Listening to women at risk for preterm birth.
Listening to women at risk for preterm birth.
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DOI：
10.1097/00005721-200411000-00010
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发表时间：
2004-11-01
期刊：
影响因子：
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通讯作者：
Wagoner, Susan
中科院分区：
文献类型：
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作者：
Moore, Mary Lou;Ketner, Mona;Wagoner, Susan
在关于美国高早产率和低出生体重儿的讨论中，经常缺少孕妇的声音。在这篇文章中，我们分享了低收入孕妇的声音，她们参加了一项为期5年的护士电话干预以减少早产的随机临床研究。数据从三个来源收集：研究护士记录事件发生时的日志;程序完成后使用结构化访谈对随机选择的参与者进行电话调查;以及研究参与者撰写的笔记和信件中的自发评论。病人普遍认为护理的障碍，并与他们的护士。最常见的障碍涉及沟通：妇女与提供者之间的沟通不畅和误解;提供者向患者提供相互矛盾的信息造成的沟通不畅和误解;提供者向患者提供的信息不准确;提供者未能回应患者的信息请求;患者普遍认为提供者缺乏同情心或漠不关心。这些妇女的观点提出了重要的问题，护士和其他医疗保健提供者的方式，我们沟通的信息和态度照顾孕妇。
Frequently missing from discussions of the high rates of preterm and low birthweight births in the United States are the voices of pregnant women. In this article, we share the voices of low-income pregnant women who were participants in a 5-year randomized clinical study of nurse telephone intervention to reduce preterm birth. Data were gathered from three sources: a log kept by the study nurses in which they recorded events as they occurred; a telephone survey of randomly selected participants using a structured interview after the program was completed; and spontaneous comments from notes and letters written by study participants. Patients commonly perceived barriers to care, and related them to the nurses. The most frequent barriers concerned communication: miscommunication and misunderstanding between a woman and provider; miscommunication and misunderstanding involving providers giving conflicting information to patients; inaccurate information from provider to patient; failure of a provider to respond to a patient's request for information; and a general feeling among patients that providers were unsympathetic or uncaring. The perspectives of these women raise important questions for nurses and for other healthcare providers about the way we communicate both information and attitudes of caring to pregnant women.