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Table 4 Codes, sub-categories, and categories of the ethical considerations in providing midwifery Care procedures and with the work environment, 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

Providing care and management Procedures

Care Procedures

Safety compliance

Making medical devices secure and sterile

Preventing transmission of infectious diseases from the midwife to the patient or vice versa

Paying attention to needle penetration and the use of disposable needles

Ensuring that the mother is properly covered during childbirth

Using sterile equipment

Using physiologic birth processes

Spiritual perspective in care providing

Providing the necessary care and avoiding unnecessary invasive procedures

Greetings, welcome, and guidance about the care process

Being honest in writing the record

Providing correct and complete recording

Avoiding recording unnecessary sensitive private information

Avoiding recording doctor's orders by phone

Administrative and management Procedures

Improving standards of the services through research

Reducing patient waiting time

Providing follow-up services

Monitoring for compliance with ethical regulations

Taking an ethics exam for midwifery students’ acceptance

Choosing students who communicate respectfully and sincerely

Monitoring prevention tips when visiting clients with infectious diseases

Monitoring the separation of sterile and non-sterile equipment

Providing timely services

Providing services with modern technology

Supervising care provision according to perinatal care standards

Supervising the structure of perinatal care procedures including physical environment and facilities

Work environment

Environment

Providing services in an environment with sufficient light

Providing care in a neat and clean physical space

Providing care in a delightful environment

Paying attention to ventilation and sound

Sufficient space, equipment, and facilities

Safe work environment

Thermally balanced environment

Attempting to make the client feel at home

A convenient and accessible place to provide care

Providing care in a proper place to protect the client's privacy

Provide the building guide

Proper arrangement of the rooms

Proper setting of the clinic for easy access of patients

Facilities and equipment

Sterile equipment

Facilities such as a bed for a companion

Providing a place to rest and stretch legs

Considering the necessary facilities for providing care in compliance with ethical principles

Adequate facilities and equipment

Providing cleaning facilities such as showers and cleaning training

Adequate portable bed screen curtains to keep the clients' privacy