The influence of women's cognitive status on their understanding of Down syndrome screening
Autor: | Maggie Kirk, Emma Tonkin, Ian Stuart-Hamilton, Sophie John |
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Rok vydání: | 2020 |
Předmět: |
Down syndrome screening
Down syndrome 030219 obstetrics & reproductive medicine business.industry 05 social sciences medicine.disease 050105 experimental psychology 03 medical and health sciences 0302 clinical medicine Patient information Maternity and Midwifery Cognitive status Medicine 0501 psychology and cognitive sciences business Clinical psychology |
Zdroj: | British Journal of Midwifery. 28:34-41 |
ISSN: | 2052-4307 0969-4900 |
DOI: | 10.12968/bjom.2020.28.1.34 |
Popis: | Aim To establish whether women's cognitive status influenced their understanding of Down syndrome screening information, and to determine whether midwives offer the same oral explanation of Down syndrome screening to all women or if information was tailored to each woman based on their cognitive status. Methods Midwives (n=16) and women (n=100) were recruited from a regional NHS unit in the UK. A mixed-methods design encompassed two components; audio-recorded antenatal consultations and quantitative surveys to assess women's cognitive status and their understanding of Down syndrome screening information. Findings While women with abstract reasoning skills and high need for cognition (NfC) could understand information sufficiently, women with more concrete skills and low NfC require further explanation from the midwife to reach an informed decision. Conclusion Midwives did not tailor their communication based on women's cognitive status. This has implications for midwifery education programmes to train midwives to communicate Down syndrome screening information effectively. |
Databáze: | OpenAIRE |
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