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dc.contributor.authorMeyer, Yvonne-
dc.contributor.authorFrank, Franziska-
dc.contributor.authorSchläppy Muntwyler, Franziska-
dc.contributor.authorFleming, Valerie-
dc.contributor.authorPehlke-Milde, Jessica-
dc.date.accessioned2018-04-27T12:27:47Z-
dc.date.available2018-04-27T12:27:47Z-
dc.date.issued2017-12-
dc.identifier.issn1871-5192de_CH
dc.identifier.issn1878-1799de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/5653-
dc.description.abstractBackground: Decision-making in midwifery, including a claim for shared decision-making between midwives and women, is of major significance for the health of mother and child. Midwives have little information about how to share decision-making responsibilities with women, especially when complications arise during birth. Aim: To increase understanding of decision-making in complex home-like birth settings by exploring midwives’ and women’s perspectives and to develop a dynamic model integrating participatory processes for making shared decisions. Methods: The study, based on grounded theory methodology, analysed 20 interviews of midwives and 20 women who had experienced complications in home-like births. Findings: The central phenomenon that arose from the data was “defining/redefining decision as a joint commitment to healthy childbirth”. The sub-indicators that make up this phenomenon were safety, responsibility, mutual and personal commitments. These sub-indicators were also identified to influence temporal conditions of decision-making and to apply different strategies for shared decision-making. Women adopted strategies such as delegating a decision, making the midwife’s decision her own, challenging a decision or taking a decision driven by the dynamics of childbirth. Midwives employed strategies such as remaining indecisive, approving a woman’s decision, making an informed decision or taking the necessary decision. Discussion and conclusion: To respond to recommendations for shared responsibility for care, midwives need to strengthen their shared decision-making skills. The visual model of decision-making in childbirth derived from the data provides a framework for transferring clinical reasoning into practice.de_CH
dc.language.isoende_CH
dc.publisherElsevierde_CH
dc.relation.ispartofWomen and Birthde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectDecision-makingde_CH
dc.subjectHome-like childbirthde_CH
dc.subjectPartnership relationshipsde_CH
dc.subjectMidwifede_CH
dc.subjectCommitmentde_CH
dc.subjectGrounded theoryde_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titleDecision-making in Swiss home-like childbirth : a grounded theory studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.1016/j.wombi.2017.05.004de_CH
zhaw.funding.euNode_CH
zhaw.issue6de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.ende280de_CH
zhaw.pages.starte272de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume30de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.zhawEntscheidungsprozesse bei Komplikationen während Haus- und Geburtshausgeburten: Eine Grounded Theorie Studiede_CH
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Meyer, Y., Frank, F., Schläppy Muntwyler, F., Fleming, V., & Pehlke-Milde, J. (2017). Decision-making in Swiss home-like childbirth : a grounded theory study. Women and Birth, 30(6), e272–e280. https://doi.org/10.1016/j.wombi.2017.05.004
Meyer, Y. et al. (2017) ‘Decision-making in Swiss home-like childbirth : a grounded theory study’, Women and Birth, 30(6), pp. e272–e280. Available at: https://doi.org/10.1016/j.wombi.2017.05.004.
Y. Meyer, F. Frank, F. Schläppy Muntwyler, V. Fleming, and J. Pehlke-Milde, “Decision-making in Swiss home-like childbirth : a grounded theory study,” Women and Birth, vol. 30, no. 6, pp. e272–e280, Dec. 2017, doi: 10.1016/j.wombi.2017.05.004.
MEYER, Yvonne, Franziska FRANK, Franziska SCHLÄPPY MUNTWYLER, Valerie FLEMING und Jessica PEHLKE-MILDE, 2017. Decision-making in Swiss home-like childbirth : a grounded theory study. Women and Birth. Dezember 2017. Bd. 30, Nr. 6, S. e272–e280. DOI 10.1016/j.wombi.2017.05.004
Meyer, Yvonne, Franziska Frank, Franziska Schläppy Muntwyler, Valerie Fleming, and Jessica Pehlke-Milde. 2017. “Decision-Making in Swiss Home-like Childbirth : A Grounded Theory Study.” Women and Birth 30 (6): e272–e80. https://doi.org/10.1016/j.wombi.2017.05.004.
Meyer, Yvonne, et al. “Decision-Making in Swiss Home-like Childbirth : A Grounded Theory Study.” Women and Birth, vol. 30, no. 6, Dec. 2017, pp. e272–80, https://doi.org/10.1016/j.wombi.2017.05.004.


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