从医生的角度来看,分娩期间产科护理的知情同意的障碍:一种定性研究
Lucile Abiola1,2, Guillaume Legendre2, Aurore Koechlin3
1Paris-Saclay University, Gif-sur-Yvette, France ablucile_sf@yahoo.fr.
BMJ open
|June 19, 2025
概括
由于关系问题和系统限制,医疗保健专业人员在分娩时面临知情同意的挑战. 解决这些问题需要进行结构性变革,并更好地支持道德护理实践.
科学领域:
- 产科和妇科 产科和妇科
- 医学伦理 医学伦理
- 卫生社会学 卫生社会学
背景情况:
- 关于产科暴力 (OV) 的公共话语影响了法国医疗保健专业人员的实践.
- 关于分娩的知情同意是一个复杂的伦理领域,受到社会意识的影响.
研究的目的:
- 探索医疗保健专业人员关于分娩期间知情同意的观点.
- 在产科暴力话语的背景下,了解与知情同意相关的做法.
主要方法:
- 使用半结构面试和非参与者观察的定性研究.
- 专题分析了来自法国四个产科的32名医疗保健专业人员 (助产士和产科医生) 的数据.
- 由NVivo软件支持的现象学方法.
主要成果:
- 关系上的困难和公众对OV的讨论阻碍了共享决策.
- 系统限制,如时间短缺,限制了有意义的知情同意讨论.
- 胎儿的福祉是优先考虑的,有时会导致强制性或正式的同意过程,为专业人士造成紧张.
结论:
- 在分娩的知情同意提出了重大的伦理挑战,包括系统,关系和情感障碍.
- 由于目前的做法,共享决策和患者自主性受到损害.
- 解决这些问题需要进行结构性变革,改善工作条件,加强伦理培训,并支持医疗保健专业人员的道德困境.
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