Part 2: A model for evidence-based decision-making in midwifery care

This is the second part of a two-part paper in which a new model of evidence-based decision-making for midwifery is proposed. In part 1, the case was made for a fit-for-purpose decision-making model on which to base personalised care in increasingly complex maternity care systems (Ménage, 2016). Crucially, this model calls for a radical and far broader definition of the evidence on which to base decision-making. Part 2 introduces the new model and explains the different sources of evidence to be considered in partnership with women. A clinical scenario is used to show how this model can be used in practice. This paper argues that the model makes an important contribution to midwifery theory by providing a comprehensive framework on which to base decision-making that reflects the realities of modern midwifery care. In addition, it could be an important tool for use in midwifery education, ongoing professional development, supervision and change management.