在母亲的要求下剖腹产:与瑞典的共享决策和以人为中心的护理有关的冲突的定性研究
Mio Fredriksson1, Inger K Holmström2,3, Anna T Höglund4
1Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Box 564, Uppsala, 751 22, Sweden. mio.fredriksson@pubcare.uu.se.
Reproductive health
|July 3, 2024
概括
瑞典卫生专业人员在母亲要求的剖腹产 (CSMR) 中解决患者自主性和安全性之间的冲突. 他们努力共同决策,尽管对妇女在没有医疗指示的情况下选择手术的权利有不同的看法.
科学领域:
- 医学伦理 医学伦理
- 产科和妇科 产科和妇科
- 卫生政策 卫生政策
背景情况:
- 以人为中心的护理是医疗保健政策的一个关键原则.
- 适应个体患者的偏好,例如在母亲的要求下进行剖腹产 (CSMR),存在挑战.
- 了解医疗保健专业人员对CSMR的看法对于应对这些挑战至关重要.
研究的目的:
- 探索瑞典卫生专业人员对CSMR的看法.
- 在与以人为中心的护理和共享决策的潜在冲突的背景下分析这些观点.
主要方法:
- 使用半结构面试进行的定性研究.
- 采访数据的诱导和演内容分析.
- 来自瑞典各医院的12名卫生专业人员 (产科医生,助产士,新生儿科医生) 参加了会议.
主要成果:
- 确定了共享决策与CSMR之间的5种冲突类型的12种表达.
- 专业人士承认患者的自主权,但没有权利在没有医疗指示的情况下进行手术.
- 担忧包括未来的健康影响,治疗质量,患者安全以及潜在的挤出效应.
结论:
- 瑞典医疗保健专业人员面临着一个复杂的局面,平衡标准化护理与以人为中心的CSMR方法.
- 虽然强调专业的决策,但它们的目标是通过信息和支持共享决策.
- 在CSMR,患者自主权和共享决策方面,专业人士和妇女之间的共识至关重要.
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