ArticleJournal of advanced nursing2026
A Concept Analysis of the Dynamics of Risk, Midwifery Agency and the Maternity Early Warning Tool.
Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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Authors and funding
4 authors.
Funding
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Abstract
aimTo examine the concept of midwifery agency when using Maternity Early Warning Tools.
designConcept analysis using Rogers' evolutionary method.
methodsData were collected from interviews with midwives working in various Australian maternity settings. A subset of the dataset was collected and analysed (2021-2022) to examine how agency functions when midwives use Maternity Early Warning Tools.
resultsThree conceptual attributes fundamental to agency were identified: considered judgement, reasoned clinical decision-making, and collaborative action. These attributes reveal how midwives navigate the interface between structured risk management tools and relational, woman-centred care.
conclusionsMaternity Early Warning Tools can either limit or enhance professional agency. When used reflexively, they become artefacts that support learning, communication, and sound clinical judgement. Viewing these tools as enablers rather than enforcers sustains midwifery expertise and strengthens interdisciplinary collaboration. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT: Sustaining midwifery agency protects both professional integrity and the quality of woman-centred care. IMPACT: What problem did the study address? How the use of Maternity Early Warning Tools influences midwives' agency.
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