Antenatal counselling for congenital anomaly tests: An exploratory video-observational study about client-midwife communication.
Objective: antenatal counselling for congenital anomaly tests is conceptualised as having both Health Education (HE) and Decision-Making Support (DMS) functions. Building and maintaining a client-midwife relation (CMR) is seen as a necessary condition for enabling these two counselling functions. Ho...
| Publicado en: | Midwifery Vol. 31; no. 1; pp. 37 - 47 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jan2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103925787&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103925787 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02666138 8IR jtl: Midwifery issn: 02666138 maglogo: N pubinfo: dt: Jan2015 vid: 31 iid: 1 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 103925787 99956100 10.1016/j.midw.2014.05.004 NLM24861671 103925787 ppf: 37 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Antenatal counselling for congenital anomaly tests: An exploratory video-observational study about client-midwife communication. aug: au: Martin, Linda Hutton, Eileen K. Gitsels-van der Wal, Janneke T. Spelten, Evelien R. Kuiper, Fleur Pereboom, Monique T. R. van Dulmen, Sandra affil: Department of Midwifery Science, AVAG and the EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands sug: subj: Prenatal Care Counseling Fetal Abnormalities Prenatal Diagnosis Communication Midwives Human Exploratory Research Videorecording Netherlands Linear Regression Questionnaires Random Sample Intraclass Correlation Coefficient Descriptive Statistics T-Tests Chi Square Test Male Female Adult Funding Source Adult: 19-44 years Male Female ab: Objective: antenatal counselling for congenital anomaly tests is conceptualised as having both Health Education (HE) and Decision-Making Support (DMS) functions. Building and maintaining a client-midwife relation (CMR) is seen as a necessary condition for enabling these two counselling functions. However, little is known about how these functions are fulfilled in daily practice. This study aims to describe the relative expression of the antenatal counselling functions; to describe the ratio of client versus midwife conversational contribution and to get insight into clients' characteristics, which are associated with midwives' expressions of the functions of antenatal counselling. Design: exploratory video-observational study. Participants and setting: 269 videotaped antenatal counselling sessions for congenital anomaly tests provided by 20 midwives within six Dutch practices. Measurements: we used an adapted version of the Roter Interaction Analysis System to code the client-midwife communication. Multilevel linear regression analyses were used to analyse associations between clients' characteristics and midwifes' expressions of antenatal counselling in practice. Findings: most utterances made during counselling were coded as HE (41%); a quarter as DMS (23%) and 36% as CMR. Midwives contributed the most to the HE compared to clients or their partners (91% versus 9%) and less to the DMS function of counselling (61% versus 39%). Multilevel analyses showed an independent association between parity and shorter duration of antenatal counselling; (ß=3.01; p<0.001). The amount of utterances concerning HE and DMS during counselling of multipara was less compared to nulliparous. Key conclusions: antenatal counselling for congenital anomaly tests by midwives is focused on giving HE compared to DMS. The relatively low contribution of clients during DMS might indicate poor DMS given by midwives. Counselling of multipara was significantly shorter than counselling of nulliparous; multiparae received less HE as well as DMS compared to nulliparous women. Implications for practice: our findings should encourage midwives to reflect on the process of antenatal counselling they offer with regards to the way they address the three antenatal counselling functions during counselling of nulliparous women compared to multiparae. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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