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Defining woman-centred care: A concept analysis.
Susannah Brady1, Kristen S Gibbons2, Fiona Bogossian3
1School of Nursing, Midwifery & Social Work, The University of Queensland, Level 3, Building 35, St Lucia, Brisbane, Queensland 4067, Australia.
Midwifery
|February 16, 2024
Summary
A clear definition of woman-centred care is established, highlighting its core elements and benefits for improved maternal and neonatal health outcomes. This evidence-based definition supports midwifery practice, policy, and research.
Area of Science:
- Midwifery Science
- Healthcare Philosophy
- Concept Analysis
Background:
- Woman-centred care is a foundational philosophy in national and international midwifery.
- A lack of a shared definition hinders evidence-based midwifery practice.
Purpose of the Study:
- To analyze woman-centred care to clarify its meaning and comprehension.
- To develop an evidence-based, internationally informed definition of woman-centred care.
Main Methods:
- A three-stage concept analysis using an adapted theoretical and colloquial evolutionary model.
- Identification of attributes, antecedents, and consequences of woman-centred care.
Main Results:
- Key antecedents include education, models of care, and midwife characteristics.
- Essential attributes are choice, control, empowerment, and relationships.
- Consequences involve informed decision-making and improved health outcomes; continuity of care is not essential.
Conclusions:
- A clarified definition of woman-centred care is crucial for its integration into practice, policy, research, and education.
- This definition supports improved health outcomes for women and neonates, irrespective of the care model.
- Woman-centred care should be universally provided in midwifery.
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