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Table 1 Domains and constructs

From: Development of the Woman-Centred Care Scale- Midwife Self Report (WCCS-MSR)

Domain 1 Fosters a partnership relationship
The midwife is knowledgeable, skilled, and confident, which engenders trust and a sense of safety for the woman.  The woman feels safe sharing information because the midwife protects her privacy. The midwife uses a variety of interpersonal skills to foster a partnership relationship characterised by reciprocity and equality. The midwife is nonjudgmental, respectful and shows empathy towards the woman.
Constructs The midwife is knowledgeable, skilled, and confident; engendering trust and a sense of safety
  The midwife protects the woman's privacy
  The midwife fosters a partnership relationship based on honesty, openness, reciprocity, and equality
  The midwife is nonjudgmental, respectful and shows empathy towards the woman
Domain 2 Provides care that is wellness focused
The midwife approaches childbearing through a lens of wellbeing, identifying and promoting salutary factors, optimising outcomes, and providing the woman with a positive experience.  The midwife supports, protects, and enhances the physiological processes of childbearing, recognising the influence of environment on the woman's outcomes and experiences.  The midwife recognises the health gains from building the woman's capacity and confidence in her own abilities.
Constructs The midwife frames practice through the lens of wellbeing
  The midwife supports, protects, and enhances the physiological processes of pregnancy, birth and the postpartum
  The midwife recognises the influence of environment
  The midwife is focused on providing the woman with a positive experience
  The midwife has confidence in the woman's abilities fostering self-confidence in the woman
Domain 3 Promotes woman's autonomy and empowerment
The midwife recognises a woman’s autonomy and right to self-determination.  The midwife facilitates the woman’s engagement in decision making processes and provides unbiased information to promote informed choice and consent. The midwife upholds the woman’s central role in decision making, the requirement for fully informed consent and advocates for her when necessary.
Constructs The midwife advocates for the woman when necessary
  The midwife recognises the woman’s autonomy and right to self determination 
  The midwife provides unbiased information to facilitate informed choice and consent
  The midwife recognises the woman's central role in decision making
  The midwife facilitates engagement, informed choice and maternal control
Domain 4 Provides care that is individualised and holistic
The midwife encourages the woman to articulate her needs and desires so that care can be tailored to her needs. The woman’s needs are prioritised. The midwife individualises information and communication strategies to promote understanding. Each woman is considered within the context of her social situation including the people important to her, family and community.  The midwife approaches the woman holistically considering her emotional, social, psychological, and spiritual wellbeing as much as her physical.
Constructs The midwife encourages the woman to articulate her ideas and needs
  The midwife provides care that is tailored and adaptive to the woman's needs
  The midwife puts the needs of the woman first
  The midwife respects the woman's culture and values
  The midwife responds to the woman holistically