Exploring the Decision Making of Women When Planning an Induction of Labor: A Multi-Method Design.

Autor: Sistanis J; School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Victoria, Australia., Street M; School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Victoria, Australia.; Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia.; Centre for Quality and Patient Safety Research-Eastern Health Partnership, Box Hill, Victoria, Australia., Nicholson P; School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Victoria, Australia.; Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia.
Jazyk: angličtina
Zdroj: Nursing & health sciences [Nurs Health Sci] 2024 Dec; Vol. 26 (4), pp. e70016.
DOI: 10.1111/nhs.70016
Abstrakt: The aim of this study was to explore women's preferences and experiences of degree of control in decision making when planning an induction of labor (IOL). This multi-method study was conducted using semi-structured individual interviews and the completion of two Control Preferences Scales by eight postnatal women from a metropolitan health service in Melbourne, Australia. Four themes were generated from the interview data: "shared decision making"; "changing expectations"; "IOL experience"; and "informed consent." Women's expectations of, and preferences for, an IOL changed during pregnancy and were influenced by their perception of risk to the fetus, indication for the procedure, and trust in clinicians. Information that was personalized to the woman to include practical aspects, risks, and alternative options was rarely provided. Overall, women reported that they did not experience the degree of control they preferred when planning an IOL. Clinician understanding of decision making preferences of women when planning an IOL can assist with care that is individualized and aligned to women's values, which is crucial to improving the quality of care provided.
(© 2024 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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