患者-提供者信任作为产前查不良童年经历 (ACES) 的关键组成部分:一个概念分析
Paige D Gilliland1, Jennifer E Phipps1, Breän Derret1
1University of California, Davis, Department of Human Ecology, Perinatal Origins of Disparities Center, Davis, California.
Journal of midwifery & women's health
|July 1, 2024
概括
建立患者提供者信任对于有效的产前查儿童不良经历 (ACE) 至关重要. 这提高了患者的参与度和创伤信息化的护理服务.
科学领域:
- 产科和妇科 产科和妇科
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 对于不良童年经历 (ACE) 的产前查的患者-提供者信任是一个研究不足的领域.
- 信任对于改善患者与医疗服务提供者的关系和增加ACE查的普及至关重要.
- 以基于优势和创伤的方式实施ACE查需要理解信任的作用.
研究的目的:
- 在产前不良童年经历 (ACE) 查的背景下定义信任的概念.
- 确定信任在这种特定的临床环境中的先例,属性和后果.
- 为医疗保健提供者提供有关实施创伤信息化的ACE查的指导.
主要方法:
- 使用罗杰斯的进化方法进行了概念分析.
- 在PubMed,PsychInfo和Scopus (2010-2021) 中使用与产前护理和ACE查相关的关键词进行文献搜索.
- 审查了32篇相关文章,重点关注产前ACE查中的信任,患者参与和共享决策.
主要成果:
- 对产前ACE查的信任是由包括查时间,患者对提供者的熟悉程度,文化能力,解密创伤,开放对话以及患者的舒适和尊重在内的属性定义的.
- 这些属性共同促进了积极和有效的查体验.
- 该分析强调了在产前ACE查期间培养信任的关键组成部分.
结论:
- 建立信任对于成功实施产前ACE查至关重要.
- 这些发现为医疗保健提供者提供了指导,以采用创伤信息为基础的ACE查方法.
- 建议对患者的态度,提供者的影响以及与产前ACE查相关的文化障碍进行进一步的研究.
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