在临床实践中,我们应该如何对待孕妇患者?
Frank A Chervenak1, Renee Mcleod-Sordjan2, Susan L Pollet3
1Northwell Health, New Hyde Park, NY; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY; Division of Medical Ethics, Department of Obstetrics and Gynecology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY.
新的联邦政策要求在产科中使用基于性别的语言,从而带来临床挑战. 拟议的平衡妊娠语言框架允许性别特定的文档,同时在患者互动中使用包容性术语.
科学领域:
- 产科护理和临床沟通.
- 卫生政策和法律框架.
- 医学术语和伦理学.
背景情况:
- 妇产科的临床语言影响了沟通,文档和患者的信任.
- 联邦行政命令第14168号强制使用基于性别的语言,扭转了先前的包含性别的术语指导.
- 这种政策转变给医疗保健提供者带来了伦理和运营方面的压力.
研究的目的:
- 检查联邦政策变化对产科语言的影响.
- 提出一个框架,用于导航相互冲突的语言要求.
- 确保合规,同时尊重患者的身份和道德护理.
主要方法:
- 分析法律框架,道德原则和专业标准.
- 关于产科术语的PubMed文献分析 (直到2024年).
- 平衡怀孕语言框架的开发.
主要成果:
- "孕妇" (60%) 仍然占主导地位,越来越多地使用"孕妇患者" (20%) 和包容性术语 (20%).
- 基于性别的术语有助于监管合规和清晰度.
- 包容性语言可以增强对性别多样性人口的信任.
结论:
- 均衡怀孕语言模型提供了一个上下文敏感的解决方案.
- 它使文件与联邦基于性别的任务保持一致,同时允许在患者互动中使用包容性语言.
- 这一框架保持了科学清晰度,确保了合规性,并维护了伦理的患者护理和自主权.
更多相关视频
05:33Author Spotlight: Alleviating Nausea and Vomiting in Pregnancy with Safe and Effective Auricular Acupuncture
Published on: August 4, 2023
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
相关概念视频
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Transmission-based Precautions I: Contact, Enteric, and Droplets
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Factors Affecting Drug Response: Overview
Ethical Standards II
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Teratogenicity
