告诉而不是问:一个框架方法 在产前诊所咨询中共享决策的分析
Madeline Hawke1,2, Linda Sweet1,3, Julie Considine1,2
1School of Nursing and Midwifery, Deakin University, Melbourne, Australia.
Birth (Berkeley, Calif.)
|November 19, 2025
概括
在产前护理中,共享决策是有限的,临床医生沟通往往突出了权力不平衡. 需要更有针对性的努力,以有效地将这种以女性为中心的方法纳入常规护理.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 是一种以女性为中心的方法,对产前护理至关重要.
- 关于产妇诊所医生如何在产前咨询中实施SDM的研究有限.
研究的目的:
- 探索在产前护理咨询中使用共享决策的可能性.
- 确定孕妇和产科医生之间的SDM的实例和方法.
主要方法:
- 26次产前诊所咨询的音频录制.
- 使用框架方法和OPTION12尺度对SDM的观察者测量进行分析.
主要成果:
- 12名临床医生和26名女性参与了这项研究.
- 在SDM中观察到显著的限制.
- 确定的主题:"谁决定? ","被束的女人"和"全知的临床医生".
结论:
- 临床医生沟通揭示了权力不平衡,限制了SDM.
- 有效地将SDM纳入产前护理需要有针对性的干预措施.
- 临床医生沟通可以支持或阻碍妇女参与决策.
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