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首页> 外文期刊>Birth >Moving toward patient-centered care: Women's decisions, perceptions, and experiences of the induction of labor process
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Moving toward patient-centered care: Women's decisions, perceptions, and experiences of the induction of labor process

机译：转向以病人为中心的护理：妇女对引产过程的决策，看法和经验

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Background: Patient preferences and clinician practices are possible causative factors to explain the increase in induction of labor, but scientific studies that demonstrate this link are limited. The purpose of this study is to identify factors that influence inductions from the perspective of women. Methods: A qualitative investigation using grounded theory methodology was conducted. Women were interviewed preinduction and postinduction. Analysis of the interviews was conducted using constant comparison to identify codes, categories, and themes. Through this process the complex intersection between women, their clinician, and the application of evidence-based care in clinical practice was explored. Results: Five major themes from the preinduction interview were identified; safety of baby, women's trust in their clinician, relief of discomfort and/or anxiety, diminish potential or actual risk, and lack of informed decision making. Five major themes were identified from the postinduction interview; lack of informed decision making, induction as part of a checklist, women's trust in their clinician, happy with induction, and opportunities to improve the experience. Conclusions: Lack of informed decision making was cited as a barrier to optimal care. This study has important implications for patient-centered research and clinical care, requiring the inclusion of women and the salient concepts of care that they identify.
机译：背景：患者的喜好和临床实践可能是解释引产增加的可能原因，但是，证明这种联系的科学研究有限。这项研究的目的是从女性的角度确定影响归纳的因素。方法：使用扎根理论方法进行定性研究。在入职前和入职后对妇女进行了采访。访谈的分析是通过不断比较来确定代码，类别和主题的。通过这一过程，探索了妇女，其临床医生之间的复杂交集以及循证护理在临床实践中的应用。结果：从入职前访谈中确定了五个主要主题;婴儿的安全，妇女对临床医生的信任，不适和/或焦虑症的缓解，潜在或实际风险的减少以及缺乏明智的决策。入职后访谈确定了五个主要主题;缺乏明智的决策，作为检查清单一部分的入职培训，女性对临床医生的信任，对入职培训感到满意以及改善体验的机会。结论：缺乏明智的决策被认为是最佳护理的障碍。这项研究对以患者为中心的研究和临床护理具有重要意义，要求包括女性以及她们确定的重要护理概念。

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