围产期护理的知情同意:产科和助产士领导模式的挑战和最佳实践
Eriketi Kokkosi1, Sofoklis Stavros2, Efthalia Moustakli3
1Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, 122 43 Athens, Greece.
在孕产妇护理中, 知情同意对于尊重,以患者为中心的分娩体验至关重要. 弥合政策与实践之间的差距需要立法改革和更好的提供者教育,以提高妇女的自主性和满意度.
科学领域:
- 母亲健康
- 医疗保健道德
- 以患者为中心的护理
背景情况:
- 世界卫生组织 (WHO) 的标准是尊重产妇的照顾,强调隐私,尊严和知情的选择.
- 知情同意是一种支持妇女在分娩期间自主决策的伦理和临床过程.
- 患者为中心的护理模式强调了产妇服务中知情同意的重要性.
研究的目的:
- 批判性地审查有关产妇照顾知情同意的文献,重点关注产科和助产士的模型.
- 确定围产环境中知情同意实施的障碍.
- 评估知情同意对妇女自主权和满意度的影响.
主要方法:
- 对产妇照顾的知情同意研究的叙述文献审查.
- 对制度,文化和系统障碍的分析.
- 检查在产前背景下知情同意的定义和应用.
主要成果:
- 积极参与,积极的提供者关系和专业的支持增强了妇女的经验,减少了干预.
- 由于提供者的态度,系统问题和社会文化因素,法律要求和实践之间存在差距.
- 像母亲尊重指数 (MOR) 和母亲决策自主度表 (MADM) 这样的工具可以评估女性的同意经验.
结论:
- 立法改革是必要的,以使产妇护理政策与实践保持一致.
- 加强提供者教育对于改善知情同意的实施至关重要.
- 缩小政策与实践之间的差距,
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