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Nursing Ethics
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Gossip, Stories and Friendship: Confidentiality in Midwifery Practice

Susan James

University of Alberta, 901-8510-111 Street, Edmonton, Alberta, Canada T6G 1H7

Women often seek midwifery care as an alternative to the maternity services that are readily available within the insured health care system in Alberta. Some aspects of community-based, primary care midwifery in Alberta that characterize this alternative are the use of story-telling as a form of knowledge, the development of social con nections among women seeking midwifery care, and nonauthoritarian relationships between midwives and women. In this paper, the concept of confidentiality, as it relates to these aspects of midwifery practice, is explored, using traditional, caring and feminist models of ethics.

Nursing Ethics, Vol. 2, No. 4, 295-302 (1995)
DOI: 10.1177/096973309500200404


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