Claudia Pimentel-Hernández, José Francisco González-Zamora, José Humberto Medina-Cortina, Silvestre García-de la Puente, José Luis Arredondo-García
Effectiveness of an educational strategy to increase plain water consumption in children
Salud publica de Mexico
explore characterise maternity healthcare professionals mhcps experience practice shared decisionmaking sdm inform policy research practice development qualitative focus group study large maternity unit southwest england mhcps give information relating clinical procedures pregnancy care relating labour birth directly involved decisionmaking conversations purposively sampled ensure representation across mhcp groups semistructured topic guide used reflexive thematic analysis undertaken seven focus groups conducted comprising total 24 participants 35 per group two themes developed contextualising decisionmaking controversies current decisionmaking contextual factors influenced decisionmaking practices included lack time challenges faced intrapartum care mhcps reported variation approach decisionmaking conversations asked training consistently achieve sdm communication challenges women speak english three controversies explored role prior clinical experience validity informed consent women pain lifethreatening emergencies instances women declined medical advice found mhcps committed sdm need better support deliver structured processes including core information sets communication skills training decision support aids may help consistently deliver sdm maternity care