按母亲的要求进行剖腹产 - - 对利益相关者的观点进行定性研究
Maria Johansson Offerman1, Inger K Holmström2,3, Mio Fredriksson3
1School of Health, Care and Social Welfare, Division of Caring Sciences and Health Care Pedagogics, Mälardalen University, Box 883, Västerås, 721 23, Sweden. Maria.johansson.offerman@mdu.se.
Reproductive health
|November 29, 2025
概括
利益相关者认为,尽管存在风险,但母亲要求剖腹产 (CSMR) 是一个有效的选择,强调知情决策和护理连续性. 解决不信任和资源分配是公平产妇服务的关键.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健政策 医疗保健政策
- 生物伦理学生物伦理学
背景情况:
- 在瑞典,按母亲的要求进行剖腹产 (CSMR) 带来了伦理和临床挑战.
- 现有的CSMR研究主要集中在妇女和医疗保健提供者身上,对利益相关者的观点的洞察力有限.
- 瑞典的区域差异表明,在CSMR的护理提供方面存在潜在的不平等.
研究的目的:
- 调查瑞典医疗保健利益相关者对CSMR的看法.
- 探索利益相关者对CSMR在医疗考虑,个人自主性和社会价值观方面的观点.
主要方法:
- 采用反射主题分析方法的定性研究.
- 与16个主要利益相关者进行了半结构化访谈.
- 参与者包括地区政治家,政策制定者,国家当局代表和组织代表.
主要成果:
- 对于一些女性来说,CSMR被视为合法的选择,医疗风险是公认的,但并不总是取消资格.
- 对CSMR的决策过程是复杂的,强调需要支持,指导和护理的情感连续性.
- 对产妇护理的不信任与媒体的代表性和不一致的CSMR处理有关;经济问题涉及资源分配和公共卫生保健范围.
- 计划的剖腹产的私人支付在很大程度上被拒绝.
结论:
- CSMR是一个复杂的问题,对个人和人口层面的风险有不同的看法.
- 有信息的决策,包括医疗和心理风险与关键的咨询,是必不可少的.
- 助产士护理模式的连续性可以作为一些女性的CSMR的替代品.
- 为了制定明确的指导方针,确保公平的护理和培养对医疗保健系统的信任,利益相关者的参与至关重要.
相关概念视频
01:08Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
01:27Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
01:30Psychosurgery
1.3K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
1.3K
02:20Milgram's Obedience to Authority
7.2K
Obedience to authority is classically demonstrated in a more famous series of social psychology experiments performed by Stanley Milgram. He was a social psychology professor at Yale who was influenced by the trial of Adolf Eichmann, a Nazi war criminal. Eichmann’s defense for the atrocities he committed was that he was “just following orders.”
7.2K
01:27Nursing Ethical Principles II
2.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.0K
01:09Decision Making: P-value Method
6.8K
The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
6.8K