Towards understanding the concept of risk for pregnant women: some nursing and midwifery implications
Towards understanding the concept of risk for pregnant women: some nursing and midwifery implications
复制标题
DOI：
10.1111/j.1365-2702.2008.02480.x
复制
发表时间：
2009-03-01
影响因子：
4.2
通讯作者：
Carolan, Mary C.
中科院分区：
文献类型：
--
作者：
Carolan, Mary C.
本文旨在探讨妊娠风险的概念。风险和“不知道”的概念一直围绕着孕妇，尽管在过去的二十年中，消费者信心的增强和助产活动的积极趋势共同促进了怀孕作为一种正常生活事件的更多赞赏。与此同时，与怀孕有关的技术的进步引起了新的关注，这与超声波检测轻微异常的能力日益增强有关。这反过来又导致了在高风险妊娠护理中监测可疑发现的妇女人数的一致增加。总的来说，这种对异常检测和风险的日益重视可能会对女性产生严重影响。概念分析。在这篇论文中，我对卫生专业人员和孕妇所理解的风险概念进行了探索。然后，利用黛博拉·勒普顿对“风险话语”的理解，我讨论了孕妇对这种话语的贡献和卷入的方式。在最后一节，我考虑护士如何采取非正式行动来保护弱势妇女。卫生专业人员和孕妇对风险的理解不同。妇女对风险进行主观评估，根据其个人价值观和以前的经验进行衡量，而保健专业人员则以客观的方式评估风险。随着越来越多的妇女接受“风险”护理，保健专业人员了解产妇对风险的理解并作出反应是很重要的。特别是护士和助产士，在帮助妇女理解风险计算方面可以发挥作用。通过这种方式，他们可以采取行动，改善孕妇日益增长的风险概念。
This paper aims to explore the concept of risk in pregnancy.Notions of risk and 'not knowing' have always surrounded pregnant women, although in the last two decades trends of increased consumer confidence and midwifery activism have together promoted a greater appreciation of pregnancy as a normal life event. At the same time, advances in pregnancy-related technologies have contributed new levels of concern related to an increasing ability to detect minor abnormalities by ultrasound. This, in turn, causes a concordant rise in the number of women referred to high-risk pregnancy care to monitor suspect findings. Overall, it seems likely that this increasing emphasis on abnormality detection and risk may have serious implications for women.Concept analysis.In this paper, I undertake an exploration of the concept of risk as understood by health professionals and pregnant women. Then, using Deborah Lupton's understanding of a 'discourse of risk', I discuss the ways pregnant women both contribute to and are enmeshed in, this discourse. In the final section, I consider how nurses act informally to shield vulnerable women.Health professionals and pregnant women understand risk differently. Women employ a subjective appraisal of risk, measuring it against their personal values and prior experience, while health professionals evaluate risk in an objective manner.As increasing numbers of women are referred to 'at risk' care, it is important that health professionals understand and respond to maternal understandings of risk. Nurses and midwives particularly, have a role to play in assisting women to make sense of risk calculations. In this way, they can act to ameliorate the growing concept of risk for pregnant women.