Measuring social influence of a senior midwife on decision-making in maternity care : an experimental study

Hollins Martin, CJ and Bull, P 2005, 'Measuring social influence of a senior midwife on decision-making in maternity care : an experimental study' , Journal of Community & Applied Social Psychology, 15 , pp. 120-126.

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The document Changing Childbirth produced by the Department of Health (1993) requests provision of more choice, continuity and control for women during pregnancy and childbirth. In this context this study considers whether midwives’decisions are influenced by a senior midwife. A simple, valid and reliable scale—the Social Influence Scale for Midwifery (SIS-M)—was devised to measure and score midwives’ private anonymous responses to 10 clinical decisions. The SIS-M was initially administered as a self-completed postal survey by 209 midwives. Following a 9-month time gap, a stratified sample of 60 (20 E, F, G grade midwives) were invited for interview in which a senior midwife attempted to influence SIS-M responses in a conformist direction. Overall, a 3�2 (E, F, G grade midwives x private and interview SIS-M scores) analysis of variance (ANOVA) revealed midwives were significantly more conformist when influenced by a senior midwife, in comparison to private anonymous responses. No significant interaction between groups was found. These findings indicate that there is influence of a senior midwife on clinical decisions that should be woman-centred, according to Changing Childbirth (1993). The implication is that this influence may remove choice from women.

Item Type: Article
Themes: Health and Wellbeing
Schools: Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title: Journal of Community & Applied Social Psychology
Publisher: Wiley
Refereed: Yes
ISSN: 1052-9284
Depositing User: CJ Hollins Martin
Date Deposited: 22 Dec 2011 16:54
Last Modified: 16 Feb 2022 13:51

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