"在一个理想的世界":在产前护理中对共享决策和体重耻辱的定性探索
Madeline Hawke1, Julie Considine2, Linda Sweet3
1School of Nursing and Midwifery, Deakin University, Geelong, Australia.
在产前护理中,共同决策受到临床医生的阻碍,因为他们认为怀孕是有风险的,并将高体重指数与疾病联系在一起. 这限制了身体质量指数较高的女性的协作护理选择.
科学领域:
- 孕产妇健康 孕产妇健康
- 共享决策 - - 分享决策
- 健康 公平 卫生 公平
背景情况:
- 在产前护理中,共享决策 (SDM) 促进了妇女的自主权.
- 存在SDM的障碍,特别是在身体质量指数 (BMI) 高的女性中.
- 体重耻辱可能会阻碍高BMI女性的协作护理.
研究的目的:
- 调查SDM在产前护理中的实施情况.
- 为了确定产妇临床医生使用SDM是否受到女性BMI的影响.
- 探索临床医生对SDM和高BMI在怀孕中的观点.
主要方法:
- 从两个墨尔本站点对产科诊所的医生进行了有目的的抽样.
- 半结构面试进行,录制和转录.
- 使用反射主题分析来分析采访数据.
主要成果:
- 十二位临床医生参与了这次会议,出现了三个主要主题:"无论如何,这是谁的选择? ","怀孕是有风险的",和"超重作为一种疾病状态".
- 临床医生通过风险管理镜头来看待怀孕.
- 确定了关于超重作为疾病状态的信念.
结论:
- 在产前环境中实施SDM具有挑战性,需要进行结构性变化.
- 临床医生的风险偏见和体重耻辱可能会限制高BMI女性的SDM机会.
- 解决临床医生的信仰对于公平的产前协作护理至关重要.
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