“I'm sure we talked about it”: Midwives experiences of ethics education and ethical dilemmas, a qualitative study

Michele Megregian, Lisa Kane Low, Cathy Emeis, Raymond de Vries, Marianne Nieuwenhuijze

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Aim: Midwives are expected to identify and help resolve ethics problems that arise in practice, skills that are presumed to be taught in midwifery educational programs. In this study, we explore how midwives recognize ethical dilemmas in clinical practice and examine the sources of their ethics education. Methods: We conducted semi-structured, individual interviews with midwives from throughout the United States (U.S.) (n = 15). Transcripts of the interviews were analysed using an iterative process to identify themes and subthemes. Findings: Midwives described a range of professional ethical dilemmas, including challenges related to negotiating strained interprofessional relationships and protecting or promoting autonomy for women. Ethical dilemmas were identified by the theme of unease, a sense of distress that was expressed in three subthemes: uncertainty of action, compromise in action, and reflecting on action. Learning about ethics and ethical dilemmas occurred, for the most part, outside of the classroom, with the majority of participants reporting that their midwifery program did not confer the skills to identify and resolve ethical challenges. Conclusion: Midwives in this study reported a range of ethical challenges and minimal classroom education related to ethics. Midwifery educators should consider the purposeful and explicit inclusion of midwifery-specific ethics content in their curricula and in interprofessional ethics education. Reflection and self-awareness of bias were identified as key components of understanding ethical frameworks. As clinical preceptors were identified as a key source of ethics learning, midwifery educators should consider ways to support preceptors in building their skills as role models and ethics educators.

Original languageEnglish (US)
Pages (from-to)e519-e526
JournalWomen and Birth
Volume33
Issue number6
DOIs
StatePublished - Nov 2020

Keywords

  • Ethical dilemmas
  • Ethics
  • Midwifery
  • Midwifery education

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

Fingerprint

Dive into the research topics of '“I'm sure we talked about it”: Midwives experiences of ethics education and ethical dilemmas, a qualitative study'. Together they form a unique fingerprint.

Cite this