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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Shared decision making during antenatal counselling for anticipated extremely preterm birth
Conor Barker1, Sandra Dunn1,2,3,4, Gregory P Moore1,2,4,5,6
1Faculty of Medicine, University of Ottawa, Ottawa, Ontario.
Healthcare providers identified key facilitators and barriers to shared decision making (SDM) when counseling families about the anticipated birth of extremely preterm infants. Understanding these factors can improve SDM implementation.
Area of Science:
- Neonatal medicine
- Medical ethics
- Healthcare communication
Background:
- Shared decision making (SDM) is crucial in complex perinatal care.
- Anticipated birth of extremely preterm infants (22+0 to 25+6 weeks) presents unique ethical and communication challenges.
Purpose of the Study:
- To explore healthcare providers' (HCPs) perceptions of using SDM.
- To identify facilitators and barriers to SDM implementation with families of extremely preterm infants.
Main Methods:
- Qualitative descriptive study design.
- Interviews conducted with 25 HCPs across five cases at a tertiary care center.
- Qualitative content analysis of interview responses.
Main Results:
- Nine facilitators to SDM were identified, including understanding the process and belief in parental decision-making.
- Sixteen barriers were identified, such as HCPs' misunderstandings of SDM application, challenges with lower gestational ages, parental emotional distress, and HCPs' self-uncertainty.
- Facilitators included correct understanding of SDM, belief in parental decision-making, and positive outlook.
Conclusions:
- Facilitators and barriers to SDM in antenatal counseling for extremely preterm births were identified.
- Findings can inform the development of tailored strategies to enhance SDM implementation in this vulnerable population.
- Addressing HCPs' understanding and confidence is key for effective SDM.
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