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A concept analysis of watchful waiting among providers caring for women in labour.
J Adv Nurs 2014; 70(3):511-22JA

Abstract

AIM

This paper is a report of an analysis of the concept of watchful waiting.

BACKGROUND

Little is known about differences between the intrapartum care processes of midwives and physicians. In this time of growing rates of surgical birth outcomes, intrapartum care processes are a key area for research and improvement. Watchful waiting is a common care plan used by both midwives and physicians that involves the timing of interventions in labour.

DESIGN

Rodgers' Evolutionary Model was used to conduct a concept analysis of the term watchful waiting.

DATA SOURCES

Scientific literature authored by, and about, midwives and physicians, as located via an intrapartum-focused database search inclusive of years 1922-May 2012. Thirty English-language articles from nine different countries were located, representing the midwifery and physician scientific literature focusing on watchful waiting in labour and provider decision-making processes.

REVIEW METHOD

Attributes, consequences, antecedents and affecting themes were identified through a thematic analysis of the identified articles.

RESULTS

Data analysis reveals that many midwives and physicians define watchful waiting differently, based on their philosophies of care.

CONCLUSION

The care of women in labour is complicated as a result of different understandings by some providers of common processes of intrapartum care.

Authors+Show Affiliations

College of Nursing, University of Colorado Denver, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23834672

Citation

Carlson, Nicole S., and Nancy K. Lowe. "A Concept Analysis of Watchful Waiting Among Providers Caring for Women in Labour." Journal of Advanced Nursing, vol. 70, no. 3, 2014, pp. 511-22.
Carlson NS, Lowe NK. A concept analysis of watchful waiting among providers caring for women in labour. J Adv Nurs. 2014;70(3):511-22.
Carlson, N. S., & Lowe, N. K. (2014). A concept analysis of watchful waiting among providers caring for women in labour. Journal of Advanced Nursing, 70(3), pp. 511-22. doi:10.1111/jan.12209.
Carlson NS, Lowe NK. A Concept Analysis of Watchful Waiting Among Providers Caring for Women in Labour. J Adv Nurs. 2014;70(3):511-22. PubMed PMID: 23834672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A concept analysis of watchful waiting among providers caring for women in labour. AU - Carlson,Nicole S, AU - Lowe,Nancy K, Y1 - 2013/07/03/ PY - 2013/06/08/accepted PY - 2013/7/10/entrez PY - 2013/7/10/pubmed PY - 2014/9/23/medline KW - intrapartum KW - labour KW - midwife KW - physician KW - provider KW - watchful waiting SP - 511 EP - 22 JF - Journal of advanced nursing JO - J Adv Nurs VL - 70 IS - 3 N2 - AIM: This paper is a report of an analysis of the concept of watchful waiting. BACKGROUND: Little is known about differences between the intrapartum care processes of midwives and physicians. In this time of growing rates of surgical birth outcomes, intrapartum care processes are a key area for research and improvement. Watchful waiting is a common care plan used by both midwives and physicians that involves the timing of interventions in labour. DESIGN: Rodgers' Evolutionary Model was used to conduct a concept analysis of the term watchful waiting. DATA SOURCES: Scientific literature authored by, and about, midwives and physicians, as located via an intrapartum-focused database search inclusive of years 1922-May 2012. Thirty English-language articles from nine different countries were located, representing the midwifery and physician scientific literature focusing on watchful waiting in labour and provider decision-making processes. REVIEW METHOD: Attributes, consequences, antecedents and affecting themes were identified through a thematic analysis of the identified articles. RESULTS: Data analysis reveals that many midwives and physicians define watchful waiting differently, based on their philosophies of care. CONCLUSION: The care of women in labour is complicated as a result of different understandings by some providers of common processes of intrapartum care. SN - 1365-2648 UR - https://www.unboundmedicine.com/medline/citation/23834672/A_concept_analysis_of_watchful_waiting_among_providers_caring_for_women_in_labour_ L2 - https://doi.org/10.1111/jan.12209 DB - PRIME DP - Unbound Medicine ER -