Evidence map›Paper›PMID 42718975›Full record

ReviewSAGE open nursing

Midwives' and Nurse Midwives' Autonomy Experience in Caring for Laboring Women in Health Facilities: A Systematic Review With Metasynthesis.

Elsa Salgueiro, Catarina Afonso, Margarida Sim-Sim, Claúdia Janeiro, Maria Otília Zangão

Abstract readReview
In one paragraph

Review in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elsa SalgueiroNova University Lisbon, Comprehensive Health Research Center, Nova National School of Public Health, Lisbon, Portugal.ORCID https://orcid.org/0009-0001-2217-8526
Catarina AfonsoPolytechnic Institute of Santarém, RISE-Health Integrated Member, Higher School of Health, Santarém, Portugal.ORCID https://orcid.org/0000-0001-7969-8242
Margarida Sim-SimUniversity of Évora, Comprehensive Health Research Centre, Évora, Portugal.ORCID https://orcid.org/0000-0002-0028-2664
Claúdia JaneiroNova University Lisbon, Comprehensive Health Research Center, Nova National School of Public Health, Lisbon, Portugal.ORCID https://orcid.org/0000-0002-3726-0557
Maria Otília ZangãoUniversity of Évora, Comprehensive Health Research Centre, Évora, Portugal.ORCID https://orcid.org/0000-0003-2899-8768

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The World Health Organization emphasizes the autonomy of Midwives and Nurse Midwives in physiological care during childbirth. Despite international regulation of competencies, the expression of autonomy isn't consistent, potentially creating inconsistencies in clinical care and professional identity. The objective was to synthesize evidence on the experiences of Midwives and Nurse Midwives regarding autonomy in caring for laboring women in health facilities. Methods: Systematic review with metasynthesis, according to the methodology of the Joanna Briggs Institute, carried out by meta-aggregation. Nine platforms and databases were searched for primary studies published from 2016/2024 in English, French, Spanish, and Portuguese. The selection of studies followed the PRISMA guidelines. Sixteen articles met the eligibility and methodological quality criteria. Registered protocol in PROSPERO. Results: Three categories emerged: (a) autonomy as a context of safety and confidence, (b) autonomy as a process of strengthening identity, and (c) autonomy as a reflection of expertise. These generated the meta-category: The dynamics of Midwives/Nurse Midwives' autonomy. Conclusion: The autonomy of Midwives and Nurse Midwives in "being and doing" affirms their identity, expresses their expertise, and promotes the confidence and safety of laboring women. Autonomous Midwives and Nurse Midwives make childbirth a unique and unrepeatable event while defending physiological care. Recognizing the autonomy of Midwives and Nurse Midwives strengthens global health.

Indexed as

laborlife change eventsmidwiferynurse midwivesprofessional autonomysystematic review

Identifiers

PMID42718975
PMCPMC13554601

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.