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Shared decision-making for women facing an unplanned pregnancy: A qualitative study
- Source :
- Nursinghealth sciencesREFERENCES. 22(4)
- Publication Year :
- 2020
-
Abstract
- This study aimed to explore the competencies of health care practitioners who promote shared decision-making (SDM)-based care for women facing an unplanned pregnancy in Japan. We conducted semistructured interviews with 12 care providers who are pioneers in care for women facing an unplanned pregnancy and adopted a modified grounded theory approach for data analysis. A three-step model for shared decision making in practice (team talk, option talk, and decision talk) was used as a reference. The answers given by the care providers were analyzed to identify the competencies involved in shared decision making. We identified three stages: (i) building trust and promoting women's expression; (ii) discussing women's real needs; and (iii) exploring the intentions and goals expressed by women and finding the best choices while promoting women's autonomy in decision-making. The coordination between the support of partners, families, and professionals, and the care provided to strengthen women's identities facilitated shared decision making. Women facing an unplanned pregnancy can benefit from interventions designed to improve shared decision making. A key component of shared decision making-based care relates to practitioners' raised awareness toward their roles and responsibilities: developing good communication skills and fostering collaboration between all stakeholders.
- Subjects :
- Adult
media_common.quotation_subject
Psychological intervention
Grounded theory
03 medical and health sciences
0302 clinical medicine
Japan
Pregnancy
Unplanned pregnancy
Health care
Humans
030212 general & internal medicine
General Nursing
Qualitative Research
media_common
Medical education
030504 nursing
business.industry
Pregnancy, Unplanned
General Medicine
Focus Groups
Expression (architecture)
Grounded Theory
Female
Pregnant Women
Communication skills
0305 other medical science
business
Psychology
Decision Making, Shared
Autonomy
Qualitative research
Subjects
Details
- ISSN :
- 14422018
- Volume :
- 22
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Nursinghealth sciencesREFERENCES
- Accession number :
- edsair.doi.dedup.....2cb911e061e596061e6497b5f70ce182