医院分娩场所使用的污名化和非污名化语言的二次定性分析
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
|November 22, 2024
概括
这项研究分析了医院分娩的临床记录,确定了污名化的语言和以患者为中心的语言的新类别. 这些发现旨在减少临床文档和护理方面的偏见.
科学领域:
- 医疗信息学 医疗信息学
- 卫生社会学 卫生社会学
- 健康 公平 卫生 公平
背景情况:
- 电子健康记录 (EHR) 对临床护理至关重要,但可以包含反映隐含偏见的语言.
- 污名化语言在EHRs可能会导致歧视和负面影响患者的护理,特别是在医院分娩设置.
- 了解临床文档中使用的语言细微差别对于解决健康差异至关重要.
研究的目的:
- 分析在医院分娩环境中的电子健康记录中使用的耻辱和非耻辱语言.
- 扩大对围产期临床护理中的歧视和隐性偏见的理解.
- 识别可能延续或挑战以患者为中心的护理的语言模式.
主要方法:
- 来自电子健康记录的自由文本临床笔记的二次定性分析.
- 使用Krippendorff方法进行的内容分析应用于2017年1,771份住院生育录取笔记.
- 分析类别是从试点研究,现有文献和数据中出现的主题中得出的.
主要成果:
- 确定了十种语言类别,包括对患者的污名化语言,非污名化语言和临床医生之间的语言.
- 确定的新类别包括"社会和行为风险的不合理描述" (耻辱化),"积极或首选语言"和"患者行使出生自主权" (赋权),以及"临床医生责备"和"结构性护理障碍" (系统性问题).
结论:
- 这项研究为减少临床文档中的污名化语言提供了基础.
- 这些发现可以为开发多层次干预措施提供信息,以减轻出生护理环境中的偏见.
- 在EHR中解决语言是促进健康公平和改善患者体验的关键一步.
关键词:
偏见 偏见 偏见 偏见 偏见出生 出生 出生 出生 出生 出生歧视是一种歧视.电子健康记录是电子健康记录.在健康方面存在差异.怀孕 怀孕 怀孕 怀孕 怀孕定性研究是指质量研究.社会的耻辱和污名.更多相关视频
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