Document Detail


Decision making in laboring women: ethical issues for perinatal nurses.
MedLine Citation:
PMID:  15923964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The decision-making process in childbearing women regarding birth preferences raises ethical dilemmas related to caring for women during labor and birth. Giving birth is a powerful, life-changing event that leaves a lasting impact on the childbearing woman. The birth experience may be perceived positively or negatively or with feelings of ambivalence. This descriptive qualitative study asked what factors influence a woman's change in her stated birth preference from an unmedicated birth to a medicated birth. A purposive convenience sample of 33 primiparous and multiparous childbearing women who had changed their stated birth preference for pain management during labor participated in interviews conducted within a month of giving birth. Themes included wanting an unmedicated birth; changing to a medicated birth; feeling disappointed, ambivalent, or satisfied; and reflecting on the change. Changing birth preferences is a result of many complex factors, including the influence of professional support by nurses. Ethical principles such as autonomy, veracity, beneficence, informed consent, standard of best interest, and obligations should be applied when caring for laboring women, framed by the ethics of caring.
Authors:
Troy Carlton; Lynn Clark Callister; Eva Stoneman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of perinatal & neonatal nursing     Volume:  19     ISSN:  0893-2190     ISO Abbreviation:  J Perinat Neonatal Nurs     Publication Date:    2005 Apr-Jun
Date Detail:
Created Date:  2005-05-30     Completed Date:  2005-08-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8801387     Medline TA:  J Perinat Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  145-54     Citation Subset:  N    
Affiliation:
University of Colorado School of Nursing, Denver, USA. tory_carlton@byu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesia, Obstetrical / ethics,  nursing,  psychology*
Choice Behavior / ethics
Decision Making / ethics*
Decision Support Techniques
Empathy
Ethics, Nursing*
Female
Humans
Informed Consent / ethics,  psychology
Labor, Obstetric / psychology*
Models, Psychological
Mothers / education,  psychology*
Neonatal Nursing / ethics*,  organization & administration
Nurse's Role / psychology
Nurse-Patient Relations / ethics
Nursing Methodology Research
Patient Advocacy / ethics,  psychology
Patient Education as Topic / ethics
Patient Participation / psychology*
Pregnancy
Principle-Based Ethics
Qualitative Research
Questionnaires
Social Support
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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