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Midwives' perceptions of communication during videotaped counseling for prenatal anomaly tests: how do they relate to clients' perceptions and independent observations?
Martin, Linda; Gitsels-van der Wal, Janneke T; Pereboom, Monique T R; Spelten, Evelien R; Hutton, Eileen K; van Dulmen, Sandra.
Afiliación
  • Martin L; Department of Midwifery Science, VU University Medical Centre, Amsterdam, The Netherlands. Electronic address: linda.martin@INHOLLAND.nl.
  • Gitsels-van der Wal JT; Department of Midwifery Science, VU University Medical Centre, Amsterdam, The Netherlands; Faculty of Theology, VU University, Amsterdam, The Netherlands.
  • Pereboom MT; Department of Midwifery Science, VU University Medical Centre, Amsterdam, The Netherlands.
  • Spelten ER; Department of Midwifery Science, VU University Medical Centre, Amsterdam, The Netherlands.
  • Hutton EK; Department of Midwifery Science, VU University Medical Centre, Amsterdam, The Netherlands; Obstetrics & Gynecology, Midwifery Education Program, McMaster University, Hamilton, Canada.
  • van Dulmen S; NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands; Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
Patient Educ Couns ; 98(5): 588-97, 2015 May.
Article en En | MEDLINE | ID: mdl-25727285
OBJECTIVE: This study aimed to provide insight into Dutch midwives' self-evaluation of prenatal counseling for anomaly screening in real life practice and, the degree of congruence of midwives' self-assessments with clients' perceptions and with observed performance. METHODS: Counseling sessions were videotaped. We used the QUOTE(prenatal) questionnaire to have each midwife (N = 20) and her client (N = 240) rate the prenatal counseling that they had together. We used an adapted version of the RIAS video-coding system to assess actual counseling during videotaped prenatal counseling (N = 240). RESULTS: Midwives perceived the following functions of counseling performed well: 100% of Client-Counselor relation (CCR); 80% of Health Education (HE); and 17% Decision-Making Support (DMS). Congruence on HE of midwives with observers and with clients was ≥ 75%; congruence on DMS was higher between midwives and observers (80%) compared to midwives and clients (62%). CONCLUSION: Midwives perceive that during prenatal counseling the CCR and HE functions of counseling were performed well, whereas DMS was not. Furthermore, this study shows incongruence between midwives and clients about the discussion during DMS, indicating DMS is more difficult to assess than HE. PRACTICE IMPLICATIONS: The best way to measure prenatal counseling practice might be by using assessments of different sources within one study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anomalías Congénitas / Actitud del Personal de Salud / Comunicación / Consejo / Comunicación en Salud / Partería / Enfermeras Obstetrices Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Patient Educ Couns Año: 2015 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anomalías Congénitas / Actitud del Personal de Salud / Comunicación / Consejo / Comunicación en Salud / Partería / Enfermeras Obstetrices Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Patient Educ Couns Año: 2015 Tipo del documento: Article Pais de publicación: Irlanda