ArticleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN
Nurses' perspectives on the intersection of safety and informed decision making in maternity care.
Article in Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review.Nursing open · 2023Pooled it
- Abuse and Disrespect in Obstetric Care in the United States: A Qualitative Descriptive Study of Nurse Experiences.Birth (Berkeley, Calif.) · 2025Article
- Orchestrating care for a good life event: a hermeneutic study of the overlooked practices of rural perinatal nurses.BMC pregnancy and childbirth · 2025Article
- Midwives' strategies for coping with barriers to providing quality maternal and neonatal care: a Glaserian grounded theory study.BMC health services research · 2021Article
- Healthcare professionals' perceptions of patient safety for the woman in childbirth in Sweden - An interview study.Nursing open · 2020Article
- Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders.BMC pregnancy and childbirth · 2019Review
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Abstract
objectiveTo explore maternity nurses' perceptions of women's informed decision making during labor and birth to better understand how interdisciplinary communication challenges might affect patient safety.
designConstructivist grounded theory.
settingFour hospitals in the western United States.
participantsForty-six (46) nurses and physicians practicing in maternity units.
methodData collection strategies included individual interviews and participant observation. Data were analyzed using the constant comparative method, dimensional analysis, and situational analysis (Charmaz, 2006; Clarke, 2005; Schatzman, 1991).
resultsThe nurses' central action of holding off harm encompassed three communication strategies: persuading agreement, managing information, and coaching of mothers and physicians. These strategies were executed in a complex, hierarchical context characterized by varied practice patterns and relationships. Nurses' priorities and patient safety goals were sometimes misaligned with those of physicians, resulting in potentially unsafe communication.
conclusionsThe communication strategies nurses employed resulted in intended and unintended consequences with safety implications for mothers and providers and had the potential to trap women in the middle of interprofessional conflicts and differences of opinion.
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