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http://hdl.handle.net/11375/26057
Title: | Midwifery Students and Obstetrical Residents Learning, Understanding and Application of Shared Decision Making |
Authors: | Furnivall, Meagan |
Advisor: | Darling, Liz |
Department: | Health Science Education |
Keywords: | Shared Decision Making;Midwifery;Obstetrics;Residents |
Publication Date: | 2020 |
Abstract: | Introduction: Childbirth is an important time in a client and patient’s life. The pregnant client seeks to obtain as much control over their circumstance as possible. The more perceived control in childbirth by the client, the better the outcomes are for the client-newborn dyad. One way that clients obtain control during childbirth is by participating in clinical decision making with their healthcare providers. This research intended to study the ways in which OB residents and midwifery students engaged in the understanding, learning and application of shared decision making with clients and patients. Methodology: This study utilised a constructivist grounded theory approach to obtain data and formulate a theory using semi-structured interviews with five senior obstetrical residents and five senior midwifery students from Ontario. Results: Qualitative data revealed four themes and eight sub-themes. Our theory describes the way residents and students absorb, mirror, and perform shared decision making through an informal process of observation and experience throughout their training. Our theory further describes how support for students and residents creates the foundation for learning shared decision making. Support includes how the mentor minimizes the impacts of the hierarchy of power in medical and midwifery education, as well as increasing psychological safety for the learner. Conclusion: The study results support the exploration of future methods for the teaching of shared decision making to obstetrical residents and midwifery students. Participants of this study agreed that more training is needed for shared decision making, as well as training for the mentor to ensure learners are optimizing their experience. More training needs to be available for mentors to help reduce the negative impacts of the hierarchy of power, and to increase psychological safety for the learner. |
URI: | http://hdl.handle.net/11375/26057 |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
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FURNIVALL_MEAGAN_T_FINAL SUBMISSION OCT2020_MASTERS HEALTH SCIENCES EDUCATION.pdf | 3.71 MB | Adobe PDF | View/Open |
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