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Autonomy and advocacy in perinatal nursing practice.
1Faculty of Nursing, University of Toronto, 155 College Street, Rm. 164, Toronto, ON M5T 1P8, Canada. anne.simmonds@utoronto.ca
Nursing advocacy and patient autonomy are ideals, but their practical meaning remains unclear for nurses. This study uses feminist ethics to explore these concepts in perinatal care, focusing on the nurse-patient relationship during childbirth.
Area of Science:
- Nursing Ethics
- Feminist Ethics
- Perinatal Care
Background:
- Nursing advocacy and patient autonomy are professional ideals but lack clear definition in clinical practice.
- This ambiguity creates uncertainty for nurses regarding their roles and responsibilities.
Purpose of the Study:
- To examine moral responsibilities in the perinatal nurse-patient relationship using a feminist ethics perspective.
- To explore the influence of contextual and relational factors on nursing care during childbirth.
- To understand how childbearing women and nurses experience autonomy, advocacy, and choice during labor and birth.
Main Methods:
- Feminist ethics perspective.
- Examination of the perinatal nurse-patient relationship.
- Exploration of contextual and relational factors in nursing care.
Main Results:
- Feminist ethics provides a framework for understanding the complexities of advocacy and autonomy in perinatal nursing.
- The nurse-patient relationship is influenced by various interconnected factors during labor and birth.
- Experiences of autonomy, advocacy, and choice vary for women and nurses.
Conclusions:
- A feminist ethics approach clarifies the enactment of moral responsibilities in perinatal nursing.
- Understanding these dynamics is crucial for effective and ethical nursing care during childbirth.
- Further exploration is needed to fully define and implement nursing advocacy and patient autonomy in practice.
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