The authors report no conflict of interest or relevant financial relationships.
Nurses’ Perspectives on the Intersection of Safety and Informed Decision Making in Maternity Care
Article first published online: 4 SEP 2013
© 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 42, Issue 5, pages 577–587, September/October 2013
How to Cite
Jacobson, C. H., Zlatnik, M. G., Kennedy, H. P. and Lyndon, A. (2013), Nurses’ Perspectives on the Intersection of Safety and Informed Decision Making in Maternity Care. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 42: 577–587. doi: 10.1111/1552-6909.12232
- Issue published online: 10 SEP 2013
- Article first published online: 4 SEP 2013
- Manuscript Accepted: DEC 2012
- Nursing Initiative of the Gordon & Betty Moore Foundation
- the Association of Women's Health, Obstetric, and Neonatal Nurses
- NIH/NCRR/OD UCSF-CTSI. Grant Number: KL2 RR024130
- grounded theory;
- maternity nursing;
- patient safety;
- United States
To 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.
Constructivist grounded theory.
Four hospitals in the western United States.
Forty-six (46) nurses and physicians practicing in maternity units.
The 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.
The 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.