Maternity care providers' perceptions of women's autonomy and the law.
Maternity care providers' perceptions of women's autonomy and the law.
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DOI：
10.1186/1471-2393-13-84
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发表时间：
2013-04-04
影响因子：
3.1
通讯作者：
Catchlove A
中科院分区：
文献类型：
--
作者：
Kruske S;Young K;Jenkinson B;Catchlove A
与所有医疗保健消费者一样，孕妇有权对其医疗保健做出自主决定。然而，这项权利给许多孕产保健利益相关者带来了困惑，特别是在妇女的决定可能导致胎儿受到伤害的风险增加的情况下。人们对护理人员对这种情况的看法，或者他们对怀孕和分娩结果的法律责任知之甚少。本文探讨了妇产保健提供者对妇女在怀孕和分娩期间做出自主决定的权利的态度和信念，以及专业人员对孕产妇和胎儿结局的法律责任。使用在线和纸质形式的调查问卷，对来自澳大利亚昆士兰州公立和私立卫生部门的 336 名助产士和医生进行了抽样调查，衡量了对妇女自主权和卫生专业人员法律责任的态度和信念。学生 t 检验用于比较助产士和医生的反应。两名产科护理专业人员对自己的法律责任以及妇女及其胎儿的权利缺乏了解。助产士和医生认为最终决定权应由产妇做出。然而，每个人都认为，为了胎儿的安全，女性的需求可能会被忽视。尽管法律规定所有医疗保健专业人员只对自己的疏忽行为造成的不良结果负责，但医生相信自己对怀孕和分娩的结果负有最终的法律责任。专业间差异很明显，助产士和医生对六个项目中的五个项目的反应存在显着差异。产科护理专业人员始终不支持妇女在怀孕和分娩期间的自主决策权。由于护理人员对怀孕和分娩结果的法律责任缺乏了解，这一发现变得更加复杂。这项研究的结果支持需要为孕产妇护理专业人员制定妊娠和分娩决策指南，并认识到妇女、胎儿和卫生专业人员权利信念上的跨专业差异，以促进合作实践。
Like all health care consumers, pregnant women have the right to make autonomous decisions about their medical care. However, this right has created confusion for a number of maternity care stakeholders, particularly in situations when a woman’s decision may lead to increased risk of harm to the fetus. Little is known about care providers’ perceptions of this situation, or of their legal accountability for outcomes experienced in pregnancy and birth. This paper examined maternity care providers’ attitudes and beliefs towards women’s right to make autonomous decisions during pregnancy and birth, and the legal responsibility of professionals for maternal and fetal outcomes. Attitudes and beliefs around women’s autonomy and health professionals’ legal accountability were measured in a sample of 336 midwives and doctors from both public and private health sectors in Queensland, Australia, using a questionnaire available online and in paper format. Student’s t-test was used to compare midwives’ and doctors’ responses. Both maternity care professionals demonstrated a poor understanding of their own legal accountability, and the rights of the woman and her fetus. Midwives and doctors believed the final decision should rest with the woman; however, each also believed that the needs of the woman may be overridden for the safety of the fetus. Doctors believed themselves to be ultimately legally accountable for outcomes experienced in pregnancy and birth, despite the legal position that all health care professionals are responsible only for adverse outcomes caused by their own negligent actions. Interprofessional differences were evident, with midwives and doctors significantly differing in their responses on five of the six items. Maternity care professionals inconsistently supported women’s right to autonomous decision making during pregnancy and birth. This finding is further complicated by care providers’ poor understanding of legal accountability for outcomes experienced in pregnancy and birth. The findings of this study support the need for guidelines on decision making in pregnancy and birth for maternity care professionals, and for recognition of interprofessional differences in beliefs around the rights of the woman, her fetus and health professionals in order to facilitate collaborative practice.
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影响因子：
3.8
作者：
Burrows, J
通讯作者：
Burrows, J
影响因子：
6.6
作者：
KING, PA
通讯作者：
KING, PA
影响因子：
1.8
作者：
Watson, Bernadette M.;Heatley, Michelle L.;Gallois, Cindy
通讯作者：
Gallois, Cindy
DOI：
10.1186/1472-6874-11-53
发表时间：
2011-11-25
期刊：
BMC women's health
影响因子：
--
作者：
Behruzi R;Hatem M;Goulet L;Fraser W
通讯作者：
Fraser W
影响因子：
3.1
作者：
Behruzi, Roxana;Hatem, Marie;Misago, Chizuru
通讯作者：
Misago, Chizuru