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Emotional safety in maternity care: An evolutionary concept analysis
Elliesha O'Reilly1, Kate Buchanan1, Sara Bayes1
1Edith Cowan University, School of Nursing and Midwifery, Joondalup 6027, WA, Australia.
Emotional safety in maternity care is crucial for positive experiences and outcomes. This analysis clarifies its meaning, identifying key attributes like feeling secure and respected, and its antecedents and consequences.
Area of Science:
- Maternity care research
- Concept analysis
- Patient safety
Background:
- Maternity care safety increasingly incorporates emotional, psychological, and cultural dimensions.
- The term 'emotional safety' is frequently used but lacks clear definition in maternity care literature.
Purpose of the Study:
- To analyze and define the concept of emotional safety within the context of maternity care.
Main Methods:
- An evolutionary concept analysis approach was employed.
- A systematic literature search of CINAHL, MIDIRS, and MEDLINE databases was conducted.
- Ten articles published between 2006 and 2024 were included.
Main Results:
- Key attributes of emotional safety include feeling secure, heard, respected, and experiencing a calm environment.
- Antecedents involve met care needs, personal agency, and trusting relationships.
- Consequences encompass positive experiences, empowerment, and improved outcomes.
Conclusions:
- This analysis provides a conceptual definition and model for emotional safety in maternity care.
- It enhances understanding of patient experiences and informs future research, education, policy, and practice.
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