Woman Centred Care: A Concept Analysis
Abstract Aim: This paper reports an analysis of the concept of woman centred maternity care. Background: Woman centred maternity care describes a form of maternity care that prioritises the needs and wishes of the woman. Although referenced throughout the literature, there is a lack of consensus on its meaning and the concept is inconsistently described and applied. Data Sources: A systematic literature search of the period 1985 to 2013 was completed using Scopus (which contains MEDLINE, Excerpta Medica Database (EMBASE) and Compendex coverage, PsychINFO, Maternity and Infant care (MIDIRS)) and Nursing @Ovid (which contains the Ovid Nursing Database, MEDLINE, PsycINFO, Maternity and Infant care (MIDIRS)), Cumulative Index of Nursing and Allied Health Literature (CINAHL), SCOPUS and Excerpta Medica Database (EMBASE). Review Methods: Data were analysed, referencing time and context, within discipline specific groups of service users, medical service providers, midwifery service providers and policy. All analysis was guided by Rodgers evolutionary concept analysis model. Results: 624 papers were identified form the search and 50 included in the analysis. Nine attributes of woman centred care were identified i.e. information sharing, choice, control, individualised care, quality of care, shared decision making, continuity of care, time and normalcy. Although each attribute was valued independently, the provision of woman centred care was found to be dependent on a combination of all attributes. Antecedents and consequences of woman centred care were identified and implications for practice are described. Conclusion: Woman centred care was found to be a dynamic process that requires active participation from all stakeholders. Although the attributes of woman centred care have remained relatively constant, there remains a continued ambiguity surrounding the concept.