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Paper Details

Clinical decision making in midwifery practice: a concept analysis

Betty SakalaUniversity of Malawi, Kamuzu College of Nursing, Post Office Box 415 Blantyre, Malawi Ruth MwaleUniversity of Malawi, Kamuzu College of Nursing, Post Office Box 415 Blantyre, Malawi Esnath KapitoUniversity of Malawi, Kamuzu College of Nursing, Post Office Box 415 Blantyre, Malawi Veronica MaluwaUniversity of Malawi, Kamuzu College of Nursing, Post Office Box 415 Blantyre, Malawi Elizabeth GwazaUniversity of Malawi, Kamuzu College of Nursing, Post Office Box 415 Blantyre, Malawi Clara HaruzivisheUniversity of Zimbabwe, College of Health Sciences, Department of Nursing Sciences.

Journal Title:International Journal of Medical Studies
Abstract


Aim: The aim of this concept analysis is to explore the concept clinical decision making in relation to midwifery care. Methods: The Walker and Avant, (2005) model of concept analysis was used to conduct the analysis by following steps used in the model from the purpose, definitions of the concept, antecedents, consequences, empirical reference and attributes. Results: Clinical reasoning was found to be an important element in clinical decision making as it helps to boost midwives’ level of confidence and competence to save lives of mothers and their babies. Conclusion: Labour wards may be associated with high stress levels due to staff shortages to manage obstetric emergencies. Despite all these problems, midwives are expected to make quick accurate decisions regarding patient management to save life of mothers and babies. Therefore, it is necessary for midwives to utilise clinical decision making to guide them in linking theory, practice and research. Keywords: Clinical Decision Making, Concept Analysis, High Stress Levels, Obstetric Emergencies, Midwives

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