孕产妇医生在产前护理中使用共享决策:一个范围审查
Madeline Hawke1, Julie Considine1,2, Linda Sweet1,3
1School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia.
Birth (Berkeley, Calif.)
|December 15, 2023
概括
在产前护理中,共享决策尚未得到充分探索. 关键主题显示连续性,时间和个性化护理对于在怀孕期间有效实施至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健 实施 科学 科学
背景情况:
- 在产前护理中,共享决策 (SDM) 是一个研究不足的领域.
- 关于患者和提供者参与与怀孕有关的决策的探索有限.
研究的目的:
- 系统地评估当前关于产前护理环境中共享决策的知识.
- 确定与怀孕期间SDM实施相关的关键主题,推动因素和障碍.
主要方法:
- 从1997年到2022年,在五个数据库中进行了全面的文献搜索.
- 研究仅限于经合组织国家的英语出版物.
- 来自32篇论文的研究结果通过叙事和主题分析进行了综合分析.
主要成果:
- 在产前护理中确定了四个不同的决策领域.
- 六个总体主题出现了,详细介绍了促进或阻碍共同决策的因素.
- 在各种产前环境中阐明了SDM的推动因素和障碍.
结论:
- 在产前护理中有效实施共享决策,需要持续的患者与医疗服务提供者的互动.
- 足够的时间分配和个性化的护理方法对于成功的SDM至关重要.
- 解决已识别的障碍是提高妊娠护理中SDM的关键.
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