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Table 3 Codes, sub-categories, and categories of the ethical considerations in the midwife's relationship with companions, with herself, and with colleagues extracted from the qualitative phase of the study

From: Development and validation of the code of ethics for midwives in Iran

Category

Sub-Category

Codes

the relationship with the client’s companions

Giving information

About the client’s labor process

About the risks related to the client

To make an informed decision

For planning the waiting time

To prevent argument

The importance of perinatal counseling because of the special relations between mother and father

The importance of family participation through giving information about care

About incidents such as the sudden unwellness of the infant to prevent legal consequences

Obtaining consent before giving information to the companions

Involving in the maternal care

The importance of the family’s participation in the care procedure

Training the companion to the involving in the care

Let the companion be involved in the client's care during the labor

The importance of the husband’s participation in the perinatal care

About Herself

Retraining

About scientific issues

About ethics in midwifery

Innovations in midwifery

Appropriate interaction in possible conflicts

The spirituality and spiritual approach in the midwifery care

Ethically deal with problems with a spiritual perspective

Ethics and the related psychology in midwifery clinical education

Respecting the midwives’ rights

Monitoring of midwives' rights in the health management system

Defend for midwifery rights and positions

Fair division of work and shifts

Observing the fair working hours

Long and crowded shifts and night work prevent morality compliance

One-to-one midwifery care in the active labor phase

Solving the midwifery problems in the country

Considering the difficulty of the midwifery job in deciding about working shifts

Providing facilities such as restrooms and closets for midwives

Clarity of job description and organizational position for effective teamwork

Self-monitoring and -evaluation

Not mixing personal and work problems

Providing conscientious services

The need for self-sacrifice in midwifery

Considering self-care and -safety

Preference for the client's health

the relationship with the colleagues

Cooperation

Maximum cooperation in teamwork

Cooperation when problems arise for shift midwives

Counseling with team members

Coordination in providing care

The necessity of correct handover of patients to colleagues of the next shift

Compromise and cooperation in difficult situations

Timely notification and referral to the doctor

Support

Respectful communication between colleagues

Considering fair workload to reduce the stress

To avoid making stress on colleagues

Flexible approach to caring in teamwork

Not talking about private issues in the presence of a client

Avoiding non-constructive criticism

Maintaining effective communication

No conflict with colleagues

Respect for colleagues' opinions and rights

Good and friendly relationship

Providing team care is the client's right

Respecting and reporting to the manager

Attention and lessening to managers

Considering rewards for midwives who follow the code of ethics

Paying attention to job ranks

A respectful relationship with managers

Providing a complete report to the manager