursing Ethics
|April 9, 2022
PubMed
Summary

This scoping review explores the practical application of care ethics in healthcare, developing a framework for midwifery practice. Findings highlight how care ethics enhances ethical sensitivity among health professionals.

Keywords:
care ethics/ethics of carefeminist ethicsmidwiferyprofessional practicescoping review

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Area of Science:

  • Bioethics
  • Nursing and Midwifery
  • Healthcare Ethics

Background:

  • Care ethics is a recognized normative theory lacking practical application clarity.
  • Maternity care presents ethical challenges where care ethics can improve sensitivity.
  • A practical framework for care ethics in practice is needed.

Purpose of the Study:

  • To determine the utilization of care ethics across health professions.
  • To develop a care ethics framework and definition for midwifery practice.

Main Methods:

  • Scoping review following PRISMA-ScR and JBI guidelines.
  • Searched CINAHL, MEDLINE, PsycInfo, PubMed (2019, 2021).
  • Included qualitative studies (2010-2021) using PCC criteria; data synthesized into categories.

Main Results:

  • Twelve studies were included from 129 initial records.
  • Four categories of care ethics use identified: relationship, context, power dynamics, and caring practices.
  • A framework for care ethics in midwifery practice was developed.

Conclusions:

  • Care ethics application by health professionals improves ethical sensitivity.
  • A proposed framework and definition for care ethics in midwifery practice.
  • Beneficial for midwives and practitioners aiming to enhance ethical awareness.