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Perceived Reality and Subjective Importance of Shared Decision-Making During Perinatal Care
Yvonne Kuipers1,2, Valerie Bosmans2, Vanessa De Bock2
1School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK y.kuipers@napier.ac.uk.
Research and Theory for Nursing Practice
|June 7, 2024
Summary
Shared decision-making (SDM) in perinatal care is crucial. Community midwives excel at SDM, highlighting the need to align patient expectations with experienced reality for better maternal care outcomes.
Area of Science:
- Perinatal care
- Shared decision-making
- Maternal health
Background:
- Shared decision-making (SDM) is vital in maternity care.
- Understanding patient perceptions of SDM is essential for quality improvement.
Purpose of the Study:
- To explore perceived reality and subjective importance of SDM.
- To assess SDM provided by midwives and obstetricians during antenatal, intrapartum, and postpartum care.
Main Methods:
- Cross-sectional study in Flanders, Belgium.
- Utilized the Observing PatienT InvOlvemeNt (OPTIN) scale.
- Multivariate generalized linear models and Bonferroni post hoc tests were employed.
Main Results:
- 1,216 women provided 1,987 self-reports on SDM.
- Significant differences in perceived reality and importance of SDM were found across care professionals (p < .001).
- Community midwives demonstrated superior SDM compared to hospital midwives and obstetricians.
Conclusions:
- Optimizing perinatal care requires aligning subjective importance with perceived reality of SDM.
- Community midwives set a benchmark for effective shared decision-making in maternity services.
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