系统的失败:对助产士在提供妊娠终止护理时的经验和挑战的内容分析
Susanne Armour1, Hazel Keedle1, Andrea Gilkison2
1School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
Journal of clinical nursing
|March 14, 2025
概括
提供晚期妊娠终止护理的助产士面临着重大的情感挑战和耻辱,往往缺乏足够的系统支持. 他们提供富有同情心的护理,但却经历了深深的悲伤和道德上的痛苦.
科学领域:
- 生殖健康 生殖健康
- 助产士的实践 助产士的实践
- 医疗保健提供者的幸福 医疗保健提供者的幸福
背景情况:
- 晚期终止怀孕带来了独特的护理挑战.
- 对于接受这些手术的妇女来说,助产士的护理至关重要.
- 了解提供者的经验对于支持至关重要.
研究的目的:
- 为了探索助产士在澳大利亚和新西兰14周后接受妊娠终止的妇女的护理经验.
- 为了确定这些助产士所面临的挑战.
主要方法:
- 跨部门的基于网络的调查,有1389个回复.
- 开放文本回复的内容分析.
- 悲伤和耻辱理论的应用;SRQR指南的遵守.
主要成果:
- 助产士提供富有同情心的,以女性为中心的护理.
- 据报道,有相当大的悲伤,悲伤和经历的耻辱.
- 缺乏预注册教育和不充分的系统支持是关键挑战.
- 自我照顾策略不足以管理情绪影响.
结论:
- 交付晚期终止护理的助产士经历了深刻的悲伤和道德痛苦.
- 他们面对并见证了堕胎的耻辱.
- 医疗保健系统往往无法提供足够的支持,加剧了挑战.
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